Application To Participate In Simplified Sellers Use Tax Remittance Program
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2SSUT Application
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LABAMA
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P.O. B
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36132-7710 • (334) 242-1490
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Application to Participate in
Simplified Sellers Use Tax Remittance Program
Legal Name: ____________________________________________________________________________ NAICS Code: ________________________
Trade Name, DBA Name(s): ___________________________________________________________________________________________________
Physical Address: _____________________________________________________________________________________________________________
Mailing Address: _____________________________________________________________________________________________________________
City: _____________________________________________________________ State: __________________________ Zip: _______________________
Date of Incorporation: _________________ State of Incorporation: ________________________ County of Incorporation: ____________________
Telephone Number: (______)________________________ Federal ID Number: ________________________________________________________
Contact Person:__________________________________________________________ Contact’s Telephone Number: (______)__________________
Contact’s Fax Number: (______)__________________ Contact’s E-Mail Address: ______________________________________________________
What tangible personal property is sold in Alabama?______________________________________________________________________________
What type of sales are made into Alabama?
Wholesale Sales
Retail Sales
Leasing or Rental
Other: ___________________________________________________
Please give a detailed description of the business activities in Alabama:
_____________________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________________
Type of Organization (i.e. Corporation, LLC, Partnership, Proprietorship, etc.): ___________________________________________________________
Please check all the items below that describe this company’s business activities in Alabama. If none of these items pertain to this
business, select “None of the above.”
1. Maintains a place of business in Alabama, such as an office, agency, warehouse, showroom, retail outlet, manufacturing plant,
etc.
2. Has an employee or independent representative in Alabama, or one that travels into Alabama for any reason, including (but not
limited to) installations, training, sales calls, etc., such as a salesman, sales representative, manufacturer’s representative,
contractor, agent, installer, repairman, etc.
3. Delivers merchandise to customers in Alabama by company-owned vehicle, leased vehicle, or by any means other than
common carrier or the U.S. Postal Service.
4. Leases or rents tangible personal property in Alabama.
5. Contracts to make improvements to real property in Alabama.
6. Holds title to any real property in Alabama.
7. Partners with or is affiliated with another company in Alabama.
8. Corporation files as part of a Federal consolidated group for income tax purposes. If so, please attach a list of the corporation
names and FEIN’s of the members who do business in Alabama.
9. Corporation meets other requirements to file sales or use taxes in Alabama. If checked, please attach an explanation.
10. None of the above.
Note: Signature is required on page 2 of this application. This information will be used by the Department to determine if you qualify for the
Simplified Sellers Use Tax established by Act No. 2015-448. If it is determined that your company qualifies for the Simplified Sellers Use Tax
Program, the department will issue you a Sellers Use Tax Account.
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