Form Ta-2 - Application For Additional Registration

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Rev. 12/02
Massachusetts
Form TA-2
Department of
Application for Additional Registration
Revenue
Check As Many As Apply
1. A 1.
Employer under the Income Tax Withholding Law (payroll tax)
D
Governmental or Charitable Exempt Purchaser
2.
Withholding for Pension Plans, Annuities and Retirement
E
Chapter 180 Organization Selling Alcoholic Beverages
Distributions
F
Use Tax Purchaser
B 1.
Sales/Use Tax on Goods Vendor
G
Boston Sightseeing Tour Surcharge
2.
Sales/Use Tax on Telecommunications Services Vendor
H
Boston Vehicular Rental Transaction Surcharge
3.
Meals Tax on Food and All Beverages
I
Parking Facilities Surcharge in Boston, Springfield
4.
Purchasing in MA for Out-of-State Resale Only
and/or Worcester
C
Operator Under Room Occupancy Excise
J
Cigar and Smoking Tobacco Excise
Note: If you are selling cigarettes at retail, see instructions.
2.
3.
4.
Federal Identification number
Social Security number
Location number
Principal Place of Business
5.
Owner, partnership or legal corporate name
Name (cont’d.)
6.
Number and street
7.
8.
9.
City or town
State
Zip
10.
(Area code) Telephone number
(
)
Address of New Location
11.
Trade name
Trade name (cont’d.)
12.
Number and street (PO box is not acceptable)
13.
14.
15.
City or town
State
Zip
16.
(Area code) Telephone number
(
)
17. Send certificate to:
Principal place of business
Location of business
18. Send tax forms to:
Principal place of business
Location of business
Other: If “other,” complete Schedule TA-4
Filing Frequencies
19.
Is this location seasonal? (see instructions)
Yes
No.
20. Indicate 12-month estimate of tax to be withheld, collected or
If “yes,” check month(s) or partial month(s) business operates.
paid for each applicable tax. Check the appropriate box(es).
Check month(s)
Jan Feb Mar Apr May Jun
Jul
Aug Sep Oct Nov Dec
Check appropriate box
$0–$100
$101–$1,200 $1,201–$25,000 over $25,000
Withholding
Withholding
Sales/Use on Goods
Check appropriate box(es)
$0–$100
$101–$1,200
over $1,200
Sales/Use on Goods
Sales/Use on
Telecom. Services
Sales/Use on Telecom. Services
Meals
Meals
Room Occupancy
Room Occupancy
Use Tax Purchaser

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