Form Ta-2 - Application For Additional Registration Page 2
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1
2Tax Type Information
Withholding
Mo
Day
Yr
21. Date you were first required to withhold
22. Number of employees
taxes at this location.
in Massachusetts:
Sales/Use Tax on Goods
Mo
Day
Yr
23. Date you were first required to collect
sales/use tax at this location.
24. Check here if your business location is within the Convention Center Financing District:
(see pages 24–26 of instructions).
25. Check here if your business location is within a hotel, motel or other lodging establishment in Boston or Cambridge:
Sales/Use Tax on Telecommunications Services
Mo
Day
Yr
26. Date you were first required to collect sales/use tax
on telecommunications services at this location.
27. Check here if your business location is within the Convention Center Financing District:
(see pages 24–26 of instructions).
28. Check here if your business location is within a hotel, motel or other lodging establishment in Boston or Cambridge:
Meals Tax on Food and All Beverages
29. Check if you serve:
Food
Beer
Wine
Alc. Bev.
30. Check if food/beverage vending machine:
31. Date you were first required to collect
Mo
Day
Yr
meals tax.
32. Name and address
on liquor license
33. Seating capacity:
at this location.
34. Check here if your business location is within the Convention Center Financing District:
(see pages 24–26 of instructions).
35. Check here if your business location is within a hotel, motel or other lodging establishment in Boston or Cambridge:
Room Occupancy
Mo
Day
Yr
Locality code
36. Date you were first required to collect room occupancy tax.
37.
38. Number of rooms:
Use Tax Purchaser
Mo
Day
Yr
39. Date you were first required to pay use tax.
Convention Center Financing Surcharges
Mo
Day
Yr
40. Date you were first required to collect: a. Boston Sightseeing Tour Surcharge
Mo
Day
Yr
b. Boston Vehicular Rental Transaction Surcharge
Mo
Day
Yr
c. Parking Facilities Surcharge in Boston, Springfield and/or Worcester
Cigar and Smoking Tobacco Excise
Mo
Day
Yr
41. Date you were first required to collect cigar and smoking tobacco excise.
Mail to: Massachusetts Department of Revenue, Data Integration Bureau, PO Box 7022, Boston, MA 02204.
I hereby certify that the statements made herein have been examined by me and are, to the best of my knowledge and belief, true and correct. Signed
under the pains and penalties of perjury. The signing of this application is evidence that you may be individually and personally responsible for any sums
required to be paid to the Commonwealth, under MGL, Chapters 62B, Sec. 5; 64G, Sec. 7B; 64H, Sec. 16 and 64I, Sec. 17.
Your signature
Title
Date
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