Application For Tax Information - City Of Tuscaloosa
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1CITY OF TUSCALOOSA
PLEASE PRINT
APPLICATION FOR TAX INFORMATION
OR TYPE
A TAX CERTIFICATE MUST BE OBTAINED BY EACH PERSON OR BUSINESS LIABLE FOR ANY OF THE SEVEN TAXES LISTED IN THIS
HEADING.
CHECK THE TAXES FOR WHICH YOU ARE LIABLE:
Business License Tax
Rental Tangible
Sellers Use Tax
Renting Apts. or Other Space For
Personal Property Tax
Residential Purposes
Sales Tax
Consumers Use Tax
Renting Commercial Property
Renting Motel or Trailer Park
NAME OF TAXPAYER:
PHYSICAL ADDRESS OF OFFICE IN TUSCALOOSA AREA:
MAIL ADDRESS TO WHICH TAX FORMS ARE TO BE SENT:
(IF P O BOX, STREET NUMBER MUST ALSO BE SHOWN)
PRINCIPAL BUSINESS ADDRESS IF DIFFERENT:
IF YOU HAVE MORE THAN ONE TAXABLE LOCATION, MAKE A
PHONE NUMBER:
CHECK
MARK HERE _______. YOU ARE REQUIRED TO LIST ALL OTHER
TAXABLE LOCATIONS ON THE REVERSE SIDE OF THIS FORM.
OTHER ALABAMA CITIES IN WHICH YOU HAVE A BUSINESS
ADDRESS:
PRINCIPAL BUSINESS ACTIVITY AND PRODUCT:
TAX ID NUMBERS NOW ASSIGNED TO YOU:
STATE OF ALA SALES TAX NO.
(WRITE “NONE” IF NO NUMBER ASSIGNED.)
ST OF ALA SELLERS USE TAX
NO.
ST OF ALA CONSUMERS USE NO.
FEDERAL I.D. TAX NO.
TYPE OF BUSINESS:
FORM OF ORGANIZATION:
MANUFACTURER
CONTRACTOR
CORPORATION
PARTNERSHIP
WHOLESALER
RETAILER
PROPRIETORSHIP
PROF.
ASSOCIATION
OTHER
OTHER:
OFFICERS, PARTNERS, OR OWNER:
NAME:
TITLE:
CITY OF TUSCALOOSA OFFICE USE ONLY
I HEREBY CERTIFY THAT ALL INFORMATION AND
STATEMENTS HEREIN ARE TRUE AND CORRECT:
R.P.
Sales Tax
SIGNATURE:
R.T.P.P.
SUT
PRINTED NAME:
CUT
BL-001
TITLE:
R. M. T.
ZNNG
DATE:
COMPLETE AND RETURN THIS FORM TO:
City of Tuscaloosa Revenue Department
P O Box 2089, Tuscaloosa, AL 35403
(205) 349-0220
Fax: (205) 349-0180
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