Form Reg-1 Draft - Business Taxes Registration Application

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Department of Revenue Services
DRS use only - Connecticut Tax Registration Number
State of Connecticut
Form REG-1
PO Box 2937
Hartford CT 06104-2937
Business Taxes Registration Application
(Rev.
03/15)
1. Reason for Filing Form REG-1 (
check the applicable box):

Opening a new business including but not limited to:
a. An existing out-of-state business opening a location in Connecticut;
b. Selling at a craft show, fl ea market, fair, or other venue in Connecticut or selling over the Internet; or
c. An existing out-of-state business having employees in Connecticut (including nonresident contractors and loan-out companies).

Opening a new location. Enter your Connecticut Tax Registration No:
________________________________________________________________

Registering for additional taxes. Enter your Connecticut Tax Registration No:
_______________________________________________________

Reopening a closed business.
Enter Connecticut Tax Registration No. of the closed business:
______________________________________________________________________

Purchasing an ongoing business. The buyer of an existing business may be responsible for tax liabilities of the previous owner.
See the Informational Publication on
Successor Liability for Sales and Use Taxes, Admissions and Dues Tax, and Connecticut
Income Tax
Withholding, on the DRS website.
Enter Connecticut Tax Registration No. of the previous owner:
_______________________________________________________________________

Forming a business entity under Connecticut law or a non-Connecticut entity required to register with or to obtain a
certifi cate of authority from the Connecticut Secretary of the State before transacting business in Connecticut.

Establishing a passive investment company (PIC).

Changing organization type. Enter your current Connecticut Tax Registration No:
_________________________________________________
Explain:
_____________________________________________________________________________________________________________________________________________

Hiring household employees and intend to withhold Connecticut income tax.

Other (explain); see
instructions
Who Needs to Complete REG-1.
_________________________________________________________________________
2.
Type of Organization:
Sole proprietorship
Single member LLC (SMLLC)
Corporation
Single member LLC taxed as a corporation
S Corporation


General partnership
Single member LLC taxed as an S corporation
Qualifi ed subchapter S subsidiary (QSSS)
Limited liability partnership (LLP)
Limited liability company (LLC) taxed as a partnership
Limited liability company (LLC) taxed as a corporation
Limited partnership (LP)
Limited liability company (LLC) taxed as an S corporation
Limited partnership taxed as a corporation
Other (explain):
_________________________________________________________________________
3. Nature of Business Activity (c
heck the box(es) that best describe your business):
 Retailer  Wholesaler
 Manufacturer
 Service provider
 Other (explain):
4. Major Business Activity
Describe your major business activities:
________________________________
Enter North American Industry
Classifi cation System Code (NAICS):
___________________________________________________________________________________
Visist to determine your NAICS.
___________________________________________________________________________________
5. Business Name and Address
Entity
name: Enter the name of the sole proprietor, partnership, corporation, or LLC.
Federal Employer Identifi cation Number (FEIN), if applicable
Trade, fi ctitious, or “doing business as”
name
CT Secretary of the State Business ID No., if applicable
Business Location: Enter the physical address of the business. A post offi ce box or rural route number is not acceptable. Home-based businesses and
fl ea market or craft show vendors must enter a home address.
Physical address 1
Address line 2
City
State
ZIP code
Mailing address line 1
(if different from
above)
Address line 2
City
State
ZIP code
Business telephone number
Email address
Business
bank name
(
)

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