Form Bt-1 - Business Tax Application - 2014 Page 2
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Business Tax Application
(Please print legibly or type the information on this application.)
Section B: Sales Tax (RST)/Out-Of-State (OOS) Use Tax Registration (Valid for two years, see instructions on page 2)
($25 Nonrefundable Registration Fee for Retail Merchants Certificate)
(No Fee for Out-of-State Use Tax Certificate)
Contact the Department at (317) 233-4015 for more information regarding these taxes.
*
1. Registration date of this location under this ownership:
2. Estimated monthly taxable sales: $
* See Instructions on page 2.
(Must be $1 or more; see instructions on page 2)
Month
Year
Check the appropriate responses.
3.
Is this business seasonal?............
A
B
Yes
No
J
C
D
E
F
G
H
I
K
L
M
N
If yes, check active months.
(Check no more than nine.)
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Check the appropriate responses.
Will you provide lodging or accommodations for periods of
4.
A
B
less than 30 days? If yes, complete Section E. ....................
Do you occasionally make sales in the State of Indiana at
Yes
No
10.
fairs, flea markets, etc? ......................................................... Yes
A
B
No
A
Will prepared foods or beverages be sold/catered? ..............
B
5.
Yes
No
If yes, complete Section D.
A
11.
B
Do you sell tires? ..................................................................
Yes
No
If yes, complete Section G.
6.
Will alcoholic beverages, beer, wine or packaged liquor
A
B
A
Are you registered for Streamline Sales Tax? ......................
B
be sold from this location? ....................................................
Yes
No
Yes
No
12.
If you are registered, enter your Streamline Sales Tax
If yes, and you have one, enter your ABC Permit Number
(SSTID) Number.
C
S
C
Expiration Date
D
If you should need to register (you must file online) go to:
Month
Day
7.
Will gasoline, gasohol or special fuels be sold through a
A
B
Yes
No
metered pump? ......................................................................
Mailing name and address for RST/OOS tax returns (if different from
13.
8.
Will cars or trucks (less than 11,000 lbs Gross Vehicle
Section A, Line 6):
Check if foreign address (see instructions)
A
Weight) be rented for less than 30 days from this
A
B
location? ................................................................................
Yes
No
In care of:
B
If yes, complete Section F.
C
If you are reporting sales tax on a consolidated basis, is this
Street Address:
9.
location to be included in your consolidated account? .........
A
B
Yes
No
If yes, enter your Reporting Number (TID).
D
City:
C
E
F
State:
ZIP Code:
Section C: Withholding Tax (WTH) Registration (see instructions on page 2)
(No Registration Fee)
Contact the Department at (317) 233-4016 for more information regarding this tax.
4. Date taxes first withheld from an Indiana resident/
1. Accounting Period: Year Ending Date
Month
Day
employee under this ownership:
2. If you have one, what is your State Unemployment Tax Account # (SUTA):
Month
Year
5. Anticipated monthly wages paid to Indiana
A
3. (Check all that apply) Are you withholding on a: Resident
Nonresident Shareholder
B
resident/employees:
One-time yearly distribution
C
Nonresident Partner or Beneficiary
D
$
6. Mailing name and address for WTH tax returns (if different from Section A, Line 6):
Check if foreign address (see instructions)
A
C
B
In care of:
Street Address:
E
F
D
City:
State:
ZIP Code:
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