Form Ibr2 - Business Registration - Idaho State Tax Commission
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1Revised
TC00081-2
IBR-2
2000
10-16-00
Return to:
IDAHO STATE TAX COMMISSION
PO BOX 36
BOISE, IDAHO 83722-0410
SHADED AREAS FOR STATE USE ONLY
___ Sole Proprietorship
___ Partnership
___ S Corporation
___ Corporation
1. Type of business
___ Nonprofit
___ Government
___ Fiduciary/Trust
___ Limited Liability Company
(see instructions)
___ New applicant
___ Change legal name
___ Change assumed business name
2. Purpose of registration
___ Add new account type ___ Add/Change Location
___ Change in partners, shareholders or managing members ____%
___ Boise Auditorium
___ Sales
3. Type of permits/accounts
4. Amusement device decals
___ Travel & Convention
___ Use
X
$35.00
5. Date sales or use will begin in Idaho
Total Due
month
year
7. Social security number (SSN)
8. Estimated monthly taxable sales
6. Federal employer identification number (EIN)
10. Assumed business name (DBA)
9. Legal business name (see instructions)
11. Date business began in Idaho
12. Date incorporated
13. State incorporated in
14. Month tax year ends
15. Physical location of
County
City
State
Zip Code
Street address
business (no PO Box or
mail drop addresses)
16. Mailing address
Street address or PO Box
City
State
Zip Code
State
Zip Code
17. Mailing address
Street address or PO Box
City
for report forms
19. Contact person (name and title)
20. Telephone number & extension of contact person
18. Business telephone number
(
)
(
)
21. E-mail address of contact person
22. Fax number of contact person
23. Primary nature of business in Idaho: (Specify the product manufactured and/or sold or the type of service performed.)
24. Have you ever had a tax account number in Idaho? If yes, list all permit or account numbers.
25. List (a) owner and spouse of sole proprietorship, (b) all partners of partnership, (c) all corporate officers of corporation, or (d) all members
of limited liability companies. (Use additional sheet if necessary.)
Corporate
Director?
Address of Residence
SSN or EIN and Phone Number
Name
% Owned
Title
Yes/No
ACQUIRING AN EXISTING BUSINESS OR CHANGING TYPE OF LEGAL BUSINESS ENTITY
If you buy an existing business, Idaho law requires you to withhold enough of the purchase money to pay any sales tax due or unpaid by the previous
owner until the previous owner produces a receipt from the State Tax Commission showing the taxes have been paid. If you fail to withhold the
required purchase money and the taxes remain due and unpaid after the business is sold, you may be liable for the payment of the taxes collected or
unpaid by the former owner.
26. Did you acquire all or part of an existing business? ___ All ___ Part ___ None
27. Did you change your legal business entity? ___ Yes ___ No
28. Previous owner's name
29. Business name at time of purchase
30. Date acquired
31. Account/permit numbers of the business acquired
CERTIFICATION: I certify that I am authorized as an owner, partner, corporate officer, member or representative to sign this document and that the
statements made are correct and true to the best of my knowledge. (This form must also be signed by the spouse of a sole proprietor.)
Print name_______________________________________________ Signature___________________________________________________
Date___________
Print name_______________________________________________ Signature___________________________________________________
Date___________
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