Form Reg-7 - Application For Authority To Collect Connecticut Use Tax Form - Department Of Revenue Services State Of Connecticut

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Department of Revenue Services
Connecticut Tax Registration Number
State of Connecticut
25 Sigourney Street
Hartford CT 06106
REG-7
REG-7 (Rev. 01/05)
Application for Authority to Collect
Connecticut Use Tax
Read the instructions on the back before you complete this application.
1. Business Name and Address
Organization Name (Enter name of sole proprietor, partnership, corporation, or LLC)
FEIN
Business Trade Name
Business Location: Enter physical address of the business. A post office box or rural route number is not acceptable.
Address Line 1
Address Line 2
City
State
ZIP Code
Mailing Address Line 1 (Street or PO Box)
Address Line 2
City
State
ZIP Code
Business Telephone Number
E-mail Address
Bank Name
(
)
2. Business Information
Type of Organization:
Sole Proprietorship
Corporation
S Corporation
General Partnership
Limited Liability Company (LLC)
Single Member LLC (SMLLC)
Limited Liability Partnership (LLP)
Check if taxed as a corporation
Check if taxed as a corporation
Limited Partnership
Other (explain): ____________________________________________________
Enter the date this business started
If a corporation, give the state of incorporation.
/
/
making sales into Connecticut
3. Nature of Business Activity
Check the box(es) that best describe your business:
Retailer
Wholesaler
Manufacturer
Service Provider
Other (explain): __________________________
___________________________________
4. Major Business Activity
Describe your major business activities: _______________________________________________________________________
_________________________________________________________________________________________________________
_________________________________________________________________________________________________________
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