Tax Registration Form - City Of Auburn, Alabama
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1For City of Auburn Staff use only:
Customer # _________________
CITY OF AUBURN, AL
TAX REGISTRATION FORM
BUSINESS INFORMATION
Business Legal Name:________________________________________________ DBA Name: _________________________________________
Federal Employer Identification # ________________________
State of Alabama Sales/Use Tax # ____________________
Type of Ownership:
□ Corporation
□ Partnership
□ Individual or Sole Proprietorship
□ Limited Liability Partnership (LLP)
□ Limited Liability Company (LLC) (Single Member)
□ Limited Liability Company (LLC) (Multi-Member)
TAX/LICENSING INFORMATION
Description of Business Activity: ____________________________________________________________________________________________
First Day Business Activities Will Begin in Auburn: _______________(Month) _________ (Day) ____________ (Year)
Tax Types (Check all applicable tax types):
□Sales
□Use
□Rental/Leasing
Estimated Monthly Tax Liability: $____________
Preferred Filing Status:
□Monthly
□Quarterly
□Annually
□Occasional
□One-time
Will you have any company representatives (i.e. salespersons, delivery/installation personnel, consultants/agents) conducting business in the City of
Auburn? ____ Yes ____ No
If yes, are they classified as employees (W-2) or independent contractors (1099)? ____ W-2 or ____ 1099
Any person working in the City on your behalf must either be a W-2 employee on your payroll or purchase his/her own business license as
a 1099 independent contractor. All W-2 employees are subject to the occupational license fee
If yes and representitives are W-2 employees, DO NOT complete this form. The Business Registration form must be completed.
ADDRESS/MAILING INFORMATION
Physical Location: _____________________________________________________, _____________________(City), _____ (State), ______ (Zip)
Business Phone # ____________________
Fax # _____________________ Website: ____________________________________________
Mailing Address: ______________________________________________________, _____________________(City), _____ (State), ______ (Zip)
OWNER/PARTNER/OFFICER INFORMATION (Person(s) legally responsible for business) (Attach additional sheets if necessary)
SECTION MUST BE COMPLETED BY ALL PERSONS LEGALLY RESPONSIBLE FOR BUSINESS
Name: ______________________________________________________________________ Title: ____________________________________
Home Address: ________________________________________________________, ___________________(City), ______ (State), _______ (Zip)
Business Phone # _____________ Alternative Phone # _____________ Fax # _____________ Email _________________________
SSN: ________________
DOB: ________________
DL#/STATE: _______________________
Please provide a legible copy of the driver’s license or state-issued identification card for each owner/partner/officer.
CONTACT INFORMATION (Person(s) who can answer tax/licensing questions about the business) (Attach additional sheets if necessary)
Name: _________________________________________________________________________ Title: _________________________________
Business Phone # _____________ Alternative Phone # _____________ Fax # _____________ Email _________________________________
STATEMENT OF DECLARATION
Under penalties of perjury, I declare that I have examined this form and to best of my knowledge and belief, it is true, correct, and complete. My
signature indicates that I am legally responsible for the business and assume all tax/licensing liabilities of this business that might occur.
_______________________________________
________________________________________
Signature of Person Legally Responsible for Business
Print Name of Person Legally Responsible for Business
Date: ____________________________
Mail Completed Form To: City of Auburn-Revenue Office at 144 Tichenor Avenue∙Suite 6∙Auburn, AL 36830
Office: (334) 501-7239 ∙ Fax: (334) 501-7297 ∙ Website:
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