Form Ut1008 - Application For Consumers Use Tax Registration
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1UT 1008
S
O
TATE OF
HIO
(Rev. 9/00)
D
T
EPARTMENT OF
AXATION
FOR STATE USE ONLY
P.O. B
182215, C
, OH 43218-2215
OX
OLUMBUS
Account Number Assigned
A
C
U
T
R
PPLICATION FOR
ONSUMERS
SE
AX
EGISTRATION
Effective Date Filing Method
According to Section 5741.12 every person storing, using or consuming tangible personal
property subject to the use tax shall file a return and pay the tax to the state when such tax
was not paid to seller. No registration fee is required.
1.
Legal Name _________________________________________________________________________
if partnership, list names
2.
Trade Name (if other than above) __________________________________________________________
3.
Principal or Home Office:
Phone: __________________
____________________________________________________________________________________
street
city
state
zip code
4.
Mailing address for tax returns or tax matters (if different than above):
Phone: __________________
____________________________________________________________________________________
street
city
state
zip code
5.
Federal Employer Identification Number or if none
Employer Identification No.
Social Security No.
assigned for reporting Federal Taxes, please enter
your Social Security Number.
6.
With reference to this application, state the date that you began, or will begin to accrue a use tax liability in the
State of Ohio. ____________________________________
7.
How much Use Tax do you anticipate accruing each month? ________________________
8.
If you are an Ohio Corporation, give Ohio Charter Number ________________________________________
If you are a Foreign Corporation, give Ohio Certificate Number ____________________________________
9.
If you operate as a corporation, show officers' names and addresses below.
President / Partner___________________________________________________________________________
name
street
city/state
Vice-Pres. / Partner __________________________________________________________________________
name
street
city/state
Secy./Treas. / Partner_________________________________________________________________________
name
street
city/state
10.
State Nature of Business Activity ________________________________________________________________
____________________________________________________________________________________________
11.
Location of all places of business in Ohio
__________________________________________________________________________________________
street
city
__________________________________________________________________________________________
street
city
__________________________________________________________________________________________
street
city
12.
If this application is for a new registration due to change in ownership, please furnish the old account number
__________________________________________________________________________________________
I hereby declare the above to be true and correct to the best of my knowledge and belief.
Date ________________________ , ______
______________________________________________
signature of owner or officer of company
MAIL TO: Ohio Department of Taxation, Registration Unit, P.O. Box 182215, Columbus, OH 43218-2215
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Parent category: Financial