Mississippi Registration Application Forms And Instructions printable pdf download

(Revised 4/2002)

Mississippi

Registration Application Forms and Instructions

Completing the Application

10. Description or Nature of Business

You should briefly describe the product you intend to sell or the

This application must be typed or printed. Please use black or blue

service you intend to provide.

ink when preparing the application. Incomplete forms will be

11. Industry Code

returned to the applicant without processing. You must complete one

application for each business location you are registering. After

You should list the appropriate industry code here. Place the primary

completion of the application, mail it to the District Service Office

line of business first and any other lines of business in the remaining

for the county where your business is located.

places. Refer to the attached industry code list for help. It is very

important to use the correct code. The products you are able to

Contact for Additional Information

purchase exempt for resale are dependent upon this number. Any

important notices from the State Tax Commission or other state

The taxes covered by this application are listed in Section A. If you

agency are dependent upon this code as well.

want to apply for an account for a tax that is not listed or you have

any other questions, please contact the State Tax Commission at

Section C: For Corporations and

(601) 923-7000 or the District Service Office for the county where

your business is located.

Partnerships Only

12. State of Incorporation

Section A: Taxes to Register For

You should write the state in which your corporation or partnership

All applicants must complete this section. You should place an "X"

was formed.

in the box(es) to indicate the tax type(s) for which you are applying.

13. Date Admitted

You should provide the date in which your corporation or partnership

Section B: Business Information

filed with the Secretary of State’s Office to be able to do business in

All applicants must complete this section.

Mississippi.

1. Type of Ownership

14. Basis of Reporting

Place an "X" in the box that describes the business's type of

You should place an "X" in the appropriate box to indicate the basis

ownership.

of your accounting year, either calendar or fiscal. If you are on a

2. Identification

fiscal year basis, list the fiscal year end date.

15. Officers, Directors, Managing Partners, or

You should enter your Federal Employer Identification Number

(FEIN) if the business is a corporation or partnership. If your

Members

business is a sole proprietorship, enter the owner’s Social Security

For a C Corp, S Corp, LLC, LLP, or Partnership, please list the

Number and FEIN, if they have one. If a FEIN has been applied for,

names, home addresses, social security numbers, titles, and

but has not been received, you should write “applied for” on the

percentage of ownership of the officers, directors, managing partners,

dotted line.

or members who have any responsibility for the fiscal management

3. Non-Profit Status

of the taxpayer. Attach a list, if needed.

You should place an “X” in the box if you have a corporation or

other entity type and are claiming the non-profit status. You must

Section D: Sales/Use Tax

attach documentation to substantiate this claim, such as information

16. Previous Owner’s Name

from the IRS allowing the non-profit status.

You should provide the owner(s) (individuals, corporations, or

4. Legal Name

partnerships, as applicable) that operated this business previously.

For a Sole Proprietorship, provide the owner's full name and for a

Also, list the trade name and the account number, if you know it.

corporation or partnership, provide the corporation’s or partnership’s

17. Location of Records

name.

You should indicate the address, by placing an “X” in the appropriate

5. Trade Name

box, where the records that support the taxpayer’s sales/use tax

Please provide the name by which the taxpayer does business or the

returns will be maintained, either the headquarters or the physical

one that is known to the public.

address listed on the first page. If neither, check “Other” and fill in

6. Headquarters Address or Home Address

the space with the other address.

You should provide the corporation or partnership headquarter’s

18. Date Began at this Location

address or the sole proprietor’s home address on this line. This

You should provide the date you began business at this location. Be

cannot be a P.O. Box number; it must be a street address.

advised that returns will be required from this date forward.

7. Mailing Address

19. Location of Business

You should provide the address where business mail should be sent.

You should place an "X" in the appropriate box to indicate in what

This mail would include such items as tax forms and notices. If the

type of facility your business is located. If none of the choices apply,

mailing address is different for the different tax accounts, attach a

mark “Other” and fill in the blank.

separate sheet indicating the correct mailing address for each of the

20. City Limits

different tax accounts.

You should place an “X” in the appropriate box to indicate whether

8. MS Physical Address

the physical address where your business is located is either inside or

You should provide the specific street address in Mississippi where

outside the city limits. If you do not know, check the “Unknown”

the business is located. This cannot be a P.O. Box number; it must be

box.

a street address. Remember that if you have more than one business

21. Use Tax Number

locations, a separate application must be completed for each one.

You should place an “X” in the appropriate box to indicate whether

9. Phone Numbers & E-mail

or not you already have a Use Tax number. If your business does

For each item listed, contact information for the individual or

have one, please provide the number here.

department responsible for preparing and filing the tax returns for the

22. Tax Incentives

tax type and who should be contacted with questions about the

You should place an “X” in the appropriate box to indicate whether

accounts should be entered.

or not you have qualified for any tax incentives. If you have, you

Mississippi Registration Application Forms And Instructions

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