New Taxpayer Registration Form - City Of Northport, Alabama
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1City of Northport, Alabama
New Taxpayer Registration
Note: The City of Northport Imposes its Business License & Tax Within its Police Jurisdiction.
(CONFIDENTIAL)
3500 McFarland Boulevard
Phone (205)339-7000
P.O. Box 569
Fax (205)333-3005
Northport, AL 35476
Please Print or Type
Application Date: ______________
Proposed Start Date: ________________
Legal Business Name _____________________________________________________________________________
__________________________________________
Trade Name (DBA) if different from above
______________________________________
Brief description of business activity in Northport
(Example: retail clothing sales, wholesale food sales, rental of industrial equipment, rental of automobile)
Form of Ownership
Sole Proprietorship
Partnership
Corporation
LLC
Other (Specify)_____________________________
__________________________________________________________
Physical Address
-
(Street)
(City)
(State)
(Zip)
__________________________________________________________
Mailing Address
-
(Street)
(City)
(State)
(Zip)
_______________
________________
_______________
(Business)Telephone
Fax
(E-Mail)
FEIN ________________________________ ST of Ala Tax # ________________________________
List the Owner(s), Partners or Officers (Attach separate sheet if necessary)
Name
Residence Address
SSN
Title
Home Phone
DOB
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
_________________________________________
Name and phone number for contact person
___________________________
If business has physical location in Northport, list name of manager
Tax Types:
Sales/Sellers
Physical Location:
City
Police Jurisdiction
Outside Corporate Limits & PJ
Use
Consumer Use
Rental
Lodging
Liquor
Tobacco
Business License (Annual)
Tax Filing Frequency:
Monthly
Quarterly
Annual
Semi-Annual
Other _________________________
Business Type:
Retail
Wholesale
Contractor
Service
Professional
Manufacturer
Rental
Rental Property
Agent
Other ________________________________________
________________
_______________________________________
_________________
Date
Signature
Title
This application is for TAX ONLY. The Business License Application is a separate form. Check
here to request a Business License Application.
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Parent category: Financial