Form Tc-69 - Utah State Business And Tax Registration

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Dept. of Commerce DBA Form
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TC-69
UTAH STATE BUSINESS AND TAX REGISTRATION
Rev. 12/07
Use form TC-69 to register with the Utah State Tax Commission for all taxes listed below. For registration of a DBA, use Department of
Commerce form, Business Name Registration / DBA Application, available at all registration locations, online at commerce.utah.gov, or by
telephone at (801) 530-4849.
General Instructions
Utah State Tax Commission
• Read the instructions carefully.
210 North 1950 West
• Type or print clearly.
Salt Lake City, UT 84134-3310
• Applications with missing or illegible information may be rejected.
(801) 297-2200
• Mail or fax the completed application to the Tax Commission (address at right).
1-800-662-4335
Fax: (801) 297-3573
• Allow 15 business days for processing if submitting a paper application.
• Contact the appropriate city or county for business licensing requirements.
Office Use Only (USTC)
Type of Registration
Check each box that applies
Fee
Complete Sections
Employer Withholding License*
No Fee
1, 3, 4
Sales and Use Tax License*
No Fee
1, 2, 4
Beer Tax (distributor/manufacturer only)
No Fee
1, 4
Lubricating Oil Fee
No Fee
1, 4
† A bond is required for
cigarette stamping and
Telecommunications Service Provider
No Fee
1, 2, 4
tobacco wholesale
distribution. The minimum
Cable or Home Satellite Service
No Fee
1, 4
bond amount is $500 for
Sexually Explicit Business / Escort Service
No Fee
1, 4
cigarettes or tobacco, or
$1,000 for both. Contact an
Cigarette and Tobacco License
$30 per location
1, 4
insurance company of your
(make check payable to Utah State Tax Commission)
choice to obtain a surety or
Cigarette Stamper
License and Bond†
1, 4
performance bond. Attach the
Tobacco Products
License and Bond†
1, 4
bond to the application, or
forward the bond after
Natural gas or electricity purchases from
submitting the application.
someone other than a public utility
No Fee
1, 4
* Previous or Existing Accounts: Sales and withholding tax licenses are
conditional. If an applicant or a fiduciary of the applicant has a history of filing or
paying late, the applicant is required to resolve past delinquencies and/or post a
bond of at least $25,000, not to exceed $500,000. Enter all previous or existing
licenses and account numbers you have had with the Utah State Tax Commission: ______________________________________________
If you purchase a business, obtain from the seller a letter from the Tax Commission stating no sales and use tax is due; or
withhold enough of the purchase money to cover all unpaid taxes. If you fail to withhold sufficient funds from the purchase money,
you will be held personally liable for the seller's unpaid sales and use tax, including all sales-related taxes (Utah Code §59-12-112).
Section 1 – General Information
Required by all applicants.
1a. Organizational Structure
Must check one.
Individual
Government
Corporation
Partnership
LLC/Trust
Sole Proprietor
Federal
C Corp
General
LLC
Check the return the LLC files with the IRS
State
S Corp
Limited
(Attach approval of
Corp.
Part.
Tribal
Limited Liability
election by IRS)
Political Subdivision
Non-profit
Single Member LLC
Check the return the LLC files with the IRS
Indiv.
Corp.
Part.
NOTE: You do not need to file this form if you register your business online.
Trust
Online registration allows registration with the Tax Commission, Dept.
Check the return the Trust files with the IRS
of Commerce, Dept. of Workforce Services and select municipalities
Indiv.
Corp.
Part.
all at once. Register online at business.utah.gov/registration.

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