Form Tc-69 - Utah State Business And Tax Registration Page 4

Download a blank fillable Form Tc-69 - Utah State Business And Tax Registration in PDF format just by clicking the "DOWNLOAD PDF" button.

Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.

Complete Form Tc-69 - Utah State Business And Tax Registration with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.

Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.

Clear Page 4

Section 3 – Employer Withholding

3a. When will you start paying wages?

Month

Day

Year

3b. Household Employment Annual Filing Option

Will you file annual household employment taxes on Schedule H of

your federal income tax return, Form 1040?

Yes

(If you answer "yes," do not complete 3c. You will file annually)

3c. Estimate the amount of Utah wages you expect to pay in a calendar year.

$16,000 or less

$16,001 - $200,000

$200,001 or more

Section 4 – Authorized Signature

Required by all applicants.

The Tax Commission will review all officers/owners listed in Section 1j (page 2) for previous unresolved tax debt. Granting a

license may require resolution or bonding prior to license approval.

I understand any person (including employees, corporate directors, corporate officers, etc.) who has or will have the authority to

direct accounting processes or who is required to collect, account for, and pay any taxes and fails to do so shall be liable for a

penalty equal to the total amount of tax not collected, not accounted for, or not paid under the provisions of Utah Code §59-1-302.

I understand I am required to notify the Tax Commission if I add or close a business location; or change the name,

organizational structure, officer status, or address of the business.

I also understand my signature indicates I have reviewed this section with all those named on this form.

Sign here after the form is printed.

Sign Here: ______________________________________________

Title: __________________

Print Name: ______________________________________________

Date: __________________

Print Form

Signature Requirements:

Organizational Structure (as checked on line 1a)

• Individual/Sole Proprietor.............................................................. Signature must match SSN provided in Section 1 (1e)

(e.g., a husband or wife may not sign on behalf of each other).

• All Partnerships ............................................................................. One general partner must sign.

• Corporation / S Corporation .......................................................... An officer of the corporation authorized to sign on behalf of the

corporation must sign.

• Trust............................................................................................... The grantor or a trustee must sign.

• Limited Liability Company / Single Member LLC........................... A member must sign.

• Government................................................................................... A government official must sign.

Reporting and Remittance Guidelines

If you do not file a return or pay taxes due, you will be sent a tax

delinquency notice and/or contacted. If you disagree with an action

Always file tax returns by the due date and remit full payment. You

taken by the Tax Commission, you have the right to file an appeal

must file a return, even if no taxes are due. Just declare zero tax,

within 30 days of receiving the notice. See Pub 2, Utah Taxpayer Bill

sign and date your return, and file by the due date.