Fillable Form Bb-1 - Basic Business Application printable pdf download

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FORM BB-1

This Space For Office Use Only

STATE OF HAWAII

(Rev. 2003)

BASIC BUSINESS

APPLICATION

TYPE OR PRINT LEGIBLY

Identification No.

1. Type of application (Check the appropriate box(es) that best describes your purpose in filing this application)

o General Excise (GE)

o Transient Accommodations (TA) o Use Tax Only

___ ___ ___ ___ ___ ___ ___ ___

o Employer’s Withholding (WH) o GE One Time Event

o Rental Motor Vehicle & Tour Vehicle (RVST)

UI Registration Number

o Unemployment Insurance (UI) o Seller’s Collection

o Liquor

o Cigarette and Tobacco

o Liquid Fuel Distributor

o Liquid Fuel Retail Dealer

2. Taxpayer’s/Employer’s Name (Individuals, enter Last, First, Middle Initial)

3. Doing business as (DBA) name

Mailing address

C/O

Street address or P.O. Box

City

State

Zip Code + 4

Physical location of business in Hawaii

Street address

City

State

Zip Code + 4

If no physical business location in Hawaii, provide the name, address, and telephone number of the individual performing services in Hawaii

Type of ownership 1 o Sole proprietorship

3 o Corporation

7 o Other (Explain)

2 o Partnership

4 o Federal Agency

8. Phone Number

Business

Residential

Fax

E-mail address

(

)

(

)

(

)

9. Sole Proprietor’s SSN

10. Sole Proprietor’s Spouse’s SSN

11. Federal Employer I.D. Number (FEIN)

12. List the owners, partners, members, or principal corporate officers ( See Instructions on back of the form ) Attach a separate sheet of paper if more space is required.

SSN

Name (Last, First, Middle Initial)

Title

Residential Address

Contact Phone No.

(

)

(

)

13. (a) Did you acquire an existing business? o Yes o No

14. TYPE OF BUSINESS ACTIVITIES: (Circle all that apply)

If yes, was o all or o part of the business acquired?

When was it acquired?

____________________

(MO/DAY/YR)

(b) Previous owner’s/business’ name, dba, address, GE I.D. No.,

Describe fully the main type of business activity you are engaged in.

and UI Account No. (If you answered “No” to (a) enter N/A)

See Instructions on back of the form.

15. No. of establishments or branches in Hawaii

16. Date business began in Hawaii

17. Date employment began in Hawaii

operated by this employing unit

18. No. of employees on date employment began

19. If no employees, when do you anticipate

20. Date first wages paid in Hawaii

hiring employees?

21. (a) If you are applying for a TA Tax I.D. Number, how many units are you registering for?

(b) Date TA activity began in Hawaii

Please check 1 o 1-5 units

o 6 or more units

22. Filing period, check 1 for each tax type applicable

23. Accounting period, check only 1

25. Parent Corporation’s FEIN

o Calendar Year

Tax Type

Qtr

Semi

o Fiscal Year ending (

a) GE

)

26. Parent Corporation’s GE ID. Number

MO/DAY

b) TA

24. Accounting method, check only 1

o Cash

o Accrual

c) RVST

27. Hawaii Contractor’s License Number

d) WH

28. Do you qualify for a disability exemption?

29. If you are applying for a TA Tax, Liquid Fuel Retail Dealer Permit, and/or RVST Tax I.D.

( See Instructions )

number(s), attach a list of (1) the address(es) of the business locations, (2) island, and (3) note the

o Yes

o No

location’s activity as either TA, Fuel, or RVST.

30. TOTAL REGISTRATION FEE DUE

Enter the amount from line m. of the worksheet on the back of the form.

Pay in U.S. dollars drawn on any U. S. Bank to “HAWAII STATE TAX COLLECTOR”

Attach check or money order and Form VP-1, Tax Payment Voucher.

CERTIFICATION: The above statements are hereby certified to be correct to the best of knowledge and belief of the undersigned who is duly authorized to sign this application.

Signature of Owner, Partner or Member, Officer or Agent

Print Name

Title

Date

Mail the completed application to your nearest Department of Taxation district office:

OAHU DISTRICT OFFICE

HAWAII DISTRICT OFFICE

MAUI DISTRICT OFFICE

KAUAI DISTRICT OFFICE

P.O. Box 1425

P.O. Box 937

P.O. Box 1427