Form Wv/bus-App - Application To Secretary Of State For Name Reservation Page 2
Download a blank fillable Form Wv/bus-App - Application To Secretary Of State For Name Reservation 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 Wv/bus-App - Application To Secretary Of State For Name Reservation 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.
ADVERTISEMENT
1
2
3
4Print Form
Go to Page 2
Press CTRL and click here for Form Instructions
Clear Form
Use tab key to move from field to field
Page 1 of 4
WV/BUS-APP
WEST VIRGINIA OFFICE OF BUSINESS REGISTRATION
(Rev. Aug/06)
INSTRUCTIONS FOR COMPLETION ARE FOUND ON PAGE 9 OF THIS BOOKLET
SECTION A: COMPLETE THIS SECTION TO REGISTER WITH THE WEST VIRGINIA STATE TAX DEPARTMENT
1.
WEST VIRGINIA TAXPAYER IDENTIFICATION NUMBER:
If you have a Federal Employers Identification Number, enter it. (All partnerships, corporations and sole-owners
with employees must have a FEIN). If sole-owner (no employees), enter social security number.
2.
BUSINESS NAME AND ACTUAL PHYSICAL LOCATION
3.
MAILING ADDRESS (Where returns are to be sent)
Legal Business Or Corporate Name (Type or Print Using Blue/Black Ink)
Name (Type Or Print Using Blue/Black Ink)
Check here if mailing address same as business address
DBA Division, Subsidiary or Trade Name
Additional Space For Name If Needed
Owner's Name (If Sole Owner)
Check to use address on other business registration forms
Address (Street) DO NOT USE A POST OFFICE BOX NUMBER
Address (Street Or P.O. Box)
City
State
Zip Code
City
State
Zip Code
Select State
Select State
4.
BUSINESS CLASS DESCRIPTION (FROM PAGES 18 THROUGH 21):
Click here for NAICS Business Codes
Primary Code
Enter primary business class:
Description of your business activity:
Secondary Code
and secondary business class :
5.
BUSINESS DATA:
mm/dd/yyyy
A.
Beginning date of business in West Virginia for the location entered in item 2 on this application:
Select below
B.
County where business is located. NOTE: County must match city in item 2 above.
C.
Person completing this application: Name:
Telephone #:
D.
Business telephone number:
❑
❑
E.
Estimated annual gross income for this location:
0 - $20,000
over $20,000
F.
Previous name of this business, if any, owner's name and location:
G.
Are you now or have you ever been registered to do business in West Virginia? ........................................................... Yes
No
If yes, give name and West Virginia Identification Number:
H.
If you have other locations registered or multiple business locations being registered, do you desire to file consolidated tax returns?
Yes
No
If yes, enter taxes to be consolidated and West Virginia Identification Number you desire to file under:
Select Month
I.
Taxable year end for Federal Tax purposes - Enter month
J.
If nonprofit, do you have 501 C exemption status from the IRS? If yes, attach copy of determination letter. ................. Yes
No
You must have a control
K.
Enter 5-digit Control Number assigned by the Secretary of State’s Office, if applicable
number to submit this
A control number is not required for sole proprietorship or general partnership.
application.
6.
ENTER TYPE OF BUSINESS OWNERSHIP:
❑
❑
❑
A Sole-Owner
D1 General Partnership
E Joint Venture
Z Other (Specify below)
❑
❑
❑
B Domestic Corporation
D2 Limited Partnership
F Association
❑
❑
❑
C Foreign Corporation
D3 Limited Liability Partnership
G Limited Liability Company
PARTNERS - MEMBERS - OFFICERS - OWNERS:
NAME -
HOME ADDRESS
SOCIAL SECURITY NUMBER
HOME TELEPHONE NUMBER
7.
CHECK APPROPRIATE BLOCKS:
and do not
and do not
E Sell tangible personal property to consumers at retail level and do not
and do not
and do not maintain
A Operate a collection agency
B Operate an employment agency
an established place of business in West Virginia (transient vendor)
C Make consumer loans
F Use commercial weighing or measuring devices (i.e. scales, gas pumps, etc.)
D Make supervised loans (loans pursuant to a
G Offer or sell goods or services to West Virginia Consumers by Telemarketing
revolving loan account or take assignments)
H None of the Preceding
8.
TYPE OF ACTIVITY:
❑
❑
❑
❑
A Service
C Wholesale
E Construction
G Manufacturing
❑
❑
❑
❑
B Retail
D Both (Retail & Wholesale)
F Rental
Z Other (Specify - Attach Information)
I certify this application to be true and correct to the best of my knowledge.
SIGNATURE
*B29080601A*
(SIGNATURE REQUIRED)
TITLE
DATE
-11-
Go to Page 2
ADVERTISEMENT
0 votes
Related Articles
Related forms
Form Wv/bus-app - West Virginia Office Of Business Registration, West Virginia State Tax Department Taxpayer Assistance Locations
Life
Form Co 53-06 - Limited Liability Company Certificate Of Correction To Foreign Application - Kansas Secretary Of State
Legal
Application For Registration Form (foreign Limited Liability Company) - Oklahoma Secretary Of State
Legal
Application For Registration Form (foreign Limited Liability Company) - Oklahoma Secretary Of State
Legal
Related Categories
Parent category: Legal