Form Reg-1 - Business Taxes Registration Application Page 5
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612.Room Occupancy Tax
Room occupancy tax is charged on the rental of a room for lodging purposes in
a hotel, motel, or rooming house in Connecticut, for 30 consecutive days or less.
Do you rent lodging rooms in a hotel, motel, or rooming house in Connecticut
for 30 consecutive days or less? ...................................................................................................
Yes
No
If you answered Yes to the room occupancy tax question, enter the date you
__ __ - __ __ - __ __
will start to rent rooms for lodging purposes in Connecticut: ...................................................
m
m
d
d
y
y
13. Dry Cleaning Surcharge
A dry cleaning surcharge is imposed on the gross receipts of retail sales of dry
cleaning services that use tetra chlorethylene, stoddard solution, or other chemicals.
Are you a dry cleaning establishment in Connecticut and use chemicals to dry clean clothes? ....
Yes
No
Do you accept clothing to be cleaned by other establishments using chemicals? .........................
Yes
No
If you answered Yes to either of the dry cleaning surcharge questions, enter the date
__ __ - __ __ - __ __
you will start to operate a dry cleaning establishment in Connecticut: ........................................
m
m
d
d
y
y
14.Tourism Surcharge
A tourism surcharge is imposed, by the rental or leasing company, on the rental or
lease of a passenger motor vehicle in Connecticut (regardless of where the vehicle
is used) for 30 consecutive days or less.
Do you rent or lease passenger motor vehicles in Connecticut for 30
consecutive days or less? .............................................................................................................
Yes
No
If you answered Yes to the tourism surcharge question above,
enter the date you will start renting or leasing passenger motor
__ __ - __ __ - __ __
vehicles in Connecticut: .............................................................................................................
m
m
d
d
y
y
15. Motor Vehicle Rental Surcharge
A motor vehicle rental surcharge is imposed, by the rental or leasing company, on
the rental or lease of a passenger motor vehicle or rental truck in Connecticut
(regardless of where the vehicle is used) for 30 consecutive days or less when the
company is primarily engaged in renting or leasing of passenger motor vehicles or
rental trucks.
Are you primarily engaged in the business of renting or leasing passenger
motor vehicles or rental trucks in Connecticut for 30 consecutive days or less? ...........................
Yes
No
If you answered Yes to the motor vehicle rental surcharge question,
enter the date you will start renting or leasing passenger motor
__ __ - __ __ - __ __
vehicles or rental trucks in Connecticut: .....................................................................................
m
m
d
d
y
y
16.Business Entity Tax
For taxable years beginning on or after January 1, 2002, a business entity tax
applies to the following business types that are required to file an annual report with
the Connecticut Secretary of the State:
• S corporations;
• Limited liability companies (LLCs or SMLLCs) — any limited liability company
that is, for federal income tax purposes, either:
• Treated as a partnership, if it has two or more members; or
• Disregarded as an entity separate from its owner, if it has a single member;
• Limited liability partnerships (LLPs); and
• Limited partnership (LPs).
Are you a business entity as described above? ........................................................................
Yes
No
If you answered Yes to the business entity tax question,
__ __ - __ __ - __ __
enter the date of organization: ................................................................................................
m
m
d
d
y
y
Enter the month of your fiscal year end:
Page 7 of 8
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