Form Genreg - Registration/application For Permit
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1
2MONTANA
GenReg
Rev. 03-08
Registration/Application for Permit
Mark appropriate box(es) for the tax type(s) you are registering:
Lodging Facility Tax (LFT)
Rental Vehicle Tax (RVT)
Withholding Tax (WTH)
1.
Federal ID Number _________________________ 2. Enter date you are starting business __________________
Social Security Number _________________________
3. Legal Owner’s Name ________________________________ 4. DBA _____________________________________
5. Legal Business Address (must be a street address) ____________________________________________________
City _____________________________________________ State _______________ Zip Code ________________
6. Mailing Address ________________________________________________________________________________
City _____________________________________________ State _______________ Zip Code ________________
7. Contact Person ____________________Phone ______________ FAX _______________ E-mail _______________
8. Type of Business (check all that apply)
Individual
Partnership
LLP
LLC (check one below)
S corporation
C corporation
Government
Member Managed
Agricultural
Manager Managed
9. Reason for application: (Check applicable box and complete section below if indicated. See instructions on back.)
Started new business
Purchased existing business
Re-registration
Other (Please attach explanation)
All registrants complete the following sections as required:
10. Complete this section
___________________________________
_________________
_________________
for individual business.
Owner Name
Social Security Number
Phone
11. Complete this section
___________________________________
_________________
_________________
if business is a
President or Partner
Social Security Number
Phone
partnership, LLC,
LLP, S corporation or
___________________________________
_________________
_________________
Secretary or Partner
Social Security Number
Phone
C corporation (attach
additional pages
___________________________________
_________________
_________________
if necessary.) See
Treasurer or Partner
Social Security Number
Phone
instructions on back.
12. Complete this section
_______________________________________________________
_________________
if you purchased an
Previous Business Name
Date Acquired
existing business.
__________________________________________________________________________
Previous Owner(s)
13. (LFT and RVT only)
__________________________________________________________________________
Complete this section
Doing Business As (DBA) Name
for each location
__________________________________________________________________________
(attach additional
DBA Business Address (physical location)
pages if necessary.)
__________________________
________
______________ _____________________
See instructions on
City
State
Zip Code
County
back.
____________________________________________________
_____________________
Contact Person
Phone
__________________________________________________________________________
Nature of Business
Are you a seasonal business?
Yes
No
____________________________________________
If yes, what months are you in operation?
Is this facility within city limits?
Yes
No
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