Application To Register For Income Tax Withholding And Sales And Use Tax Permit - North Dakota Office Of State Tax Commissioner

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North Dakota Office of State Tax Commissioner
Application to Register For
Income Tax Withholding and Sales and Use Tax Permit
FOR OFFICE USE ONLY
-
S/U
(Check both if applicable)
Application Purpose
-
W/H
New Business
Withholding Tax
Change in Ownership
Sales and Use Tax
Additional Location
1. Business Name
2. Federal Employer I.D. Number (FEIN)
(Please Print)
3. Owner's Name
4. Business Phone
5. Sales Tax Mailing Address
State
Zip Code
(Street or PO Box, City)
State
Zip Code
6. Withholding Tax Mailing Address
(Street or PO Box, City)
7. Business Street Address
City, State & Zip
County
State
Zip Code
8. Organization Type
Sole Proprietorship
General Partnership
Corporation
LLC
Government
Other _____________
Husband/Wife
Limited Partnership
S Corporation
LLP
9. Name(s) of Owner, Partners, Corporate Officers, Governors, Managers, or Members if member-controlled
(Attach additional sheets if needed.)
%
Title
Home Phone
Name
Address
Soc. Sec. No.
Owned
10. Type of Business
Retailer
Manufacturer
Farm/Ranch
Wholesaler
Contractor
Other __________
11. Business Activity:
List the principal products or activities of your firm. Following each item, list the percentage of sales value or receipts
received from the product or activity; i.e., construction of homes 75%, retail sales of furniture 25%.
%
%
12. Beginning date of operations for ND sales/use tax
Month
Day
Year
13. Beginning date of ND Income Tax Withholding
Month
Day
Year
Attention: A Corporation, Limited Liability Company (LLC), Limited Partnership (LP) and Limited Liability Partnership (LLP) must
answer questions 14 and 15. Sole Proprietorship, Husband/Wife and General Partnership proceed to page 2.
North Dakota Law requires a foreign Corporation, LLC, LP and LLP to obtain a Certificate of Authority from the North Dakota Secretary
of State before a sales and use tax permit may be issued. Questions should be directed to the Secretary of State's Office at
701-328-4284.
14. Name of state under which the Corporation, LLC, LP or LLP is organized?
15. Enter the ID number from the Certificate of Authority assigned to your organization by the North Dakota Secretary of State.
. Proceed to page 2.
Visit North Dakota's New Business Registration site at , click on Business/Finance for general information and registration forms.

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Parent category: Financial
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