City Sales,use And Rental/lease Tax Application Form - City Of Helena printable pdf download

City Sales,use And Rental/lease Tax Application Form - City Of Helena

CITY OF HELENA

BUSINESS REVENUE OFFICE

CITY SALES, USE AND RENTAL/LEASE TAX APPLICATION FORM

PLEASE PRINT THE INFORMATION REQUESTED BELOW

AND MAIL OR FAX TO THE OFFICE BELOW

BUSINESS PHYSICAL LOCATION INFORMATION

BUSINESS NAME: _______________________________________________________

BUSINESS ADDRESS: ____________________________________________________

BUSINESS CITY/STATE___________________________ZIP CODE: _______-______

BUSINESS TELEPHONE NO: _______________________FAX:__________________

BUSINESS TYPE (LIST PRIMARY PRODUCT, SERVICES)

___________________________________________________________________________

BUSINESS STATE SALES TAX NO._____________ SHELBY CO. NO.____________

FEIN: __________________________ HELENA BUSINESS LIC.NO.______________

: ________________________________

EMPLOYEE OR ACCOUNTANT PREPARING TAX RETURNS

BUSINESS MAILING ADDRESS INFORMATION (IF DIFFERENT)

ATTENTION: ___________________________________________________________

BUSINESS MAIL ADDRESS: _____________________________________________

_____________________________________________

BUSINESS CITY, STATE: __________________________ZIP CODE:_______-_____

OWNER(S) MAILING ADDRESS INFORMATION (IF DIFFERENT)

OWNER(S) NAME: _______________________________________________________

ATTENTION: ____________________________________________________________

OWNER(S) TELEPHONE NO: ______________________FAX NO: ________________

OWNER(S) MAILING ADDRESS: __________________________________________

__________________________________________

CITY, STATE_____________________________________ZIP CODE: _______-______

CHECK APPLICABLE CITY TAX TYPE(S) : ( ) SALES ( ) CONSUMERS USE ( ) SELLERS USE ( ) RENTAL/LEASE

FILING STATUS:

( ) MONTHLY ( ) QUARTERLY ( ) ANNUAL ( ) OCCASIONAL

NAME OF APPLICANT: __________________________________________________

PLEASE PRINT

SIGNATURE OF APPLICANT: _____________________________DATE:____________

MAIL APPLICATION TO:

CITY OF HELENA LICENSE OFFICE

PO BOX 613

HELENA AL 35080-0613

PHONE (205) 663-2161 FAX (205) 663-9276

YOU ARE RESPONSIBLE FOR CONTACTING THE STATE SALES TAX OFFICE FOR YOUR STATE SALES/USE TAX ACCOUNT AND

YOUR COUNTY TAX OFFICE FOR YOUR COUNTY SALES/USE TAX ACCOUNT.

City Sales,use And Rental/lease Tax Application Form - City Of Helena