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

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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.

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