Form Fin 430 - Application For Registration As An Operator - British Columbia Ministry Of Finance And Corporate Relations

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Ministry of Finance
APPLICATION FOR REGISTRATION
Mailing Address:
and Corporate Relations
PO Box 9443 Stn Prov Govt
AS AN OPERATOR
Consumer Taxation Branch
Victoria BC V8W 9W7
pursuant to the
HOTEL ROOM TAX ACT
(WEBFORM)
Fax Number: (250) 356-2195 (Do not mail if sending by fax)
Registration No.
Please type or print clearly and complete the form IN FULL. Incomplete forms will be returned.
Attach additional sheets if more space is required.
Type of Ownership and Name
1
Corporation Name
Incorporation No.
CORPORATION
Last Name
First Name and Middle Name
Drivers Licence No.
INDIVIDUAL PROPRIETOR
Last Name
First Name and Middle Name
Drivers Licence No(s).
PARTNERSHIP
(List all partners)
Society Name
Society No.
SOCIETY
Federal Business No. (BN)
Name Under Which Business is Conducted (Trade or Firm name)
2
3
Street
Location of Business
4
Province
Country
City
Postal Code
Street
Business Mailing Address (If different from item 4 above)
5
City
Province
Country
Postal Code
Home Phone No.
6
Business Contact Name
Work Phone No.
Fax No.
(
)
(
)
(
)
Address
Postal Code
Website Address
E-Mail Address
7
8
Do you want to submit one return for all locations?
Number of
locations
NO
in B.C.
YES – List locations to be included in one return.
Liquor Licence No. (if applicable)
Do you sell tobacco products?
9
Do you have OR will you be applying for a liquor licence?
10
YES
NO
YES
NO
11
Which category best describes your main business activity. Check one only (see instructions for details)
RECREATION/
BED AND
RV RECREATION
ACCOMMODATION
CASINO HOTELS
MOTELS
OTHER:
BREAKFAST
PARKS/CAMPGROUNDS
VACATION CAMPS
SERVICES
ROOMING AND
HOUSEKEEPING
HUNTING/FISHING
HOTELS
MOTOR HOTELS
RESORTS
CAMPS
BOARDING
COTTAGES/CABINS
Number of units of
14
12
13
Do you
What is the PRIMARY nature of your business? (e.g., hotel, guide outfitter, etc.)
REGULARLY
accommodation available
operate under
the American
OCCASIONALLY
Plan?
NEVER
Anticipated Monthly Accommodation Sales
If you operate on a seasonal basis, place an
17
15
YYYY
MM
DD
16
Date business will start/
‘X’ in the box for months operated
started making taxable
FEB
MAR
APR
MAY
JUNE
JULY
AUG
SEP
OCT
NOV
DEC
JAN
accommodation sales
$
Hotel Room Tax Registration No.
(If known)
Business location formerly operated by
18
Did you purchase or are you
YES
leasing assets from previous
NO
owner of this business?
Current Address of Previous Operator (If known)
Describe your business assets (e.g., equipment, furniture, fixtures, etc.)
19
20
If you are leasing assets,
WHERE PURCHASED
PURCHASE PRICE
TAX PAID
provide lessor’s name and
BUSINESS ASSETS
(
)
(
)
( $ )
address.
(excluding inventory)
WITHIN BC OUTSIDE BC
YES
NO
Have you previously been registered
Previous Registration No. (If known)
Under what name was your previous business operated?
21
under the Hotel Room Tax Act?
YES
NO
Is this business still operating?
YYYY
MM
DD
If NO , state
YES
NO
date closed
Address
Postal Code
22
Financial Institution Name
23
Certification – The above statements are certified to be correct to the best knowledge and belief of the undersigned.
Signature
Date Signed
Title
Name – Please print
YYYY / MM / DD
FIN 430 Rev. 2000 / 9 / 18
ORIGINAL: MAIL OR FAX TO CONSUMER TAXATION BRANCH – DO NOT MAIL IF FAXED

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