Form Bb-1 - Basic Business Application - 2015

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02
FORM BB-1
This Space For Office Use Only
STATE OF HAWAII
(Rev. 2015)
BASIC BUSINESS APPLICATION
(Note: Form BB-1 can be filed electronically through Hawaii Business Express at hbe.ehawaii.gov)
Identification number
TYPE OR PRINT LEGIBLY
W __ __ __ __ __ __ __ __ - __ __
1. Type of application (Check the appropriate box(es) that best describes your purpose in filing this application)
 General Excise/Use
 GE One-Time Event
 Seller’s Collection
 Use Tax Only
UI Registration Number
 Transient Accommodations
 Liquid Fuel Distributor
 Retail Tobacco Permit
 Liquor
 Employer’s Withholding
 Liquid Fuel Retail Dealer  Cigarette and Tobacco (Non-Retail)
 Unemployment Insurance
 Rental Motor Vehicle, Tour Vehicle, and Car-Sharing Vehicle
2. Taxpayer’s/Employer’s Name (Individuals, enter Last, First, Middle Initial)
3. Trade name or doing business as (DBA) name, if any
Type of ownership
4. FEIN
5.
 Sole Proprietorship
 Corporation
 S Corporation  Other (Explain)
 Federal Agency
 General Partnership  Limited Partnership  LLC
 Single-Member LLC
6. Date Business Began in Hawaii (MM/DD/YYYY) 7. Date of Organization (MM/DD/YYYY)
8. State of Organization
9. Accounting period, check only one
10. Accounting method, check only one
11. NAICS(See Instructions) and business activity
 Calendar Year
 Cash
 Accrual
__ __ __ __ __ __
 Fiscal Year ending (
)
/
MM/DD
12. Mailing address
C/O
Street address or P.O. Box
City
State
Postal/Zip Code
13. Physical location of business in Hawaii
Street address
City
State
Postal/Zip Code
14. If no physical business location in Hawaii, provide the name, address, and telephone number of the individual performing services in Hawaii
15. Phone Number
Business
Residential
Fax
E-mail address
(
)
(
)
(
)
16. For GE One-Time Event applicants ONLY: Name of the Event (See Instructions)
17. Does all or part of this business qualify for a disability exemption?
(See Instructions)
 Yes
 No
18. Name of Parent Corporation
19. Parent Corp.’s FEIN
20. Parent Corporation’s Mailing Address
21. List all sole proprietors, partners, members, or corporate officers (See Instructions) ATTACH A SEPARATE SHEET OF PAPER IF MORE SPACE IS REQUIRED.
SSN
Name (Last, First, Middle Initial)
Title
Residential Address
Contact Phone No.
(
)
23. No. of establishments or branches in Hawaii 24. Date employment began in Hawaii
22. (a) Did you acquire an existing business?  Yes  No
/
/
(b) If yes, was  all or  part of the business acquired?
25. No. of employees on date employment began 26. Date first wages paid in Hawaii
(c) When was it acquired? ____________________
(MM/DD/YYYY)
/
/
(d) Previous owner’s/business’ name, dba, address, Hawaii Tax I.D. No.,
27. If no employees, when do you anticipate hiring employees?
and UI Account No. (If you answered “No” to (a) enter N/A)
/
/
28. How many Retail Tobacco Permits are you applying for? _______ Attach a list of (1) the name and address of each retail location you are obtaining a permit for, and (2) for those retail
locations that are vehicles, include the Vehicle Identification Number (VIN) of each vehicle. Have you ever been cited for either a tobacco and/or liquor violation?  Yes  No
29. Attach a list, by island, of the address(es) of your rental real property, noting TA, if transient accommodations, and/or the address(es) of your rental motor vehicle, tour vehicle, or
car-sharing vehicle (RVST) and your Liquid Fuel Retail Dealer’s Permit (Fuel) business locations, noting the location as either RVST, or Fuel.
.
33
Enter the amount from line j. of the registration fee worksheet on the
30. (a) How many TA units are you registering for?
back of the form here and on the Total Payment line for
 1-5 units
 6 or more units
(b) Date TA activity began in Hawaii
Form VP-1, Tax Payment Voucher. Attach Form VP-1 to this form.
$
34.
Enter the amount from line q. of the registration fee worksheet on the
/
/
31. Date RVST activity began in Hawaii
back of the form here and on the Total Payment line for Form VP-2,
$
Miscellaneous Fee Payment Voucher. Attach Form VP-2 to this form.
/
/
TOTAL REGISTRATION FEE DUE
32. Filing period, Check 1 box for each tax type applicable
Add lines 33 and 34. Attach
35.
Tax Type
Mo
Qtr
Semi
a check or money order made payable to “HAWAII STATE TAX
$
COLLECTOR” in U.S. dollars drawn on any U. S. Bank
a) GE/Use
b) GE One-Time Event
CERTIFICATION: The above statements are hereby certified to be correct to the best of the
c) TA
knowledge and belief of the undersigned who is duly authorized to sign this application.
d) RVST
e) WH
Mail the completed application to:
Signature of Owner, Partner or Member, Officer, or Agent
HAWAII DEPARTMENT OF TAXATION
P.O. Box 1425
Print Name
Title
Date
02
Honolulu, HI 96806-1425
Form BB-1

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