Fillable Form Com: 101 - Combined Registration/application (Page 2 of 2) in pdf

Section C: All applicants applying for a sellers use account must complete this section

Please check all the items below that describe this company’s business activities in Alabama. You must make a selection to continue. If none of these items pertain

to this business, select “None of the above.”

Maintains a place of business in Alabama, such as an office, agency, warehouse, showroom, retail outlet, manufacturing plant, etc.

Has an employee or independent representative in Alabama, such as a salesman, sales representative, manufacturer’s representative, contractor, agent,

installer, repairman, etc.

Delivers merchandise to customers in Alabama by company-owned vehicle, leased vehicle, or by any means other than common carrier or the U.S. Postal

Service.

Leases or rents tangible personal property in Alabama.

Contracts to make improvements to real property in Alabama.

Holds title to any real property in Alabama.

Partners with or is affiliated with another company in Alabama.

None of the above.

Note: this information will be used by the Department in making the tax distributions required by Act No. 2012-599.

COM: 101 INST

10/15

Instructions for preparation of Alabama

Combined registration/ Application

Applicant Information:

Corporate Registration or Other Business Type Charter Number:

Legal Name: Enter the legal name of the applicant.

If registered with the Alabama Secretary of State, provide the state assigned

Trade Name, DBA Names: Enter the “doing business as” name of the appli-

charter number.

cant, if different from the legal name.

If a foreign corporation (incorporated outside of Alabama) and registered with

Business Location: Enter the street address of the business. Check appro-

the Alabama Secretary of State, provide the state issued charter number.

priate box(es) if located within city limits and/or police jurisdiction.

If a foreign corporation (incorporated outside of Alabama) and the company is

Mailing Address: Enter the mailing address of the business if different from

not registered with the Alabama Secretary of State, provide the charter number

the business address.

as assigned by the state of incorporation.

Business Telephone Number: Enter the business telephone number.

Primary State of Registration: Enter the primary state of registration

Business Fax Number: Enter the business fax number.

Nature of Business: Enter the overall business activity of the applicant. If

Contact Name: Enter the name of the person the Alabama Department of

“other” enter the overall business activity being performed by the applicant.

Revenue may contact regarding questions pertaining to the application.

Business Activity: Enter the Business activity being performed in Alabama.

Contact Telephone Number: Enter the contact person’s telephone number.

Email Address: Enter the contact person’s email address.

Current Owners, Partners, Corporate Officers, Members, etc: Use addition-

Location of Business Records: Enter the address of the location of the busi-

al sheets if necessary.

ness records, if different from the business address.

Primary Name/Last Name – Enter the last name of the applicant.

Effective Date – Enter the date the business began or will begin doing busi-

If the applicant is an LLC or LLP:

ness in Alabama.

Enter the corporate name of the member, if the member is a corporation.

NAICS Code: The NAICS code may be found by accessing the following

Enter the last name of the member, if the member is a person.

Web site )

First Name – Enter the first name of the applicant.

Click on the category that relates to the overall business activity of the appli-

Title – Enter the title of the person and/or corporation listed in the Primary

cant (e.g. retail).

Name/Last Name field.

Scroll through the chosen category and notate the NAICS code that closely

Social Security Number – Enter the SSN of the person listed in the Primary

identifies the Alabama business activity of the applicant.

Name/Last Name field.

Close the window containing the NAICS code Web site.

Federal Employee Identification Number – Enter the FEIN of the person or

Enter the NAICS code in the appropriate field.

corporation listed in the Primary Name/Last name field.

Federal Employee ID Number – Enter the FEIN of the applicant.

Home Address – Enter the home address of the person listed in the Primary

Section A:

Name/Last name field.

This is not the business address, unless of course, the business is home

Type of Ownership:

based.

Indicate the form of ownership. The ADOR may request proof of ownership.

Home Telephone Number – Enter the home telephone number of the person

The requested proof may be one of the following: Articles of Incorporation for

listed in the Primary Name/Last Name field.

Corporations, Articles of Association for Professional Associations, and Articles

Previous Owner information:

of Organization for Limited Liability Companies and Limited Liability

Partnerships.

Primary Name/Last Name – Enter the last name of the previous owner.

If sole proprietor, partnership, or single member LLC, proof of U.S. citizenship

If the applicant is an LLC or LLP:

or lawful presence is required.

Enter the corporate name of the member, if the member is a corporation.

If “Other” ownership type chosen, enter the ownership type in the space

Enter the last name of the member, if the member is a person.

provided.

First Name – Enter the first name of the previous owner.

If “Single Member” LLC ownership type chosen, indicate whether or not the

Account number – enter the state issued account number of the previous

LLC has completed and filed with the Internal Revenue Service that the entity

owner.

wishes to be taxed as a corporation or a disregarded entity. Form 8832 may be

Home Address – Enter the home address of the person listed in the Primary

found at:

Name/Last name field.

Form Com: 101 - Combined Registration/application Page 2

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