Form Reg-1 - Application For Registration - 1996 Page 2
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1
2Each Question Must Be Answered Completely
REG-1 (pg. 2)
1. a. Will you collect New Jersey Sales Tax and/or pay Use Tax? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Yes
No
GIVE EXACT DATE YOU EXPECT TO MAKE FIRST SALE ___________/__________/__________
Month
Day
Year
b. Will you need to make exempt purchases for your inventory or to produce your product? . . . . . . . . . . . . . . . . . .
Yes
No
c. Is your business located in (check applicable box(es)):
Atlantic City
Salem County
North Wildwood
Wildwood Crest
Wildwood
2. a. Will you be paying wages, salaries or commissions to employees working in New Jersey and/or
to New Jersey residents working outside New Jersey? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Yes
No
GIVE DATE OF FIRST WAGE OR SALARY PAYMENT ___________/__________/__________
Month
Day
Year
b. Will you be the payer of pension or annuity income to New Jersey residents? . . . . . . . . . . . . . . . . . . . . . . . . . . .
Yes
No
c. Will you be holding legalized games of chance in New Jersey (as defined in Chapter 47 - Rules of
Legalized Games of Chance) where proceeds from any one prize exceed $1,000? . . . . . . . . . . . . . . . . . . . . . . .
Yes
No
Note: NJ Lottery Proceeds not included
3. Do you intend to sell cigarettes? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Yes
No
Note: If yes, complete the REG-L form in this booklet and return with your completed REG-1.
To obtain a cigarette retail or vending machine license complete the CM-100 in this booklet.
4. a. Are you a distributor or wholesaler of tobacco products other than cigarettes? . . . . . . . . . . . . . . . . . . . . . . . . . .
Yes
No
b. Are you a retailer subject to the compensating use tax as defined under the Tobacco Products Wholesale
Sales and Use Tax? (See instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Yes
No
5. Are you a manufacturer, wholesaler, distributor or retailer of “litter-generating products”? If your annual
retail sales of litter-generating products is less than $250,000 you are EXEMPT from this tax. (See Instructions) . .
Yes
No
6. Are you an owner or operator of a sanitary landfill facility or a solid waste facility in New Jersey? . . . . . . . . . . . . . .
Yes
No
IF YES, indicate D.E.P. Facility # and type (See instructions) _____________________________________
7. a. Do you operate a facility that has the total combined capacity to store 200,000 gallons or more of
petroleum products? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Yes
No
b. Do you operate a facility that has the total combined capacity to store 20,000 gallons
(equals 167,043 pounds) of hazardous chemicals? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Yes
No
c. Do you store petroleum products or hazardous chemicals at a public storage terminal? . . . . . . . . . . . . . . . . . . .
Yes
No
Name of terminal ___________________________________________________________________________
8. a. Will you be involved with the sale or transport of motor fuels and/or petroleum? . . . . . . . . . . . . . . . . . . . . . . . . .
Yes
No
Note:
If yes, complete the REG-L form in this booklet and return with your completed REG-1. To obtain
a motor fuels retail or transport license complete and return the CM-100 in this booklet.
b. Will your company be engaged in the refining and/or distributing of petroleum products for distribution in
this State or the importing of petroleum products into New Jersey for consumption in New Jersey? . . . . . . . . . . .
Yes
No
c. Will your business activity require you to issue a Direct Payment Permit in lieu of payment of the Petroleum
Products Gross Receipts Tax on your purchases of petroleum products? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Yes
No
9. If you are a Limited Liability Company, indicate which return you file with the Internal Revenue Service.
Federal Form 1065
Federal Form 1120
10. List any other New Jersey State taxes for which this business may be eligible (see instructions).
___________________________________________________________________________________________________________
11. Type of business:
1. Manufacturer
2. Service
3. Wholesale
4. Construction
5. Retail
6. Government
Principal product or service _____________________________________________________________________________________
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