Instructions For Preparation Of Alabama Combined Registration/application

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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
Instructions For Preparation of Alabama
10/12
Combined Registration/ Application
Applicant Information:
Business Activity: Enter the Business activity being performed in
Alabama.
Legal Name: Enter the legal name of the applicant.
Trade Name, DBA Names: Enter the “doing business as” name of the appli-
Current Owners, Partners, Corporate Officers, Members, etc: Use addi-
cant, if different from the legal name.
tional sheets if necessary.
Business Location: Enter the street address of the business. Check appro-
Primary Name/Last Name – Enter the last name of the applicant.
priate box(es) if located within city limits and/or police jurisdiction.
If the applicant is an LLC or LLP:
Mailing Address: Enter the mailing address of the business if different from
Enter the corporate name of the member, if the member is a
the business address.
corporation.
Business Telephone Number: Enter the business telephone number.
Enter the last name of the member, if the member is a person.
Business Fax Number: Enter the business fax number.
Contact Name: Enter the name of the person the Alabama Department of
First Name – Enter the first name of the applicant.
Revenue may contact regarding questions pertaining to the application.
Title – Enter the title of the person and/or corporation listed in the Primary
Contact Telephone Number: Enter the contact person’s telephone number.
Name/Last Name field.
Email Address: Enter the contact person’s email address.
Social Security Number – Enter the SSN of the person listed in the Primary
Location of Business Records: Enter the address of the location of the
Name/Last Name field.
business records, if different from the business address.
Federal Employee Identification Number – Enter the FEIN of the person list-
Section A:
ed in the Primary Name/Last name field.
Home Address – Enter the home address of the person listed in the Primary
Type of Ownership:
Name/Last name field.
Indicate the form of ownership. The ADOR may request proof of ownership.
This is not the business address, unless of course, the business is home
The requested proof may be one of the following: Articles of Incorporation for
based.
Corporations, Articles of Association for Professional Associations, and Articles
Home Telephone Number – Enter the home telephone number of the person
of Organization for Limited Liability Companies and Limited Liability
listed in the Primary Name/Last Name field.
Partnerships.
Effective Date – Enter the date the business began or will begin doing busi-
If sole proprietor, partnership, or single member LLC, proof of U.S. citizen-
ness in Alabama.
ship or lawful presence is required.
NAICS Code: The NAICS code may be found by accessing the follow-
If “Other” ownership type chosen, enter the ownership type in the space pro-
ing Web site )
vided.
Click on the category that relates to the overall business activity of the appli-
If “Single Member” LLC ownership type chosen, indicate whether or not the
cant (e.g. retail).
LLC has completed and filed with the Internal Revenue Service that the entity
Scroll through the chosen category and notate the NAICS code that closely
wishes to be taxed as a corporation or a disregarded entity. Form 8832 may
identifies the Alabama business activity of the applicant.
be found at:
Close the window containing the NAICS code Web site.
Corporate Registration or Other Business Type Charter Number:
Enter the NAICS code in the appropriate field.
Federal Employee ID Number – Enter the FEIN of the applicant.
If registered with the Alabama Secretary of State, provide the state assigned
charter number.
Previous Owner information:
If a foreign corporation (incorporated outside of Alabama) and registered
Primary Name/Last Name – Enter the last name of the previous owner.
with the Alabama Secretary of State, provide the state issued charter number.
If the applicant is an LLC or LLP:
If a foreign corporation (incorporated outside of Alabama) and the company
Enter the corporate name of the member, if the member is a corporation.
is not registered with the Alabama Secretary of State, provide the charter num-
Enter the last name of the member, if the member is a person.
ber as assigned by the state of incorporation.
First Name – Enter the first name of the previous owner.
Primary State of Registration: Enter the primary state of registration
Account number – enter the state issued account number of the previous
Nature of Business: Enter the overall business activity of the applicant. If
owner.
“other” enter the overall business activity being performed by the applicant.
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