Instructions For Preparation Of Alabama Combined Registration/application Page 3
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37site at:
NOTE: Before mailing your application, be sure that it is signed by the
owner, partner, member or corporate officer. A federal employer identifi-
NOTE: You will automatically receive a local account number if you
cation number is required unless the business is a sole proprietorship.
apply for a sales tax, sellers use tax, consumers use tax, lodgings tax or
rental/leasing tax account. If the State of Alabama administers the taxes
Mail the completed form and any tax due to:
for your city or county, you will use this account to remit those taxes. If
Alabama Department of Revenue
the State of Alabama does not administer the taxes for your city or coun-
Central Registration Unit
ty, you will not file on this account (Form 9501). The account will show on
P.O. Box 327100
your profile but will remain inactive.
Montgomery, AL 36132-7100
This local account can also be used to file and pay taxes to self-admin-
istered cities and counties that allow taxpayers to utilize our Electronic
If you need assistance, please call (334) 242-1170 or come to our
Filing System. However, you must first register with those cities or coun-
Montgomery office at 50 North Ripley Street, 4th floor, room 4301.
ties to obtain the required "jurisdiction account number" that our
Electronic Filing System will need to process your return for a self-
This form can also be completed and submitted on our Web site at
administered city or county. See our Web site at
• Click on the “Business Section”
for a list of par-
• Select “Registration Form”
ticipating self-administered cities and counties.
• Select “Click Here To Register”
Section B – Income Tax Withholding:
NOTE: If the application is filed on the Internet, there is no need to mail a
Are you continuing to withhold Alabama Income Tax:
paper copy. Please allow 3 to 5 business days to be notified of your
Answer “yes” if the company has begun withholding tax or will have
account number. Please do not file a second application if you have
Withholding Tax.
received a confirmation on the first filing.
If “no”, enter the date last wages were paid.
Total estimated annual number of employees in Alabama:
If you need assistance completing this form, please contact a service center
Enter the total number of Alabama employees.
below:
All applicants must complete and sign this section:
Taxpayer Service Centers
Applicant Name/Last Name – Enter the last name of the person completing
Auburn/Opelika – 3300 Skyway Drive, Auburn (36830)
the application.
Telephone (334) 887-9549
First Name – Enter the first name of the person completing the application.
Dothan – 344 North Oates Street (36303) Telephone (334) 793-5803
Title – Enter the title of the person completing the application.
Gadsden – 235 College Street (35901) Telephone (256) 547-0554
Date – Enter the date.
The Combined Registration/Application form (COM: 101) was designed to
Huntsville – 4920 Corporate Drive, Suite H (35805) Telephone (256) 837-2319
allow businesses the opportunity to complete one all inclusive form that will
Jefferson/Shelby – 2020 Valleydale Road, Suite 208, Hoover (35244)
satisfy many needs and eliminate filing multiple forms.
Telephone (205) 733-2740
There are two methods to register the business:
Mobile – 955 Downtowner Boulevard (36609) Telephone (251) 344-4737
(1) complete and mail the form (COM: 101) or
Montgomery – 1021 Madison Avenue (36104) Telephone (334) 242-2677
(2) complete the form (COM: 101) online via the Internet.
Muscle Shoals – 874 Reservation Road (35661) Telephone (256) 383-4631
Tuscaloosa – 518 19th Avenue (35401) Telephone (205) 759-2571
Section C:
TDD Number – (334) 242-3061
All applicants applying for a sellers use account must complete the question-
naire by checking all the items that describe the company’s business activities
in Alabama. If none of the items pertain to the business, select “None of the
above.”
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