Form Bt-1c - Authorization For Consolidated Sales Tax Filing Number - 1997
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1Authorization for Consolidated
No Fee
Form BT-1C
Sales Tax Filing Number
SF# 48515
Required
Rev 9-97
Application is hereby made for permission to report and remit all sales and/or use tax for the indicated business locations on a consolidated
return as provided in subsection (b) of Section 51 of the act. [IC 1971, 6-2-1-51 (b)]
The assigned number is for the sole purpose of consolidated reporting of sales and use tax and is not valid for exemption on purchases.
Please Print or Type All Information. Contact the Department at (317) 486-5518 for more information regarding this application.
2.
If this business is currently registered for any
1.
Federal
Indiana tax under this ownership, enter your
Identification
___ ___ ___ ___ ___ ___ ___ ___ ___
Number:
Taxpayer Identification Number:
___ ___ ___ ___ ___ ___ ___ ___ ___ ___
3.
Owner name, Legal name, Partnership name,
Corporate name or Other entity name:
If sole owner (Last name, First name, Middle Initial:
Street Mailing Address:
City:
State:
Zip Code:
County:
Check the type of organization of this business:
Sole Proprietor
Partnership
LLP
Corporation
LLC
Fed Govt
Other Govt
Other
4.
Name of contact person: (Person responsible for filing tax forms)
6. Contact person's Daytime Telephone Number:
5.
(
)
EXT
List All Business Locations for Consolidated Filing. Attach additional sheet if necessary.
7.
TID Number
LOC #
Business Location Name
Street
City
State
Zip Code
(10 digits)
(3 digits)
Signed:
Title:
Date:
Signature of Owner, Partner, Corporate Officer, or Resident Agent
List additional names / locations on a separate sheet if necessary.
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