Form 518 - Registration For Michigan Taxes - 1997 Page 2
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2518, page 2
9.
How many business locations will you operate in Michigan?
Multiple
If more than one, attach a list of names and addresses.
Locations
10. Month Business Opens
Month Business Closes
Seasonal
Business
11. Do you close your tax books on Dec. 31?
If no, give month of closing.
Fiscal
Yes
No
Year
12. If your withholding taxes are paid by a payroll service, enter the payroll service name and address.
Payroll
Service
13A. Describe your business activity.
13B. What retail products, if any, do you sell (sold to final consumer)?
13C. What wholesale products, if any, do you sell?
13D. Do you have employees entering Michigan or representatives acting as your
agent in Michigan to solicit orders, describe products or provide service?
Yes
No
14A. What is the reason for this application?
14B. List any previous account numbers
Started a new business
Incorporated an existing business
Purchased an existing business. Complete item 15 below.
Other (explain):
15A. If you purchased or acquired a business, what assets did you acquire? Check the boxes that apply and complete MESA Schedule B .
Land
Building
Furniture & Fixtures
Equipment
Inventory
Goodwill
15B. Name of previous owner(s) or corporation
15C. Previous Owner's Account Number (if known)
15D. Will the previous owner continue to make retail sales or have employees in Mich.?15E. What was your total purchase price?
Yes
No
16A. Gasoline Stations: Name of Distributor
16B. Brand
16C. Address of Distributor (No., Street, City, State, ZIP)
17. Motor Fuel and Tobacco Tax Information
Yes
No
Yes
No
Will you sell gasoline or diesel fuel for exempt purposes?
Will you sell tobacco products for resale?
Will you sell diesel fuel from bulk storage into highway vehicles?
Will you operate a tobacco
Will you operate a terminal or refinery?
products vending machine?
Do you own a diesel-powered vehicle with 3 or more axles or 2 axles
If yes, do you supply tobacco products
and gross vehicle wt., over 26,000 lbs.?
for the machine?
Will you transport fuel across Michigan's borders?
If no, please give the supplier's name.
SIGNATURE OF OWNERS.
This registration must be signed by the owner(s), two partners, two corporate officers,
member(s) of a limited liability company or their authorized representative. Applications
without signatures will be returned.
I declare, under penalty of perjury, that I have examined this registration and its
attachments and they are true and complete to the best of my knowledge.
Type or print name of owner or officer responsible for filing returns and making tax payments
Title
Signature
Phone
Date
Type or print name of second owner; partner; officer or member
Title
Signature
Phone
Date
Preparer's name and address if different from above.
Phone
Date
You may register your business over the telephone by calling 517-3
Sales Tax Registrants Only -
Enclose $1 License Fee
Be sure this form is complete before you call. After you have regis
business by phone, check the box at right and mail this applicatio
1.00
$______________
6
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