Form Bb-1 - Basic Business Application
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FORM BB-1
This Space For Office Use Only
STATE OF HAWAII
(Rev. 2016)
BASIC BUSINESS APPLICATION
For faster service apply online at https://tax.hawaii.gov/eservices/business
Online applications are processed in 2-4 business days.
TYPE OR PRINT LEGIBLY
UI No.
2.
1. Purpose of Application — Check only one. For 1c and 1d,
3. Hawaii Tax I.D. No.
FEIN
PTIN
SSN
Complete ONLY the information you are deleting or changing
a.
New b.
Add c.
Delete d.
Change
4. Taxpayer’s/Employer’s/Plan Manager's Legal Name
5. Trade name or doing business as (DBA) name, if any
6. Mailing address
7. Physical location of business in Hawaii
C/O
Street address
Street address or P.O. Box
City State
Postal/Zip Code
If none, provide name, phone number and address of the person performing services in HI.
City State
Postal/Zip Code
8. Type of legal organization
Corporation
S Corporation
General Partnership
Limited Partnership
Nonprofit
Sole Proprietorship
Single-Member LLC
LLC
Government
Other (Please specify)
9.
10. Date Business Began in Hawaii
11. Date of Organization
12. State of Organization
Does all or part of this business qualify for
a disability exemption? (See Instructions)
Yes
No
15. NAICS and business activity (See Instructions)
13. Accounting period (check only one)
14. Accounting method (check only one)
Calendar Year
Cash
Accrual
Fiscal Year ending
Effective date if changing
Effective date if changing
accounting period
accounting method
16. Business Phone
Alternate Phone
Fax Number
E-mail address
17. Parent Corporation’s FEIN
18. Name of Parent Corporation
19. Parent Corporation’s Mailing Address
20. List all sole proprietors, partners, members, or corporate officers (See Instructions) Attach a separate sheet of paper if more space is required.
FEIN/PTIN/SSN
Name (Individuals - Last, First, M.I.)
Title
Residential Address
Contact Phone No.
FEIN
PTIN
SSN
FEIN
PTIN
SSN
21. Registering for Unemployment Insurance (UI)?
23. No. of establishments or branches in Hawaii
Yes
No
22. (a) Did you acquire an existing business?
24. Date employment began in Hawaii
Yes
No
25. No. of employees on date employment began
(b) If yes, was
all or
part of the business acquired?
26. Date first wages paid in Hawaii
(c) Date business was acquired?
(d) Previous owner’s/business’ name, dba, address, Hawaii Tax I.D. No.,
27. If no employees, date you anticipate hiring employees?
and UI Account No. (If you answered “No” to (a) enter N/A)
CERTIFICATION:
The above statements are hereby certified to be correct to the
best of the knowledge and belief of the undersigned who is duly authorized to sign this
application.
Mail the completed application to:
HAWAII DEPARTMENT OF TAXATION
Signature of Owner, Partner or Member, Officer, or Agent
P.O. Box 1425
Honolulu, HI 96806-1425
02
Print Name
Title
Date
BB1_F 2016A 01 03
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