Tax Account Registration Form - City Of Huntsville Finance Department

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City of Huntsville
For Department Use Only
Finance Department
Date Received:
______________
TP Confirmation: ______________
308 Fountain Circle · P.O. Box 308 · Huntsville, Alabama 35804
CT Office: ___________________
Phone (256) 427-5070 · Fax (256) 427-5064
Account #: ___________________
TAX ACCOUNT REGISTRATION FORM
Confidential
The information supplied in this application will be used to complete the business registration process by establishing a tax account with the City
of Huntsville. An authorized representative of the business may be contacted if additional information is required.
BUSINESS INFORMATION
Legal Name of Business: ___________________________________ Trade Name (d/b/a): _______________________________________
Federal ID Number: _______________________________________ Type of Business: ________________________________________
Mailing Address: ________________________________________
NAICS Code: ____________________________________________
City, State, Zip: __________________________________________
Date Tax Collection Began: _________________________________
Phone Number: __________________________________________
Phone Number: __________________________________________
Email : _________________________________________________
Contact Name: ___________________________________________
Please check all that apply.
Sales reps or employees solicit business in Huntsville
Business location in Huntsville
Deliveries made into Huntsville via company owned or leased vehicles
Personal property leased in Huntsville
Deliveries made into Huntsville via common carrier or US Postal Service
Repairs, maintenance, construction or installation services performed in Huntsville
Isolated transactions in Huntsville requiring tax remittance
TYPE OF OWNERSHIP
_____________________
Proprietorship
Partnership
Corporation
LLC
Other
RESPONSIBLE PARTY
Name the person, officer or member responsible for payment of taxes, reporting and/or receiving confidential tax information.
Authorized Tax Official: __________________________________________________________________________________________
Street Address: ________________________________________________________________________________________________
City, State, Zip: ________________________________________________________________________________________________
Phone Number: __________________________________________
Fax Number: ________________________________________
Email Address: __________________________________________
TAX FILING INFORMATION
Filing Frequency
Tax Type
Monthly
Annual
Sales
Rental
Quarterly
Occasional
Use
Lodging
Gasoline
Tobacco
Tax Filing Preference:
File Return and Payment ELECTRONICALLY
(Visit our website at
for detailed instructions.)
File Return and Payment by MAIL
(Tax return forms will be mailed upon processing of application)
AUTHORIZATION TO SUBMIT TAX ACCOUNT REGISTRATION
____________________________________________________________________________________________
Date
Printed Name
Signature
Title
Return completed form to the address or fax number above. You will receive notification of your Huntsville account number after processing
your completed application. If you have any questions, please call (256) 427-5080 or email
V2.06-10

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