Form Bar - Business Application And Registration - 2004
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5FOR OFFICE USE ONLY
State of Rhode Island
Division of Taxation
PERMIT #________________________
One Capitol Hill
STE 36
Providence, RI 02908-5829
BUSINESS APPLICATION and REGISTRATION
Fees and Instructions
Sales permit is renewable yearly
if YES
AND
Complete Additional
Include
Yes
No
Sections: Information
Fee of:
A B C D E
Do you have employees working in RI?
None
A B C D E
Do you lease employees in RI?
None
A B E
Do you make sales at retail?
$10.00
(A separate permit & fee is required for each location.)
If unknown, check NO.
Sales Tax liability
None
greater than $200 per mo.?
Will you be selling:
Gasoline-
Fee is for filling station license.
$5.00
Beverages or food-
Fee is for litter permit.
$25.00
Liquor-
License from city or town is required.
None
Cigarettes-
Each cigarette vending machine requires a separate license and fee.
$25.00
Motor Vehicles-
If yes, MV Dealer license # _____________(required).
None
Motor Vehicles leasing-
If yes, MV Lease license # ____________(required).
None
# of rooms
Rental of rooms-
________(3 or more rooms requires the filing of a monthly hotel tax return).
None
Other-
Product?
Total Fees enclosed
Date business will commence in this state?
Seasonal operation?
Is application for a temporary event?________
(months opened)
The following codes can be found on INSTRUCTION SHEET 1.
Date(s) of event?______________________
Location Code #
Business Code #
Section A: Type or Print Name, Mailing Address and Tax Identification Number
TYPE OF ENTITY:
SOLE OWNER
PARTNERSHIP
CORPORATION
LLC
OTHER
Please specify: ________________________________
Name (Employer, Business, Corporation or Owner)
RI Employment Registration #
(if assigned)
Business Phone #
Business name (if different from above)
Federal Employer Ident. #(if assigned)
Sales Tax Permit #
(if assigned)
Mailing Address City, Town, Village or Post Office (include apt. office or unit#, if any
State
Zip-Code
State and Date of Incorporation
Actual Rhode Island Location Address City, Town, or Village (include apt. office or unit #, if any)
State
Zip Code
Is any other license or permit required?
CANNOT ACCEPT PO BOX #
IF MORE THAN (1) LOCATION, PLEASE COMPLETE PART 2 ON THE BACK OF THIS FORM
Name & Sales Permit # of former owner (if not applicable write N/A)
Provide a name, address and telephone number of person(s) in charge of Sales and Payroll Records.
(
)
Name
Street
City
State
Zip Code
Telephone number
Section B: Type or Print Name, Social Security Number, Home Address, Title of Owner, each Partner, or each Corporate Officer
Name
Social Security #
Title
Telephone Number
Street Address
City or Town
State
Zip Code
Social Security #
Title
Telephone Number
Name
Street Address
City or Town
State
Zip Code
Social Security #
Title
Telephone Number
Name
Street Address
City or Town
State
Zip Code
Form BAR
REV. 1/07/2004
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Parent category: Financial