Form 518 - Registration For Michigan Taxes (Page 2 of 5) in pdf

518, page 2

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

Year

12A. Describe your business activity.

12B. What retail products, if any, do you sell (sold to final consumer)?

12C. What wholesale products, if any, do you sell?

12D. Do you have employees entering Michigan or representatives acting as your

agent in Michigan to solicit orders, describe products or provide service?

Yes

13A. What is the reason for this application?

13B. List any previous account numbers

Started a new business

Incorporated an existing business

Purchased an existing business. Complete item 14 below.

Other (explain):

14A. If you purchased or acquired a business, what assets did you acquire? Check the boxes that apply and complete UA Schedule B.

Land

Building

Furniture & Fixtures

Equipment

Inventory

Goodwill

14B. Name of previous owner(s) or corporation

14C. Previous Owner's Account Number

(if known)

14D. Will the previous owner continue to make retail sales or have employees in Mich.? 14E. What was your total purchase price?

Yes

15A. Gasoline Stations: Name of Distributor

15B. Brand

15C. Address of Distributor (No., Street, City, State, ZIP)

16. Motor Fuel and Tobacco Tax Information

Yes

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

If yes, do you supply tobacco products

or 2 axles and gross vehicle wt., over 26,000 lbs.?

for the machine?

Will you transport fuel across Michigan's borders?

If no, provide 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

If your business is liable for Income Withholding Tax, you must complete and mail this application to: Michigan

Sales Tax Registrants Only -

Department of Treasury, Treasury Building, Lansing, MI 48922. If your business is liable for Sales and/or Use

Enclose $1 License Fee

Tax only, you may register your business over the telephone by calling (517) 373-0888.

1.00

$______________

Form 518 - Registration For Michigan Taxes Page 2

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