Form Genreg - Registration And Application For Permit - Montana Dept.of Revenue
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2MONTANA
Form GenReg
Rev. 11-04
Registration and Application for Permit
Mark appropriate box(es) for the tax type(s) you are registering:
Lodging Facility Tax (LFT)
Rental Vehicle Tax (RVT)
Withholding Tax (WTH)
1.
Federal ID No.________________________________ 2. Enter date you are starting business________________
Social Security No._____________________________
3. Legal Owner’s Name _______________________________________ 4. DBA________________________________
5. Legal Business Address (must be a street address)______________________________________________________
City __________________________________State__________________ Zip Code___________________________
6. Mailing Address__________________________________________________________________________________
City__________________________________ State__________________ Zip Code___________________________
7. Contact Person________________________Phone____________FAX No.____________ E-mail ________________
8. Type of Business (check all that apply)
Individual
Partnership
LLP
LLC (check one below)
Sub S Corp.
“C” Corporation
Government
Member Managed
Agricultural
Manager Managed
9. Reason for application: (check applicable box and complete section below if indicated. See instructions on back.)
Started new business
Purchased existing business
Re-registration
Other (Please attach explanation)
10. All registrants complete the following sections as required:
Complete this
section for
______________________________________
_____-_____-____ ______________
individual business.
Owner Name
SS#
Phone
Complete this section
______________________________________
_____-____-____ _______________
if business is a partnership,
President or Partner
SS#
Phone
LLC, LLP, Sub S Corp.
______________________________________
_____-____-____ _______________
or “C” Corporation. List
Secretary or Partner
SS#
Phone
additional partners
______________________________________
_____-____-____ _______________
on reverse side
Treasurer or Partner
SS#
Phone
of this form.
Complete this section if
______________________________________
______________________________
you purchased an existing
Previous Business Name
Date Acquired
business.
_______________________________________________________________________
Previous Owner(s)
(LFT and RVT only)
_______________________________________________________________________
Complete this
Doing Business as (DBA) Name
section for each location.
_______________________________________________________________________
(attach additional
DBA Business Address (physical location)
pages if necessary).
____________ ____________ _____________ _______________________________
See instructions on back.
City
State
Zip Code
County
_______________________________________________________ _______________
Contact Person
Phone
Nature of Business________________________________________________________
Are you a seasonal business?
Yes
No
If yes, what months are you in operation?______________________________________
Is this facility within city limits?
Yes
No
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Parent category: Financial