Form Genreg - Registration And Application For Permit - Montana Dept.of Revenue Page 2
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2Registration Instructions
Item 1
List federal identification or social security number as used to report to the Internal Revenue Service
Item 2
Enter the date you started business. For withholding purposes, the date employees started work.
Items 3-6
Please enter the legal name and address information associated with the federal identification number or
social security number listed (as reported to the Internal Revenue Service). Include any DBA names.
Item 7
List the person that you wish contacted for questions concerning your accounts with the Department of
Revenue.
Item 8
Select the type of business entity you are registering.
Item 9
Enter the reason for your registration.
Item 10
Complete the section that corresponds to your answer to items 8 and 9. List all owners, partners or
corporate officers. Remember to include addresses and social security numbers.
List additional owners, partners or corporate officers
Name and Address
Social Security Number
LFT and RVT
Please enter the physical location information. It is important to identify if the facility is inside or outside the city limits and
the appropriate county the facility is located in. If you have more than one facility, you must provide name and address
information for each individual location. Each location will be issued a permit for the sales and use tax.
List additional facilities (LFT and RVT only). Attach a separate sheet if there are more than two additional facilities.
Doing Business as (DBA) Name
DBA Business Address (physical location)
_________________ ____________ _____________ _______________________________________________
City
State
Zip Code
County
Contact Person
Phone
Doing Business as (DBA) Name
DBA Business Address (physical location)
_________________ ____________ _____________ _______________________________________________
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
Mail completed form to:
Business Registration
Phone: (406) 444-6900
Montana Department of Revenue
FAX:
(406) 444-0750
PO Box 5805
Helena, MT 59604
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Parent category: Financial