Fillable Form Bb-1 - Basic Business Application printable pdf download

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FORM BB-1

This Space For Office Use Only

STATE OF HAWAII

(Rev. 2010)

BASIC BUSINESS APPLICATION

Identification number

TYPE OR PRINT LEGIBLY

1. Type of application (Check the appropriate box(es) that best describes your purpose in filing this application)

W __ __ __ __ __ __ __ __ - __ __

 General Excise

 Use Tax Only

 Seller's Collection

 Liquor

UI Registration Number

 Transient Accommodations

 Employer's Withholding  GE One-Time Event

 Rental Motor Vehicle & Tour Vehicle

 Liquid Fuel Distributor

 Cigarette and Tobacco (Non-Retail)

 Unemployment Insurance

 Liquid Fuel Retail Dealer  Retail Tobacco Permit

2. Taxpayer’s/Employer’s Name (Individuals, enter Last, First, Middle Initial)

3. Doing business as (DBA) name

Type of ownership

4. FEIN

 Sole Proprietorship

 Corporation

 S Corporation  Other (Explain)

 Federal Agency

 General Partnership  Limited Partnership  LLC

 Single-Member LLC

6. Date Business Began in Hawaii (MM/DD/YYYY) 7. Date of Organization (MM/DD/YYYY)

8. State of Organization

9. Accounting period, check only one

10. Accounting method, check only one

11. NAICS(See Instructions) and business activity

 Calendar Year

 Cash

 Accrual

__ __ __ __ __ __

 Fiscal Year ending (

)

MM/DD

12. Mailing address

C/O

Street address or P.O. Box

City

State Postal/Zip Code + 4

13. Physical location of business in Hawaii

Street address

City

State Postal/Zip Code + 4

14. If no physical business location in Hawaii, provide the name, address, and telephone number of the individual performing services in Hawaii

15. Phone Number

Business

Residential

Fax

E-mail address

(

)

(

)

(

)

16. For GE One-Time Event applicants ONLY: Name of the Event (See Instructions)

17. Does all or part of this business qualify for a disability exemption?

(See Instructions)

 Yes

 No

18. Name of Parent Corporation

19. Parent Corp.’s FEIN

20. Parent Corporation’s Mailing Address

21. List all sole proprietors, partners, members, or corporate officers (See Instructions) ATTACH A SEPARATE SHEET OF PAPER IF MORE SPACE IS REQUIRED.

SSN

Name (Last, First, Middle Initial)

Title

Residential Address

Contact Phone No.

(

)

23. No. of establishments or branches in Hawaii 24. Date employment began in Hawaii

22. (a) Did you acquire an existing business?  Yes  No

(b) If yes, was  all or  part of the business acquired?

25. No. of employees on date employment began 26. Date first wages paid in Hawaii

(MM/DD/YYYY)

(d) Previous owner’s/business’ name, dba, address, Hawaii Tax I.D. No.,

27. If no employees, when do you anticipate hiring employees?

and UI Account No. (If you answered “No” to (a) enter N/A)

28. How many Retail Tobacco Permits are you applying for? _______ Attach a list of (1) the name and address of each retail location you are obtaining a permit for, and (2) for those retail

locations that are vehicles, include the Vehicle Identification Number (VIN) of each vehicle. Have you ever been cited for either a tobacco and/or liquor violation?  Yes  No

29. Attach a list, by island, of the address(es) of your rental real property, noting TA, if transient accommodations, and/or the address(es) of your rental motor

vehicle or tour vehicle (RVST) and your Liquid Fuel Retail Dealer’s Permit (Fuel) business locations, noting the location as either RVST, or Fuel.

Enter the amount from line i. of the registration fee worksheet on the

30. (a) How many TA units are you registering for?

back of the form here and on the Total Payment line for

 1-5 units

 6 or more units

(b) Date TA activity began in Hawaii

Form VP-1, Tax Payment Voucher. Attach Form VP-1 to this form.

34.

Enter the amount from line o. of the registration fee worksheet on the

31. Date RVST activity began in Hawaii

back of the form here and on the Total Payment line for Form VP-2,