Form Rv-F1300501 - Application For Registration
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1
2TENNESSEE DEPARTMENT OF REVENUE
APPLICATION FOR REGISTRATION
ALL SALES AND USE TAX RETURNS AND BUSINESS TAX RETURNS MUST BE FILED ELECTRONICALLY.
ANSWER ALL QUESTIONS COMPLETELY. INCOMPLETE AND UNSIGNED APPLICATIONS WILL DELAY PROCESSING. FOR ASSISTANCE YOU MAY
CONTACT ANY OF THE TAXPAYER SERVICES OFFICES LISTED ON THE BACK.
1. CHECK ANY OF THE FOLLOWING TAX, PERMIT, OR FEE REQUIREMENTS FOR WHICH YOUR BUSINESS IS LIABLE:
*
____ FRANCHISE AND
ALCOHOLIC BEVERAGE
**BUSINESS TAX
SEVERANCE TAXES:
____ Coal
TAXES:
EXCISE TAXES
____ Classification 1
____ Crude Oil/Natural Gas
____ Series LLC (See
____ Classification 2
____ Mineral
Beer Barrelage
Instructions)
____ Classification 3
____ Brand Registration
____ Classification 4
PRIVILEGE TAXES:
____ Liquor By The Drink
SOLID WASTE TAXES:
____ Classification 5
____ Tire
____ Auto Rental Surcharge
____ Wholesale Beer
____ Used Oil
____ Bail Bondsmen
____ Wholesale Gallonage
GROSS RECEIPTS TAXES:
____ Litigation Tax
Winery Tax
____ Bottlers
____ Professional Privilege Tax
____ TOBACCO TAX
____ Mixing Bar
*
____ Gas, Water, Electric Power
____
PETROLEUM TAXES
____ WINE DIRECT
& Light
SHIPPER
____ SALES AND USE TAX
1. SURETY
2. CASH
3. CERTIFICATE OF DEPOSIT
*Requires Bond.
TYPE OF BOND:
**The local county clerk and designated municipal business tax official in your area also have business tax registration forms.
2. REASON FOR APPLYING:
3.
WILL YOUR GROSS SALES EXCEED $4,800 PER YEAR?
YES
NO
1. New business
WILL YOUR TAXABLE SERVICES EXCEED $1,200 PER YEAR?
YES
NO
2. Additional location
DO YOU HAVE SUPPLIERS (IN-STATE OR OUT-OF-STATE) WHO DO NOT COLLECT TN. SALES TAX?
YES
NO
3. Purchase of existing business
IF ALL THREE OF THE ABOVE ARE "NO", YOU DO NOT NEED A SALES TAX #.
4a.
DATE BUSINESS BEGAN IN TENNESSEE AT THIS
6.
HOW MANY MONTHS OF THE YEAR WILL YOU
5.
WILL YOU BE COLLECTING OVER
LOCATION
HAVE SALES AND/OR USE TAX TO REPORT?
$200 PER MONTH IN SALES TAX?
4b.
/
NO
YES
FISCAL YR. END
MO
DAY
8.
7.
BUSINESS MAILING ADDRESS
BUSINESS NAME AND EXACT LOCATION
BUSINESS NAME (ATTACH LIST IF NECESSARY FOR ADDITIONAL LOCATIONS)
NAME (ENTER CORPORATION NAME, IF APPLICABLE)
P.O. BOX, STREET, ROUTE, OR HIGHWAY
STREET, HIGHWAY (DO NOT USE P.O. BOX NUMBER OR RURAL ROUTE NUMBER)
CITY
STATE
ZIP CODE
CITY
STATE
ZIP CODE
COUNTY
9.
10.
11.
RECORD STORAGE ADDRESS:
BUSINESS TELEPHONE #
IS THIS BUSINESS LOCATED INSIDE ANY TENNESSEE
CITY LIMITS?
YES
NO
STREET, HIGHWAY (DO NOT USE P.O. BOX NUMBER)
(
)
AREA CODE
IF YES, WHAT CITY?
STATE
ZIP CODE
CITY
FAX #
APPLIED FOR
12.
ENTER YOUR FEDERAL EMPLOYER'S IDENTIFICATION #
NOT REQUIRED
13a.
13b.
E-MAIL ADDRESS:
BUSINESS CONTACT PERSON:
14.
TYPE OF OWNERSHIP:
15.
CURRENT OR PRIOR TAX NUMBER
(SALES TAX, ETC.)
HUSBAND/WIFE OWNERSHIP
PROPRIETORSHIP
PARTNERSHIP
LIMITED PARTNERSHIP
LIMITED LIABILITY COMPANY
PROFESSIONAL LIMITED LIABILITY COMPANY
/
S CORPORATION
PROFESSIONAL CORPORATION
CORPORATION
OTHER
ACCOUNT NO.
TAX TYPE
NAME OF CORPORATION
SEC. OF STATE #
16.
DESCRIBE THE BUSINESS ACTIVITY AT THIS LOCATION, STATING THE MAJOR PRODUCTS AND/OR SERVICES SOLD.
A. Are your sales 100% over-the-counter sales?
______ Yes
______ No
(Note: If you ever have a sale for which you ship or deliver merchandise, do not check “Yes.”)
B. If not 100% over-the-counter sales, how many cities or counties in Tennessee, other than the location of your business do you ship or deliver
merchandise to in an average month? _______________________
INTERNET (6-13)
RV-F1300501
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