Form Cd-3 - New Hampshire Application For Meals & Rentals Tax Operators License Page 4
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NEW HAMPSHIRE DEPARTMENT OF REVENUE ADMINISTRATION
CD-3
APPLICATION FOR MEALS & RENTALS TAX
OPERATORS LICENSE (RSA 78-A:4)
Page 4
GENERAL INSTRUCTIONS (continued)
Instructions
LINE 15
LINE 21 FRANCHISE INFORMATION
Check all applicable items served by this business. Indicate number of
Operators who own or operate a franchise business should check “Yes”
seats in restaurant and/or lounge.
and fill in the franchise information as indicated in Line 21. If this is not
a franchise business, check the “No” box on Line 21.
LINE 16
Check appropriate box(es) to indicate if the business provides sleeping
LINE 22 BUSINESS LOCATION INFORMATION
accommodations (indicate number of rooms), function rooms (indicate
seating capacity), or motor vehicle rentals.
Check the appropriate box to indicate whether the New Hampshire
physical business property is owned or leased/rented by the applicant.
LINE 17
If the applicant leases or rents the business property, they must also
enter on the lines provided the name and telephone number of the
If the operator desires to file tax returns on a seasonal basis that is less
owner or landlord of the business property. If the applicant owns the
than twelve returns per year, check the box(es) and indicate the
property, leave landlord information blank and go to Line 23.
month(s) the business will be operated. A return is required for each
month of the filing season, whether there is tax due or not. Monthly
filing will be required unless seasonal permission is granted.
LINE 23
REGISTRATIONS, LICENSING AND PERMIT INFORMATION
Line 23(a) - Enter the name and address of the NH Registered Agent.
LINES 18 and 18(a)
The Registered Agent is usually the accountant or attorney for the
In case of change of ownership, provide the name the business
business. If you are a sole proprietor doing business under your own
previously operated under and the name of former owner(s).
name and are not registered with the Secretary of State Corporate
Division, you will not have a registered agent. If so, skip Line 23(a).
LINES 19 and 19(a)
Line 23(b) - If your business sells beer, wine or liquor, enter the NH
Enter the name of the NH banking institution into which the taxes
Liquor License information for license(s) any individual listed on Lines
collected will be deposited, and the name of the account holder.
2, 9 or 10 previously held or had an interest in. If your business does
not sell beer, wine or liquor or the individuals listed in Lines 2, 9 or 10
Complete pages 1 and 2 and submit to the NH Department
have not previously held an interest in any liquor license, check “No”
of Revenue Administration.
and proceed to line 23(c).
SIGNATURE(S)
Line 23(c) - If any individual listed on Lines 2, 9 or 10 has ever been
The signature in ink, of each person listed on Line 9 is required. This
issued a Meals & Rentals License, enter the issue date, license
certifies that the given information is true and correct and in conformity
number and name of licensee. If no other licenses have been issued,
with applicable state laws.
check “No” and proceed to Line 23(d).
LINE 20 CONSOLIDATED RETURN
Line 23(d) - Enter information regarding any other state or locally
issued license(s) or permits the business listed on Lines 1 and 2 holds
Operators who own or operate more than one Meals & Rentals Tax
such as, but not limited to, health permits, fire permits, corporate
establishment may request, in writing, permission to file their monthly
division registration, municipal business licences or occupational
returns as one “consolidated” return. If you are a member or applying
licenses.
to be a member of a consolidated filing group, put a check in the “Yes”
box next to 20(a), enter the primary license number.
The primary
license number is usually the largest, oldest or first Meals & Rentals
Tax License the business was issued. Check “Yes” in 20(b) if this
CD-3 is for the primary license. If not requesting a consolidated return
approval, check the “No” box for Line 20 (a) and (b).
4
Form CD-3
Instructions
Rev 04/2013
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