MORGAN COUNTY
SALES / SELLERS USE TAX APPLICATION
AND INFORMATION FORM
(CONFIDENTIAL)
MAIL TO: MORGAN COUNTY SALES TAX OFFICE PHONE: (256) 351-4619
P.O. BOX 1848
DECATUR, AL 35602
ACCOUNT NUMBER: ____________________(THIS IS ASSIGNED BY OUR OFFICE)
BUSINESS NAME: ________________________________________________________
TYPE OF BUSINESS: ______________________________________________________
LOCATION OF BUSINESS: _________________________________________________
STREET
CITY
STATE
ZIP
MAILING ADDRESS: _______________________________________________________
STREET
CITY
STATE
ZIP
TELEPHONE (_____)________________________(_____)__________________________
BUSINESS/HOME
FAX
MANAGER’S or OWNER’S NAME: ____________________________________________
FEIN# or SSN#: _______________________________________________________
CONTACT PERSON FOR TAX QUESTIONS: ____________________________________
WHAT AREAS OF THE COUNTY DOES YOUR BUSINESS HAVE SALES?
IMPORTANT, ANSWER YES OR NO FOR EACH AREA LISTED.
YES
NO
UNINCORPORATED AREA OR MORGAN COUNTY
____
___
DECATUR
(INSIDE THE CORPORATE LIMITS)
____
___
HARTSELLE
(INSIDE THE CORPORATE LIMITS)
____
___
FALKVILLE
(INSIDE THE CORPORATE LIMITS)
____
___
TRINITY
(INSIDE THE CORPORATE LIMITS)
____
___
PRICEVILLE
(INSIDE THE CORPORATE LIMITS)
____
___
SOMERVILLE
(INSIDE THE CORPORATE LIMITS)
____
___
EVA
(INSIDE THE CORPORATE LIMITS)
____
___
I AFFIRM UNDER THE PENALTY OF PERJURY THAT THE ABOVE IS A TRUE AND CORRECT
STATEMENT TO THE BEST OF MY KNOWLEDGE AND BELIEF.
THIS BUSINESS REQUESTS TO FILE: MONTHLY____, THIRTEEN PERIOD___, QUARTERLY____,
OCCASIONAL SALES ___, OR ANNUAL RETURN (IF UNDER $600.00 TAX)____.
DATE________________
SIGNATURE: ________________________________
TITLE: ______________________________________
BUSINESS START DATE: __________________________________
IMPORTANT, RETURN TO SALES TAX OFFICE WITHIN 10 DAYS
OR ATTACH TO YOUR FIRST RETURN
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