Form Rv-F1300501 - Application For Registration
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APPLICATION FOR
REGISTRATION
ANSWER ALL QUESTIONS COMPLETELY. INCOMPLETE AND UNSIGNED APPLICATIONS WILL DELAY PROCESSING.
FOR ASSISTANCE YOU MAY
CONTACT ANY OF THE TAXPAYER AND VEHICLE SERVICES OFFICES LISTED ON THE BACK.
1. CHECK ANY OF THE FOLLOWING TAX, PERMIT, OR FEE REQUIREMENTS FOR WHICH YOUR BUSINESS IS LIABLE:
*ALCOHOLIC BEVERAGE
PRIVILEGE TAXES:
GROSS RECEIPTS TAXES:
SALES AND USE TAX:
TAXES:
___
____ Auto Rental Surcharge
Bottlers
____ Sales and Use Tax
___
____ **Business Tax
Beer Barrelage
____ Mixing Bars
SEVERANCE TAXES:
____ Bail Bondsmen
____ Brand Registration
____ Pistol Permits
____ Coal
____ **Litigation Tax
____ *Liquor By The Drink
____ Gas, Water, Electric Power
____ Crude Oil/Natural Gas
____ Professional Privilege Tax
& Light
____ Wholesale Beer
____ Mineral
____ Realty Transfer and
____ Wholesale Gallonage
Mortgage Tax
SOLID WASTE TAXES:
___
___
FRANCHISE AND
*PETROLEUM TAXES
____ Tire
EXCISE TAX
____ Used Oil
___
TOBACCO TAX
*Requires Bond.
TYPE OF BOND:
1. SURETY
2. CASH
3. CERTIFICATE OF DEPOSIT
4. NONE REQUIRED
**These are administered by the county or city. Contact local officials in your area for 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
YES
DO YOU HAVE SUPPLIERS (IN-STATE OR OUT-OF-STATE) WHO DO NOT COLLECT TN. SALES TAX?
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
5.
6.
WILL YOU BE COLLECTING OVER
HOW MANY MONTHS OF THE YEAR WILL YOU
LOCATION
$200 PER MONTH IN SALES TAX?
HAVE SALES AND/OR USE TAX TO REPORT?
4b.
/
FISCAL YR. END
YES
NO
DAY
MO
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.
11.
10.
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?
CITY
STATE
ZIP CODE
FAX #
APPLIED FOR
12.
ENTER YOUR FEDERAL EMPLOYER'S IDENTIFICATION #
NOT REQUIRED
13.
TYPE OF OWNERSHIP:
14.
CURRENT OR PRIOR TAX NUMBERS
(SALES TAX, ETC.)
HUSBAND/WIFE OWNERSHIP
PROPRIETORSHIP
PARTNERSHIP
LIMITED PARTNERSHIP
PROFESSIONAL LIMITED LIABILITY COMPANY
LIMITED LIABILITY COMPANY
S CORPORATION
PROFESSIONAL CORPORATION
/
CORPORATION
OTHER
FEIN
ACCOUNT NO.
NAME OF CORPORATION
SEC. OF STATE #
15.
DESCRIBE THE BUSINESS ACTIVITY AT THIS LOCATION, STATING THE MAJOR PRODUCTS AND/OR SERVICES SOLD.
16.
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? _______________________
C. Do you use/have access to: (a) Automated systems
Yes (b) Computers
Yes
(c) Internet
Yes?
RV-F1300501 (Rev. 1-07)
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