Form Rv-F1303601 - Application For Franchise, Excise Tax Registration
ADVERTISEMENT
1APPLICATION FOR FRANCHISE, EXCISE TAX REGISTRATION
If you are currently filing Franchise, Excise Tax returns and all the information is correct,
please DO NOT return this application.
NOTE: Complete Sections 1 and 2 only if the information is different from the mailing information below
1.
BUSINESS NAME AND MAILING ADDRESS
2.
BUSINESS LOCATION ADDRESS
LEGAL NAME
STREET, HIGHWAY (DO NOT USE P.O. BOX NUMBER OR RURAL ROUTE NUMBER)
P.O. BOX, STREET, ROUTE, OR HIGHWAY
CITY
STATE
ZIP CODE
COUNTY
CITY
STATE
ZIP CODE
3A.
BUSINESS PHONE # (
) _______________
3B.
BUSINESS FAX # (
) __________________
4.
/
FISCAL YR. END
MO
DAY
ANSWER ALL QUESTIONS COM-
PLETELY. INCOMPLETE AND UN-
SIGNED APPLICATIONS WILL DE-
LAY PROCESSING.
5.
ENTER YOUR FEDERAL EMPLOYER’S IDENTIFICATION #
APPLIED FOR
j.
LP
6
e.
LLC
o.
Not-For-Profit
. TYPE OF ENTITY:
7. SECRETARY OF STATE #
p.
Other _____________
a.
Tennessee domestic corporation
k.
LLP
f.
PLLC
l.
RLLP
b.
Foreign corporation
g.
Single Member LLC/individual
m.
PRLLP
c.
S Corporation
h.
Single Member LLC/corporation
n.
Trust
d.
Insurance Company
i.
Single Member LLC/Division of parent
8
. DESCRIBE THE BUSINESS ACTIVITY, STATING THE MAJOR PRODUCTS AND/OR SERVICES SOLD.
9.
IF A LIMITED PARTNERSHIP, LIMITED LIABILITY PARTNERSHIP, OR LIMITED LIABILITY COMPANY, DID ONE OR MORE CORPORATIONS SUB-
JECT TO TENNESSEE TAX, DIRECTLY OR INDIRECTLY, HAVE IN THE AGGREGATE 80% OR MORE OWNERSHIP INTEREST AT ANY TIME AFTER
JUNE 30,1998?
YES
NO
10.
IDENTIFY PRINCIPAL OFFICERS, PARTNERS OR MEMBERS AND PERCENT OF OWNERSHIP IN THIS BUSINESS (ATTACH ADDITIONAL NAMES
AND SOCIAL SECURITY NUMBERS ON SEPARATE SHEET)
(1) NAME
TELEPHONE #
SSN/FEIN (Please circle which format is provided)
ADDRESS (DO NOT USE P.O. BOX #)
CITY
STATE
ZIP CODE
% OF OWNERSHIP
(2) NAME
TELEPHONE #
SSN/FEIN (Please circle which format is provided)
ADDRESS (DO NOT USE P.O. BOX #)
CITY
STATE
ZIP CODE
% OF OWNERSHIP
(3) NAME
TELEPHONE #
SSN/FEIN (Please circle which format is provided)
ADDRESS (DO NOT USE P.O. BOX #)
CITY
STATE
ZIP CODE
% OF OWNERSHIP
ARE YOU STILL IN BUSINESS? IF NO LONGER IN BUSINESS, PLEASE
CHECK NO AND RETURN APPLICATION WITH CLOSURE DATE.
YES
NO
DATE: ______________________
11.
THE STATEMENTS MADE ON THIS APPLICATION ARE TRUE TO THE
FOR DEPARTMENT USE ONLY
BEST OF MY KNOWLEDGE AND BELIEF. (THIS APPLICATION MUST BE
SIGNED BY A PRINCIPAL OFFICER, PARTNER, OR MEMBER OF THE
CORPORATION LISTED IN ITEM 10.)
SIGN
HERE:
PRINCIPAL OFFICER, PARTNER OR MEMBER (DO NOT PRINT OR USE STAMP)
TITLE
DATE
RV-F1303601
INTERNET (9-99)
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Financial