Sales Tax Registration Form

Sales Tax Registration Form

Use this form to register a business for collection and remittance of sales and use tax. The person signing this form certifies under penalty of perjury that the information provided is true, correct, and complete, and acknowledges the obligation to collect, report, and remit sales tax as required by law. False statements may subject the signer to civil or criminal penalties.

1. Business Information

Sole Proprietorship Partnership Corporation Limited Liability Company (LLC) Other

Business start date:    Primary phone:    Email:

2. Mailing Address

Mailing address same as primary business address:

3. Ownership / Authorized Representative

4. Business Locations

5. Tax Registration Details

New registration Change of information Add location Cancel registration

If change or cancellation is selected, effective date:

Yes No

Retail sales Wholesale sales Internet / remote sales Mail order Service sales Other

6. Estimated Sales & Filing

Estimated monthly taxable sales: $    Estimated annual taxable sales: $

Monthly Quarterly Annually

7. Additional Information

Yes No

8. Certification

I, the undersigned, declare under penalty of perjury that I am authorized to execute this registration on behalf of the business identified herein. I certify that the facts stated on this form are true, and acknowledge the legal obligation to collect, account for, and remit sales and use tax on taxable transactions. I understand that failure to comply with registration, reporting, and remittance requirements may result in assessments, penalties, and interest as provided by law.

I acknowledge that the issuing authority may require additional documentation to verify the information provided and may request supporting records. I consent to receive official notices and correspondence related to this registration at the contact information supplied on this form.

Title:

Daytime phone:    Email:

Sign Now