Fillable BUSINESS LICENSE APP F1300501 Dec19.pmd (City of Portland)

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BUSINESS LICENSE APP F1300501 Dec19.pmd (City of Portland)

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TENNESSEE DEPARTMENT OF REVENUE
Business Tax Registration Application
RV-F1321001 (04/18)
Answer all questions below completely. Incomplete and unsigned applications will delay processing.
1.
Business FEIN or SSN (required)
2.
Start Date for Location in Jurisdiction
3.
Fiscal Year End Date
4.
Type of Ownership (choose only one box below):
Partnership (all types)
Corporation (all types)
Sole Proprietorship
Marital Joint Ownership
Other Spouse's SSN:
Limited Liability Company
(choose one below)
Multi-Member LLC
Single Member LLC
5.
Legal Name of Business
6.
Primary Address (physical address where records are located; no P.O. box) City
State ZIP Code
7.
Identify Owners, Officers, Members, or Partners (Attach additional names on separate sheet if needed. See Instructions.)
Title
Title
SSN of owner or FEIN of owning business, if available
SSN of owner or FEIN of owning business, if available
First and Last Name of Owner or Name of Owning Business
First and Last Name of Owner or Name of Owning Business
Telephone Number with Area Code
Telephone Number with Area Code
Email
Email
Address
City
State ZIP Code
City
State ZIP Code
8.
"Doing Business As" (DBA) Name (if different from #5 above)
9.
Classification (select below or write in)
10.
License Type
Standard Business Lincense
Minimal Activity License
11.
Business Location Address (physical address only; no P.O. box)
City State ZIP Code
Classification:
Address
Estate or Trust
12.
Business Activity at this Location
13.
Business Mailing Address City State Zip Code
14.
Business Telephone Number Business Fax Number Business Email Address
15.
Contact Name Contact Telephone Number
Contact Email Address
16.
Signatures Required! This application must be signed by an owner, officer, member or partner
of the entity listed above. Do not print or use a stamp.
The statements made on this application are true to the best of my knowledge and belief.
For Department Use Only
Signature:
Owner, Officer, Member, or Partner
Date:
Sig
nature:
Date:
Owner, Officer, Member, or Partner
Electronic filing and payment of ta
xes is
required for business tax.
Please visit www.TN.gov/revenue for more information.
Instructions: Business Tax Registration Application
Gen
eral Information
The Business Tax Application is used to apply for tax registration for Tennessee's business tax. This application
cannot be used to register for other Tennessee tax obligations. Businesses must register for sales tax, franchise
and excise tax, and other taxes online at www.TN/gov/revenue or by paper application.
Registration for business tax using this application will not be complete until you have paid the business license fee
and obtained your business license from the appropriate county clerk and, if applicable, your city business tax
official.
You must submit a fully completed the application in a timely manner to ensure that you are properly registered for
this tax or you may make your application online. For information on how to register your business online, visit the
Tennessee Department of Revenue’s website at www.TN/gov/revenue and click on E-file and Pay.
You must complete one application for each business location. Upon registration, your county clerk or city official
will issue your business tax license. A $15 fee is required for your intial license. Once registered, the local licensing
official will send your record electroncially to your city or county official based on your location. You must also pay
the required $15 fee for the initial license at the appropriate city/county official's office.
A standard business license is renewed by the annual payment of tax to the Tennessee Department of Revenue.
Once this tax is paid each year, the county clerk or city official will provide a license for the next year. There is no
charge for a renewal license.
B
usiness tax minimal activity licenses are renewed each year by payment of an annual $15 fee.
It is important that you notify the Tennessee Department of Revenue if:
The business ownership changes in any manner including:
o
selling or closing of the business,
o
adding or changing partners,
o
any transfer or change in the ownership of the business,
o
any change in corporate structure requiring a new charter or certificate of authority; or
The business location changes.
I
nstructions
1)
Enter the business' federal employer identification number (FEIN) or the owner's social security number (SSN).
2)
Enter the starting date for this business location (month, date, and year).
3)
Enter the business' fiscal year end date. This is the year end date the business uses for federal tax purposes.
4)
Enter the type of ownership for the business. If the entity is a marital joint, enter the SSN for the other spouse.
Enter the business' legal name. This is the same name used for federal tax purposes or registered with the
Tennessee Sec
retary of State's office.
6)
Enter the physical address for the business. This cannot be a post office box or address for a mail facility.
Enter the owner information for one or more business contacts. Complete each item. A social security number
7)
is not required. If a business is owned by another business, enter the FEIN of the owning business here. This
cannot be the same as the FEIN noted under #1 above.
8)
Enter the "doing business as" (DBA) name, if any.
Enter the business tax classification for the business. If necessary, consult the Business Tax Guide at
9)
www.TN.gov/revenue for more information about determining the proper business tax classification.
5)
10)
Check the box to choose the license type of standard or minimal activity. Minimum activity
licenses can only be issued to businesses having less than $10,000 in annual gross income.
11)
Provide a detailed description of the principal business activity at this location, including the major products
and/or services sold.
12)
Provide the business' mailing address in the space provided. A P.O. box or mailing facility address is
acceptable.
14)
Provide the business' telephone number, fax number (if any), and email address in the space provided.
15)
Provide the contact information for the business. This will be the person who the Tennessee Department of
16)
Signatures are required. At least one owner, officer, member, or partner must sign and date this application.
Enter the business' location address, ensuring that all the information is exact and complete.
13)
Revenue can reach for information regarding tax filings and payments.
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BUSINESS LICENSE APP F1300501 Dec19.pmd (City of Portland)

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Completed 14 July 2020

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