Business License / Sellers Use Tax Registration Form

Contact Information

Business Name *

Business Type *

Physical Address *

City *

State *
---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict Of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming

Zip Code *

Contact Name *

Phone *

Contact Email *

Mailing Information

If different from contact information

Mailing Address

City

State
---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict Of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming

Zip Code

Survey

* Must complete this section before submitting

Will you have a location or sales reps soliciting orders in Decatur?
YesNo

Will you deliver to Decatur in your owned or leased vehicles?
YesNo

Will you perform any service work or installation in Decatur?
YesNo

Will you rent or lease any products or vehicles to customers in Decatur?
YesNo

Is this a one-time or sporadic transaction resulting in tax accrual?
YesNo

Are you a building contractor fulfilling a contract for a project in Decatur?
YesNo

Do you need forms supplied for reporting tax payments?
YesNo