Application for sales or use tax account



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TUSCALOOSA COUNTY SPECIAL TAX BOARD

P O BOX 20738

TUSCALOOSA, AL 35402-0738

PHONE: 205-722-0540

Fax: 205-722-0587
APPLICATION FOR SALES OR USE TAX ACCOUNT
NEED A COPY OF OWNER’S OR ALL OFFICERS’ DRIVERS’ LICENSES

STATE OF ALABAMA TAX#____________________________________________________




FULL LEGAL NAME (SAME AS REGISTERED WITH THE STATE):

______________________________________________________________________________________


NAME OF BUSINESS (DOING BUSINESS AS):
______________________________________________________________________________
TYPE OF BUSINESS: ___________________________________________________________
MAILING ADDRESS:
______________________________________________________________________________
______________________________________________________________________________
PHYSICAL ADDRESS (IF MORE THAN ONE LOCATION, PLEASE LIST ALL):
______________________________________________________________________________
______________________________________________________________________________
PHONE NUMBER: _________________________ FAX: ______________________________
CELLULAR NUMBER: _____________________ EMAIL: ___________________________
DATE OF BIRTH OF OWNER OR ALL OFFICERS, PARTNERS, ETC: _______________________________________________________________________
NAME OF CONTACT PERSON: __________________________________________________
BUSINESS START DATE IN TUSCALOOSA CO: ___________________________________
BUSINESS OWNERS NAME OR IF PARTNERSHIP, OR CORP. GIVE NAME, ADDRESS & PHONE NUMBER OF EACH OFFICER:
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
SIGNATURE: _________________________________________________________________

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