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City Sales Tax e-Form
Type of Organization:
Sole Proprietorship
Partnership
Corporation
Limited Liability Company
Other
Taxpayer Name:
Business Name:
Address of Principal Place of Business:
Telephone:
E-mail:
What products and/or services do you provide?
Owner/Partner/Corp. Officer:
Owner/Partner/Corp. Officer:
Title
Title
Social Security Number
Social Security Number
Date of Birth
Date of Birth
Address
Address
Telephone
Telephone
If you acquired the business in whole or in part, complete the following.
Prior Taxpayer Name:
Date of Acquisition:
Prayer Taxpayer UI Tax Number:
Address:
Filing Frequency:
Effective Date of Business:
State Sales Tax Number:
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