Form 70 001 02 1 1 000 PDF Details

Navigating the complexities of tax registrations and filings in Mississippi is made clearer with the Form 70-001-02-1-1-000, a critical document for businesses operating within the state. This form, revised in April 2002, serves as a registration application for various tax accounts, including sales/use tax, withholding tax, corporate income tax, and others specifically geared towards wholesalers and distributors of beer and tobacco. It encourages applicants to provide comprehensive details about their business such as the type of ownership, identification numbers, legal and trade names, and the physical and mailing addresses. Notably, the form requires specific completion of sections A, B, and F by all applicants, with additional sections applicable based on the nature of the business. The instructions attached to the form are indispensable, guiding through each step to ensure completeness and accuracy, as incomplete submissions are returned. Furthermore, it addresses special considerations for chain stores and businesses applying for exemptions under the "Non-Profit" status, necessitating the attachment of supporting documents. With sections tailored for corporations and partnerships, such as details of fiscal management responsibility, and aspects concerning sales/use tax and withholding tax, the form comprehensively covers the prerequisites for engaging in business activities in Mississippi, underscoring the necessity of compliance with state tax laws and regulations.

QuestionAnswer
Form NameForm 70 001 02 1 1 000
Form Length4 pages
Fillable?No
Fillable fields0
Avg. time to fill out1 min
Other namesms, llc, masterfile, form 70 001 17 1 1 000

Form Preview Example

Form 70-001-02-1-1-000 (Rev.04/02)

Route to the

Registration

Section

Mississippi

Registration Application

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Page 1

For Office

Use Only

Please see instructions for details on completion. Incomplete forms will be returned.

All applicants should complete Sections A ,B and F. Also complete any other sections that apply.

Sales Tax Only - If more than one physical location, a separate application must be completed for each different physical location. If taxpayer is a chain type store and filing a masterfile return, then use Form 72-309 to make a change that affects all accounts.

SECTION A: Check Tax Account Applying for

Sales/Use Tax

Sales Tax

Use Tax

Withholding Tax

Withholding Tax - Employees

Withholding Tax - Employee Leasing

Withholding Tax - Gaming

Corporate Income Tax

Corporate Income Tax

Corporate Franchise Tax

Beer/Tobacco Tax

(Wholesalers & Distributors Only)

Beer Excise Tax

Tobacco Excise Tax

Taxpayers must file a separate application for permits to sell Beer and Tobacco. See instructions for details.

SECTION B: Business Information (all applicants must complete this section - see instructions)

1. Type of Ownership:

 

C Corporation

LLP

S Corporation

Partnership - General

LLC-Partnership

Partnership - Limited

LLC-Corporation

Federal Government

Single Member LLC-Division of Parent

Single Member LLC-Sole Proprietorship

2. Identification:

Other Government

Sole ProprietorFederal Employer Identification Number

Other: Specify

Social Security Number

Sales Tax Masterfile Number (if any)

3.

Check if claiming exemption for "Non-Profit" status for corporate income/franchise tax. Attach documentation to substantiate.

4.

Legal Name

(Owner's name, if sole proprietor)

 

 

 

 

5.

Trade Name

(if different)

 

 

 

 

 

Headquarters Address or

 

 

 

 

 

6.

 

 

Street address, do not enter P.O.Box.

 

 

 

 

 

 

 

 

 

Home Address - if Sole Proprietor

 

 

 

 

 

 

 

 

City

State

County

ZIP

7.Mailing Address

 

 

 

 

Street Address or P.O.Box

 

 

 

 

 

 

 

 

City

 

State

 

 

County

ZIP

 

8.

MS Physical Address

 

 

 

 

 

 

 

 

 

 

 

 

Street address, do not enter P.O.Box.

 

 

 

 

 

 

City

 

State

 

 

County

ZIP

 

9.

Phone Number

(

)

Fax Number

(

)

 

 

 

 

 

E-mail Address

 

 

Pager / Cell Number

(

)

 

 

 

Secondary Phone

(

)

Fax Number

(

)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

10.Description or nature of business

11. Industry Code (List all that apply to your business.)

Primary:

Additional:

Correct Industry Code determines what products can be purchased exempt for resale.

SECTION C: For Corporations and Partnerships Only

12.State of Incorporation

14.Basis of reporting:

Date admitted or authorized to do business in Mississippi.

Calendar Yr.

Fiscal Yr. (List FYE)

15.If C Corp, S Corp, LLC, LLP, or Partnership, list names and home addresses of officers, directors, managing partners, or members who have any responsibility for fiscal management of the organization. (If more space needed, add additional page.)

Name

Address Information

Physical Address

City

State

Zip

Social Security

Number

Title

% Owned

Yes
Yes

Form 70-001-02-1-2-000 (Rev.04/02)

Page 2

SECTION D: Sales/Use Tax

16.

Enter Previous Owner Name, Trade Name & Account Number:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

17.

Where will records be maintained? (Check One)

Headquarters

 

Physical

Other

 

18.

Date business began at this location:

 

 

 

 

(Returns will be required from this date forward.)

19.

Check one of the following to describe your business location:

 

 

 

 

 

Owner Occupied Retail Space

Leased Retail Space

 

 

 

Owner's Home

Other (explain)

 

 

 

20. Is your business located inside or outside the city limits?

21. Do you already have a use tax number?

22. Have you qualified for any tax incentives?

If yes, please provide approved documentation from Mississippi Development Authority.

Inside

Outside

No

Use Tax Number

No

 

Unknown

SECTION E: Withholding Tax

23. Date Mississippi taxable wages first paid

 

24. Estimated monthly liability

25. Number of Mississippi Employees

26. Are you an employee leasing company?

Yes

No

If yes, contact your District Service Office for more information.

27. Where will records be maintained? (Check One)

Headquarters

Physical

Other

SECTION F: Applicant Signature

I hereby certify that the above statements are true and correct to the best of my knowledge and belief. As indicated on this completed form, I hereby apply for the appropriate permit(s) to engage in business. I agree to pay any and all taxes due the State of Mississippi and to comply fully in all respects with the applicable Mississippi Tax Laws and any corresponding rules and regulations.

Print Name of Owner or Officer of Corporation Only

Title

Date

Signature of Owner or Officer of

Signature of Owner or Officer of

Signature of Owner or Officer of

Corporation Listed in #15

 

Corporation Listed in #15

Corporation Listed in #15

If General Partnership, all general partners must sign. Attach sheet, if needed. If Limited Partnership, Managing Partner must sign.

For Office Use Only - Do Not Write in this Section

Date Issued

 

SIC Code

M Q A Norms

Sales Tax.............................

Use Tax...............................

Withholding Tax...................

Additional Account to be included in Master File Number: Approved:

 

City Number

 

 

Cash Bond Amt $

 

 

 

 

 

 

 

 

 

 

Also Responsible for:

 

Tax Acct No.

 

Tupelo Tax

 

 

 

 

 

 

 

 

Special City/County Tax

 

 

 

 

Occupancy Tax

 

 

 

 

Motor Vehicle Rental Tax

 

 

 

 

 

 

 

Waste Tire Disposal Fee

Yes

No

Master File No.

 

Agent's Signature

Agent's Number

Date

Master File Agent's Signature

How to Edit Form 70 001 02 1 1 000 Online for Free

masterfile can be filled out online with ease. Simply try FormsPal PDF tool to get it done right away. Our editor is consistently evolving to grant the best user experience achievable, and that is due to our dedication to constant development and listening closely to feedback from customers. For anyone who is seeking to get going, here is what it will take:

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For you to complete this PDF form, ensure you provide the right information in each and every area:

1. While filling in the masterfile, ensure to complete all essential blanks within the relevant area. It will help to speed up the process, allowing for your information to be handled swiftly and properly.

Part number 1 in submitting form 70 001 17 1 1 000

2. Given that the previous segment is done, you have to add the essential particulars in Mailing Address, Physical Address, Phone Number Email Address, Street Address or POBox, State, County, Street address do not enter POBox, State, County, City, City, ZIP, ZIP, Fax Number Pager Cell Number Fax, and Description or nature of business so you're able to proceed further.

Filling out part 2 in form 70 001 17 1 1 000

3. Through this part, review This information will be used for, e and, ssss, and Disclosure Statement and Privacy. Each of these have to be completed with greatest precision.

form 70 001 17 1 1 000 writing process clarified (stage 3)

4. This next section requires some additional information. Ensure you complete all the necessary fields - SECTION D SalesUse Tax Enter, Where will records be maintained, Headquarters, Physical, Other, Date business began at this, Returns will be required from this, Check one of the following to, Owner Occupied Retail Space, Owners Home, Leased Retail Space, Other explain, Is your business located inside or, Inside, and Outside - to proceed further in your process!

Step no. 4 in filling in form 70 001 17 1 1 000

5. The form has to be finished by filling out this part. Below you'll find a full list of fields that require specific details to allow your document submission to be accomplished: Are you an employee leasing company, Yes, If yes contact your District, Where will records be maintained, Headquarters, Physical, Other, SECTION F Applicant Signature, I hereby certify that the above, Print Name of Owner or Officer of, Title, Date, Signature of Owner or Officer of, Corporation Listed in, and Signature of Owner or Officer of.

Filling in section 5 of form 70 001 17 1 1 000

When it comes to Title and Signature of Owner or Officer of, be sure you don't make any mistakes here. These are the key fields in this form.

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