Idaho Business Registration Form ≡ Fill Out Printable PDF Forms Online

Question	Answer
Form Name	Idaho Business Registration Form
Form Length	4 pages
Fillable?	No
Fillable fields	0
Avg. time to fill out	1 min
Other names	idaho business registration form, ibr 1, idaho ibr 1 form, idaho business registration form application

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IBR-1

Idaho Business Registration Form

Revised

EFO00147

2014

01-07-14

Fax to: (208) 334-5364

IDAHO BUSINESS REGISTRATION

Return to:

SHADED AREAS FOR STATE USE ONLY

PO BOX 36

Account Number

Conirmation No.

BOISE, IDAHO 83722-0410

1. Type of business

___ Corporation

___ Partnership

___ S Corporation

___ Sole Proprietorship

1a. If LLC, how have you chosen to be

taxed for income tax purposes?

(see instructions)

___ Nonproit

___ Government

___ Fiduciary/Trust

___ Limited Liability Company

Single Member

Corporation

Partnership

S Corporation

2. Purpose of registration ___ New applicant

___ Change legal name

___ Change assumed business name (DBA)

___ Add new account type

___ Add/change location

___ Change in partners, shareholders or managing members ____%

3. Apply for permits/accounts

___ Boise Auditorium

___ City of Ketchum Local Option __ E911 Prepaid Wireless Fee ___ Travel & Convention

___ Sales

___ Use

___ Unemployment

___ Withholding

___ Withholding only, no employees working in Idaho

Request more information

___ Amusement Device

___ Beer/Wine

___ Cigarette/Tobacco

4. Federal Employer Identiication Number (EIN)

5. Social Security number (SSN)

6. Legal business name (see instructions)

7. Assumed business name (DBA)

8. Date incorporated

9. State incorporated in

10. Month tax year ends

11. Date business began in Idaho

12. Date sales or use

13. Estimated monthly taxable sales

will begin in Idaho

month

year

14. Physical location of

Street address

City

State

Zip Code

business (no PO Box or

mail drop addresses)

15.

Mailing address

Street address or PO Box

City

State

Zip Code

16.

Mailing address

Street address or PO Box

City

State

Zip Code

for report forms

17.

Business telephone number

18.

Authorized contact person (name and title) See instructions for deinition.

()

19.Telephone number & extension of contact person ( )

20. Email address of contact person

21. Fax number of contact person

22.Primary nature of business: (Specify the product manufactured and/or sold or the type of service performed.)

23.Have you ever had a withholding, sales, use, workers' compensation or unemployment insurance number in Idaho? If yes, list all permit, account or policy numbers. (It is your responsibility to cancel any existing accounts you no longer need.)

24.List (a) owner and spouse of sole proprietorship, (b) all partners of partnership, (c) all corporate oficers of corporation, (d) trustee or responsible party of iduciary or trust, or (e) all members of limited liability companies. Social Security number required for every individual listed. (Use additional sheet

If necessary.)

Name

Address of Residence

SSN/EIN and Phone Number

Corp	%	Director?	Compensated?
Title	Owned	Yes/No	Yes/No

CERTIFICATION: I certify that I am authorized as an owner, partner, corporate oficer, member or representative to sign this document and that the statements made are correct and true to the best of my knowledge. (This form must also be signed by the spouse of a sole proprietor.)

Print name____________________________________________ Signature_________________________________________________ Date________

EFO00147-2		Revised
01-07-14		Revised
01-07-14		2014
		2014
25. Date employees irst hired to work in Idaho	26. Date of employees' irst paycheck in Idaho	27. Expected number of Idaho employees

28. Enter the amount of wages you have paid or plan to pay in Idaho. If you haven't paid or don't plan to pay wages during one of the periods listed, enter

"NONE."

Jan. 1 to March 31

April 1 to June 30

July 1 to Sept. 30

Oct. 1 to Dec. 31

Current

Year

Preceding

Year

29.

If you estimated wages in #28, enter the date you plan to begin paying wages. _____________________

30.

Will corporate oficers receive compensation, salary or distribution of proits? ___ Yes

___ No

31.

Were you subject to the Federal Unemployment Tax Act during the current or preceding year? ___ Yes ___ No

32.

Is this an organization exempt from income tax under Internal Revenue Service Code 501(c)(3)? ___ Yes

___ No

33.

Do you want more information about unemployment insurance for nonproit corporations? (see instructions) ___ Yes

___ No

34.

Is workers' compensation insurance needed? (see instructions) ___Yes ___ No, explain why:

CAUTION: This is not an application for workers' compensation insurance

35.

Do you have a workers' compensation

36. Have you notiied your insurance company that

37. Insurance agent's name and telephone number

insurance policy?

you have or expect to have Idaho payroll?

___ Yes ___ No ___ In process

___ Yes

___ No

(

)

38. Insurance company name

39. Policy number

40. Effective date

41. If applying for insurance with the Idaho State Insurance

Fund, list application number:

42.

Do you plan to perform work in other states using your existing Idaho employees? ___ Yes ___ No

If yes, which states? _____________________

WAGE THRESHOLDS LISTED BELOW DO NOT AFFECT AN EMPLOYER'S OBLIGATION TO CARRY WORKERS' COMPENSATION INSURANCE.

43.For most employers:

a)Have you had or will you have 1 or more workers (for any day or portion of a day) in 20 weeks or more in any calendar year? ____ Yes ____ No

b)Have you paid or will you pay $1,500 or more in wages during any calendar quarter? ____ Yes ____ No

c)If yes, indicate the earliest quarter and calendar year. _____________________

quarter year

44.For agricultural employers only:

a)Have you had or will you have 10 or more workers (for any day or portion of a day) in 20 weeks or more in any calendar year? ____ Yes ____ No

b)Have you paid or will you pay $20,000 or more in cash wages during any calendar quarter? ____ Yes ____ No

c)If yes, indicate the earliest quarter and calendar year. _____________________

quarter year

45.For domestic help employers only:

a)If you are an individual, local college club, or chapter of a college fraternity or sorority, have you paid or will you pay $1,000 or more in cash wages in the state of Idaho during any calendar quarter? ____ Yes ____ No

b)If yes, indicate the earliest quarter and calendar year. _____________________

quarter year

ACQUIRING AN EXISTING BUSINESS OR CHANGING TYPE OF LEGAL BUSINESS ENTITY

If you buy an existing business, or change your business entity, Idaho law requires you to withhold enough of the purchase money to pay any sales tax and, in most cases, unemployment insurance due or unpaid by the previous owner/entity until the previous owner/entity produces a receipt from the Idaho Department of Labor and the Idaho State Tax Commission showing the taxes have been paid. If you fail to withhold the required purchase money and the taxes remain due and unpaid after the business is sold or converted to another entity type, you may be liable for the payment of the taxes collected or unpaid by the former owner/entity. When there is a change in the legal entity, you must notify your workers' compensation insurance company.

46. Did you acquire all or part of an existing business? ___ All ___ Part ___ None

47. Did you change your legal business entity? ___ Yes ___ No

48. Previous owner's name

49. Business name at time of purchase

50. Date acquired/changed 51. Account/permit numbers of the business acquired/changed

52.Do you want to receive a form to apply for the unemployment insurance experience rating of your predecessor?

____ Yes ____ No

PUBLICATION CONSENT

53.Yes, I agree to publish my business by category both in print and on the Internet in the Business Directory of Idaho at lmi.idaho.gov and any publication produced by the Idaho Department of Labor. This will increase visibility of my business to a larger pool of job applicants, will allow my business to be

included when the Department of Labor responds to questions about the availability of products and services in the community, and expand the opportunity for additional sales. I acknowledge the Idaho Department of Labor's iles will be accessed to obtain my company name, address, phone number, NAICS

(industry) code and range of employment.

Signature_______________________________________________________

EIN00059 01-07-14

FORM IBR-1 INSTRUCTIONS — IDAHO BUSINESS REGISTRATION FORM

For faster service, you can register online at: business.idaho.gov

For more help, contact:

Idaho Department of Labor	-	332-3576 in the Boise area or toll free at (800)	448-2977
Idaho Industrial Commission	-	334-6000 in the Boise area or toll free at (800)	950-2110
Idaho State Tax Commission	-	334-7660 in the Boise area or toll free at (800)	972-7660

All information must be provided or your registration can't be processed.

Instructions are provided only for items that may need clariication.

1.Mark the type of legal business entity. If you have questions about types of legal business entities, contact the Idaho Secretary of State, (208) 334-2300.

1a. Mark the correct box to indicate how the Limited Liability Company has chosen to be taxed for income tax purposes.

2.Mark the item(s) that best describes your purpose in iling this form:

New applicant. If the business is not currently registered with the Idaho State Tax Commission, the Idaho Industrial Commission, or the Idaho Department of Labor.

•Withholding only. Mark the box if you have no employees physically working in Idaho, but you wish to withhold Idaho income tax as a convenience to an employee whose income is taxable in Idaho, even though it is earned in another state. Complete all applicable questions through line 28.

•Selling prepaid wireless service. Mark E911

Prepaid Wireless Fee.

•Selling products, accommodations, or liquor by the drink inside Ketchum city limits. Mark City of Ketchum Local Option.

Mark the type of permits or accounts you would like additional information for:

Change legal name. If the business is changing its legal name, include a copy of proof, i.e. amended articles of incorporation or federal documentation.

Change assumed business name. If the business is changing its assumed business name (DBA).

Add new account type. If you already have one of

the permits listed on the application and now need another permit. (Example: You have a sales permit and now need a withholding and/or unemployment

account.)

Add/change location. If the business has changed its physical business location or added other locations.

Change in partners, shareholders, or managing members. List the percentage of change if

the business has new or additional partners, shareholders, or managing members. Be sure to list all of the partners, shareholders, or managing members in box 24.

Regardless of your purpose in iling this form, the following boxes must be completed: 1, 2, 3, 4 or 5, 6, 10, 11, 14, 15, 17, 18, 19, 22, and 24.

3.Mark the type of permits or accounts you would like to apply for:

•Employees. Mark Unemployment and Withholding.

•Retail sales. Mark Sales.

•Renting rooms for 30 days or less. Mark Sales and Travel and Convention.

•Renting rooms in the Greater Boise Auditorium District for 30 days or less. Mark Boise Auditorium.

•Using, consuming, or storing items in Idaho on which you have not paid sales tax. Mark Use.

•Operating currency or coin-operated machines used for amusement. For example: video games or juke box. Mark Amusement Device.

•Producing or wholesaling beer. Producing, distributing, or direct shipping wine. Mark Beer/ Wine.

•Wholesaling, distributing, subjobbing, or delivery selling of cigarettes or tobacco. Mark Cigarette/ Tobacco.

You can find a permit application for amusement devices, beer, wine, cigarette, and tobacco at tax.idaho.gov, or contact the Tax Commission.

4.List your federal Employer Identiication Number (EIN) if one has been issued to you by the Internal Revenue Service. If you have employees, or the business is

other than a sole proprietorship, you must have a federal EIN. If you have applied for your EIN, but have not received it yet, enter "applied for." If you are not required to have an EIN, leave this box blank.

5.Enter your Social Security number if the type of business entity is a sole proprietorship.

6.List the legal name of the business. If the business is owned by a sole proprietor, list the name shown on the owner's Social Security card.

If the business is owned by a corporation, limited liability company or partnership, list the legal name as registered with the Secretary of State.

7.List the assumed business name (DBA), if different than the legal business name. (Example: Legal name

Karan Jones - DBA Karan's Flowers.) This name must also be registered with the Secretary of State, (208) 334-2301.

EIN00059 01-07-14

FORM IBR-1 INSTRUCTIONS — continued

Page 2

8.If your business is a corporation, enter the date incorporated.

9.If your business is a corporation, enter the state in which it was incorporated.

10.If the business iles income tax returns on a calendar year basis, enter December. If the business iles income tax returns on a iscal year basis, enter the month the business' iscal year ends.

11.Enter the date this business began operating in Idaho.

13.Estimate the highest amount of taxable sales the business will have in any month.

14.List the business' physical location in Idaho. If you have more than one location, attach a separate page listing the additional locations. (Don't use a PO Box or mail drop address.)

16.If you wish to have the Idaho State Tax Commission report forms mailed to an address different than the one listed on line 15 (such as your accountant's address), list that address.

18.You are authorizing the agencies with which you register to contact the named individual to discuss issues relating to your accounts. In some cases, there may be additional Power of Attorney requirements.

22.Describe in detail the products and/or services your business in Idaho will provide. (Example: Retail sales: clothing, food. Agricultural crops: corn, beets. General contractor: building single-family homes.)

23.If this business entity or its owner, partners or members has ever had a withholding, sales, use, workers' compensation or unemployment insurance number in Idaho, list all permits, accounts, or policy numbers.

24.List the appropriate information:

If you marked government on number 1, line 24 is optional.

(a)If you marked Sole Proprietorship on number 1, list the requested information for the owner and spouse.

(b)If you marked Partnership on number 1, list the requested information for each partner. If the partner is an individual, list the Social Security

number. If the partner is another business entity, list the EIN. If there are more than three partners, attach an additional page listing them.

(c)If you marked S Corporation, Corporation, or

Nonproit on line 1, list the requested information for each oficer. Indicate if the oficer is on the board of directors by writing "yes," "no," or "not applicable" (N/A). If there are more than three oficers, attach an additional page listing them.

(d)If you marked Fiduciary/Trust, list the trustees

or responsible parties. If there are more than three trustees or responsible parties, attach an additional page listing them.

(e)If you marked Limited Liability Company on number 1, list the requested information for all members. If there are more than three members, attach an additional page listing them.

31.The Federal Unemployment Tax Act (FUTA) governs whether a business is subject to paying federal unemployment insurance taxes.

32.The Internal Revenue Service grants or denies 501(c)

(3)status. The granting of this status doesn't exempt a business from unemployment insurance tax, sales tax, withholding or workers' compensation insurance.

33.The Idaho Department of Labor offers businesses granted 501(c)(3) status three methods for paying state unemployment insurance tax liabilities.

34.If hiring one or more full-time, part-time, seasonal, or occasional workers, Idaho law requires that you obtain a workers' compensation insurance policy

prior to hiring employees unless you are exempt. A minimum penalty of $25.00 per day can be assessed against employers who operate without workers' compensation insurance.

THIS IS NOT AN APPLICATION FOR INSURANCE.

YOU WILL NEED TO CONTACT YOUR INSURANCE AGENT OR COMPANY REPRESENTATIVE FOR ASSISTANCE.

If you answer no to this question, explain in detail why you believe workers' compensation insurance is not needed for your business. (Attach additional page if necessary.)

If your business is reorganizing, you must notify your workers' compensation insurance carrier of the new type of business, including EIN numbers, if applicable.

If additional assistance is needed, contact the Idaho

Industrial Commission Compliance Division, (208)

334-6000 or by email at suretyrequest@iic.idaho.gov.

35-40. If you have already obtained a workers' compensation insurance policy, please complete boxes 37 through 40.

If you are in the process of obtaining a workers' compensation insurance policy, complete boxes 37 and 38.

41.If you have applied for insurance with the State

Insurance Fund, list the application identiication number.

46-51. If your business is reorganizing (i.e. you have formed a corporation which has acquired your sole proprietorship), then you are acquiring an existing business.

52.By checking that you would like to apply for the experience rating of your predecessor, you will receive another application form to complete. Contact the Idaho Department of Labor for more information.

53.Data is maintained by the Idaho Department of Labor.

Data can consist of name, address, phone number, and NAICS (industry) code. Employment igures are published in predetermined size ranges. Exact employment igures are not published.

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