Form 10A104 PDF Details

Are you trying to find out how and where to obtain Form 10A104? This blog post will provide an overview of the KY 10A104 form, including its purpose and where it can be obtained. We’ll also provide important information about completion requirements for filing this document with your local county clerk’s office. So continue reading below to equip yourself with the knowledge and resources necessary to complete this important tax form.

Question	Answer
Form Name	Ky 10A104 Form
Form Length	4 pages
Fillable?	No
Fillable fields	0
Avg. time to fill out	1 min
Other names	10A104611 ky 10a104 2011 form

Form Preview Example

10A104 (08-20)

Commonwealth of Kentucky

UPDATE OR CANCELLATION OF KENTUCKY TAX ACCOUNT(S)

DEPARTMENT OF REVENUE

•Incomplete or illegible updates will delay processing and will be returned.

•See instructions for questions regarding completion of this form.

•Need Help? Call (502) 564-2694 or visit www.revenue.ky.gov

FOR OFFICE USE ONLY

CRIS	Coded / Entered / Date

Commonwealth Business Identiﬁer (CBI)	NAICS

Federal Employer Identiﬁcation Number (FEIN)

SECTION A

REASON FOR COMPLETING THIS UPDATE (Must Be Completed)

This Form may only be used to update current account information. To apply for additional accounts or to reinstate previous account numbers, use Form 10A100, Kentucky Tax Registration Application.

1. Current Account Numbers

Kentucky Employer’s Withholding Tax ____________________________

Kentucky Sales and Use Tax ___________________________________

Kentucky Telecommunications Tax ______________________________

Kentucky Utility Gross Receipts License Tax_______________________

Kentucky Consumer’s Use Tax _________________________________

Kentucky Corporation Income Tax and/or

Kentucky Limited Liability Entity Tax___________________________

Kentucky Coal Severance and Processing Tax _____________________

Kentucky Pass-Through Non-Resident WH________________________

2. Effective Date

Check all that apply.

Update business name or DBA name

Update an existing location’s information for the Sales and Use Tax Account

Close a location of current business for the Sales and Use Tax Account

Open a new location of current business for the Sales and Use Tax Account

Add a mine location to an existing Coal Tax Account

Change accounting periods

Change taxing election

Update/provide new responsible party information

Update mailing address(es) / mailing address telephone number(s)

Request cancellation of an account

Closing business / Close all tax accounts

SECTION B

BUSINESS AND CONTACT INFORMATION (Must Be Completed)

Legal Business Name

Current Name

New Name (if applicable)

________________________________________________________

________________________________________________________________

________________________________________________________

__________________________________________________________

Doing Business As (DBA) Name

Current DBA

New DBA

________________________________________________________

________________________________________________________________

Federal Employer Identiﬁcation Number (FEIN)

6. Kentucky Secretary of State Organization Number

(Required, complete prior to submitting)

(If applicable)

7. Commonwealth Business Identiﬁer (CBI)

8.Person to Contact Regarding this Update Form:

Name (Last, First, Middle)

Title

Daytime Telephone

(	)	–

Extension

E-mail: (By supplying your e-mail address you grant the Department of Revenue permission to contact you via E-mail.)

10A104 (08-20)	Page 2

SECTION C	SALES AND USE TAX LOCATION INFORMATION

9.Update or Close an existing Business Location for your Sales and Use Tax Account.

CURRENT LOCATION ADDRESS INFORMATION

NEW LOCATION ADDRESS INFORMATION

 Close Location

 Update/Move Location

Business Location Name “Doing Business as” Name

Street Address (DO NOT List a PO Box)

City

State

Zip Code

City

State

Zip Code

County (if in Kentucky)

Location Telephone Number

County (if in Kentucky)

Location Telephone Number

(

)

–

(

)

–

Date Location Closed (mm/dd/yyyy)

10. - 11. Opened a new Location(s) of Current Business

NEW LOCATION ADDRESS

Business Location Name “Doing Business as” Name

Street Address (DO NOT List a PO Box)

City

State

Zip Code

City

State

Zip Code

County (if in Kentucky)

Telephone Number

County (if in Kentucky)

Telephone Number

(

)

–

(

)

–

Date Location Opened (mm/dd/yyyy)

Description of Business Activity Performed at Location

SECTION D

UPDATE ACCOUNTING PERIOD, OWNERSHIP TYPE, AND/OR RESPONSIBLE PARTIES

12. Accounting Period change with the Internal Revenue Service (IRS)


Accounting Period	 Calendar Year (year ending December 31st)			Fiscal Year (year ending	___ ___/___ ___	(mm/dd))
	 52/53 Week	Calendar Year:		52/53 Week Fiscal Year:
	December	__________________________		__________________________________________
		(Day of Week that year ends)		(Month & Day of Week that year ends)

13.Taxing Election Change with the IRS

(Note: If your Business Structure has changed, you are required to apply for new tax account numbers with the Department of Revenue. Please complete Form 10A100, Kentucky Tax Registration Application.)

A. Current Business Structure ____________________________________________________________________

B.CURRENT TAXING ELECTION

Partnership

Corporation

S-Corporation

Cooperative

Trust

Single Member Disregarded Entity (Member Federally Taxed as)

Individual Sole Proprietorship

General Partnership/Joint Venture

Estate

Trust (non-statutory)/Business Trust

Other ______________________________________

NEW TAXING ELECTION

Partnership

Corporation

S-Corporation

Cooperative

Trust

Single Member Disregarded Entity (Member Federally Taxed as)

Individual Sole Proprietorship

General Partnership/Joint Venture

Estate

Trust (non-statutory)/Business Trust

Other ______________________________________

10A104 (08-20)

Page 3

14.-15. OWNERSHIP DISCLOSURE—RESPONSIBLE PARTY UPDATE

Provide updated information for existing responsible parties or add additional responsible parties.

 New Responsible Party

 Update Existing

 End Date

 New Responsible Party



Update Existing

 End Date

Full Legal Name (First, Middle, Last)

Social Security Number

FEIN (If Responsible Party is another

Social Security Number

FEIN (If Responsible Party is another

(REQUIRED)

business)

(REQUIRED)

business)

Driver’s License Number (if applicable)

Driver’s License State of Issuance

Driver’s License Number (if applicable)

Driver’s License State of Issuance

Business Title

Effective Date of Title (mm/dd/yyyy)

Business Title

Effective Date of Title (mm/dd/yyyy)

Residence Address

City

State

Zip Code

City

State

Zip Code

Telephone Number

County (if in Kentucky)

Telephone Number

County (if in Kentucky)

(

)

–

(

)

–

Does this Responsible Party replace an existing one?

Yes



Yes



Existing Responsible Party’s Name

End Date (mm/dd/yyyy)

Existing Responsible Party’s Name

End Date (mm/dd/yyyy)

SECTION E

UPDATE MAILING ADDRESS AND PHONE NUMBERS FOR TAX ACCOUNTS

16.Start Date for Address Change

17.Tax Accounts for which the Address Change Applies (Check all that apply)

18. List New Mailing Address

c/o or Attn.

Address

Employer’s Withholding Tax

Sales and Use Tax

Transient Room Tax

Motor Vehicle Tire Fee

Commercial Mobile Radio Service (CMRS) Prepaid Service Charge Account

19.Start Date for Address Change

Consumer’s Use Tax

Corporation Income Tax and/or Limited Liability Entity Tax

Coal Severance and Processing Tax

Pass-Through Non- Resident Withholding

City		State	Zip Code

County (if in Kentucky)		Mailing Telephone Number
	(	)	–

Note: To change the address or phone number for Telecommunications Tax or Utility Gross Receipts License Tax, you must use the online system.

21. List New Mailing Address

/ /

20.Tax Accounts for which the Address Change Applies (Check all that apply)

c/o or Attn.

Address

Employer’s Withholding Tax

Sales and Use Tax

Transient Room Tax

Motor Vehicle Tire Fee

Commercial Mobile Radio Service (CMRS) Prepaid Service Charge Account

Consumer’s Use Tax

Corporation Income Tax and/or Limited Liability Entity Tax

Coal Severance and Processing Tax

Pass-Through Non- Resident Withholding

City		State	Zip Code

County (if in Kentucky)		Mailing Telephone Number
	(	)	–

Note: To change the address or phone number for Telecommunications Tax or Utility Gross Receipts License Tax, you must use the online system.

10A104 (08-20)	Page 4

SECTION F	REQUEST CANCELLATION OF ACCOUNT(S)

22.TAX ACCOUNTS FOR WHICH CANCELLATION IS REQUESTED (Check all that Apply)

 Employer’s Withholding Tax	 Sales and Use Tax
 Consumer’s Use Tax	 Transient Room Tax
 Motor Vehicle Tire Fee	 Telecommunications Tax
 Utility Gross Receipts	 Corporation Income Tax
License Tax	and/or Limited Liability
	Entity Tax
 Coal Severance and
Processing Tax	 Pass-Through Non-
	Resident Withholding
 Commercial Mobile Radio
Service (CMRS) Prepaid

23.REASON FOR CANCELLATION

Business closed/No further Kentucky activity

Ceased having employees

Death of owner

Converted to another ownership type and must reapply for new accounts

No further Kentucky activity

Business sold (See #25)

Ceased making retail and/or wholesale sales of tangible personal property or digital property

Merged out of existence (See #26)

Other (Specify):

_________________________

Service Charge Account

24. Effective Date to Cancel Account(s)	/	/

25. If business sold, list the information for the new owner(s).

NOTE: A corporation’s or limited liability pass-through entity’s income tax/LLET account number is cancelled with the ﬁling of the “ﬁnal” return. A corporation or limited liability pass-through entity organized in Kentucky shall not ﬁle a ﬁnal return before it is ofﬁcially dissolved pursuant to the provisions of KRS Chapter 14A.

Name				Name

Address				Address

City		State	Zip Code	City		State	Zip Code

		Telephone Number				Telephone Number
	(	)	–		(	)	–

26. If merged out of existence, list the information for the new business.

Business Name			Address

FEIN

Telephone Number			City	State	Zip Code
(	)	–

IMPORTANT: THIS UPDATE FORM MUST BE SIGNED BELOW:

The statements contained in this Form and any accompanying schedules are hereby certiﬁed to be correct to the best knowledge and belief of the undersigned who is duly authorized to sign the Form.

Printed Name: ______________________________________________________

Signature: _________________________________________________________

Title: ______________________________________ Date: ____/____/______

Telephone Number:__________________________________________________

Printed Name: ______________________________________________________

Signature: _________________________________________________________

Title: ______________________________________ Date: ____/____/______

Telephone Number:__________________________________________________

For assistance in completing the Update Form, please call the Data Integrity Section at (502) 564-2694, or you may use the Telecommunications Device for the Deaf.

SEND completed form to:	KENTUCKY DEPARTMENT OF REVENUE	FAX to:	502-564-0796
	501 HIGH STREET, STATION 20A
	FRANKFORT, KENTUCKY 40601	EMAIL:	DOR.WEBResponseDataIntegrity@ky.gov

		The Kentucky Department of Revenue does not
		discriminate on the basis of race, color, national origin,
		sex, age, religion, disability, sexual orientation, gender
		identity, veteran status, genetic information or ancestry
		in employment or the provision of services.

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Completing this PDF demands focus on details. Make sure that all required areas are completed properly.

1. When submitting the Ky 10A104 Form, be sure to complete all needed fields within its relevant area. This will help to facilitate the process, which allows your information to be handled quickly and properly.

Ky 10A104 Form conclusion process shown (step 1)

2. Once your current task is complete, take the next step – fill out all of these fields - Required complete prior to, Kentucky Secretary of State, If applicable, Commonwealth Business Identiﬁer, Person to Contact Regarding this, Name Last First Middle, Title, Email By supplying your email, Daytime Telephone, and Extension with their corresponding information. Make sure to double check that everything has been entered correctly before continuing!

Always be very mindful while filling in Extension and Commonwealth Business Identiﬁer, because this is where many people make some mistakes.

3. This next stage is generally hassle-free - complete all the blanks in CURRENT LOCATION ADDRESS, UpdateMove Location, NEW LOCATION ADDRESS INFORMATION, Business Location Name Doing, Business Location Name Doing, Street Address DO NOT List a PO Box, Street Address DO NOT List a PO Box, City, County if in Kentucky, Date Location Closed mmddyyyy, State, Zip Code, Location Telephone Number, City, and County if in Kentucky to finish the current step.

4. The next paragraph requires your details in the following areas: Date Location Opened mmddyyyy, Date Location Opened mmddyyyy, Description of Business Activity, Description of Business Activity, SECTION D, UPDATE ACCOUNTING PERIOD OWNERSHIP, Accounting Period change with the, Accounting Period, Calendar Year year ending, Day of Week that year ends, Fiscal Year year ending mmdd, Month Day of Week that year ends, Taxing Election Change with the, Note If your Business Structure, and A Current Business Structure. It is important to fill in all of the requested info to move forward.

Step no. 4 in filling out Ky 10A104 Form

5. To conclude your form, the final subsection incorporates a couple of extra blanks. Filling out Partnership Corporation, Partnership Corporation, Member Federally Taxed as, Single Member Disregarded Entity, Member Federally Taxed as, and Single Member Disregarded Entity will wrap up the process and you'll be done quickly!

Step 3: After you've reread the details you filled in, simply click "Done" to finalize your form. Obtain your Ky 10A104 Form once you subscribe to a free trial. Readily get access to the pdf file in your personal account page, with any edits and changes being conveniently saved! Whenever you work with FormsPal, you'll be able to complete documents without the need to worry about information leaks or records getting distributed. Our secure software ensures that your personal details are maintained safe.

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