Do you know what the Tax 69 C form is? If not, don't worry - most people don't. This article will explain what the Tax 69 C form is, and more importantly, when you need to file it.
You will discover more details regarding the tax 69 c form by looking through the table we compiled for you.
Question | Answer |
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Form Name | Tax 69 C Form |
Form Length | 3 pages |
Fillable? | No |
Fillable fields | 0 |
Avg. time to fill out | 45 sec |
Other names | tc 69c utah, ut tc form, tc 69c form, 69c form |
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Utah State Tax Commission |
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210 N 1950 W • SLC, UT 84134 • tax.utah.gov |
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Notice of Change for a |
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Rev. 11/20 |
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Business and/or Tax Account |
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NOTE: You can make account changes online at tap.utah.gov. |
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Submit a separate |
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To register a NEW business, use tap.utah.gov (Tax Commission only), |
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osbr.utah.gov (multiple agencies) or form |
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This section is required. Provide your CURRENT |
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1 – General Information |
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information on file with the Tax Commission. |
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1a. Social Security Number (SSN) |
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Federal Employer Identification Number (EIN) |
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(required for individual sole proprietor) |
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(required for all business types other than sole proprietor) |
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1b. Utah tax account number |
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1c. Name of Legal Entity - PRINT If you are a sole proprietor, write your name here |
Daytime phone number |
Cell phone number |
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Legal entity’s street address (before any changes) |
City |
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County |
State |
Foreign country (if not U.S.) |
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ZIP Code |
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Legal entity’s mailing address (before any changes) |
City |
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County |
State |
Foreign country (if not U.S.) |
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ZIP Code |
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Business website address (URL) |
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Email address |
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1d. Account type to change (mark only the accounts affected by this change; submit additional copies of this form as needed)
Beer tax
Brine shrimp
Corporate/partnership
Fuel Taxes
Aviation fuel
Compressed natural gas
Environment assur. fee
Hydrogen
Liquefied natural gas
Motor fuel
Special fuel supplier
Gross receipts
Insurance premium
Mining severance
Oil & gas conservation
Oil & gas severance
Radioactive waste
Property Taxes
Centrally assessed
Railcar
Sales Taxes
Energy
Locomotive Fuel
Lubricating oil
Municipal telecom
MV rental tax
Prepaid disp. cell phones
Restaurant tax
Sales and use tax
Sexually explicit business
Transient room
Waste tire
Tobacco, cigarette,
Withholding (employer)
Withholding mineral production
International Fuel Tax Agreement
Special Fuel User
2 – Address Change
Mark all that apply:
Corporate office / legal entity’s street address
Your business offices (if any).
Mailing address
The address you want to receive all written communications for this account.
Tax return mailing address
The address you want to receive tax returns, if different than your mailing address.
Outlet (for other changes, complete Section 5)
A physical location where you are licensed to make retail sales.
NEW Address: _______________________________________
City, State, ZIP:_______________________________________
3 – Account Closure
•To close only a single sales outlet, use Section 5.
•Do not use this form to close a corporation. A corporation must withdraw or dissolve through the Utah Dept. of Commerce.
•You must file all tax returns for periods during which the account(s) was open.
Closure date: ________________ |
Close all accounts |
Continued on next page |
4 — Other Account Changes
4a. New phone number(s)
Day: ____________ Evening: ____________ Mobile: ____________
4b. Change or add email address:
The Tax Commission will send all electronic mail to this address. |
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New email address: _______________________________________ |
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4c. Change DBA/Business name: |
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DBA |
Legal business name |
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Mark here and attach Dept. of Commerce Articles of Incorporation (not required for sole proprietors) |
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New name: ___________________________________________ |
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4d. Add/remove officer/owner: |
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Mark here and attach Dept. of Commerce Change Form. |
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Add (name and address): |
___________________________________ |
SSN: ____________ |
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Add (name and address): |
___________________________________ |
SSN: ____________ |
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Add (name and address): |
___________________________________ |
SSN: ____________ |
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Add (name and address): |
___________________________________ |
SSN: ____________ |
Remove:_______________________________________________
4e. Other – explain: _____________________________________________________________
_________________________________________________________________________
5 — Outlet Changes and Closure
If changing more than one outlet, attach additional sheets in this format.
•Use Section 5 to report CHANGES to EXISTING outlets.
•To add NEW SALES TAX or TRANSIENT ROOM outlets, use form
•To add NEW CIGARETTE, TOBACCO or
Current physical street address for this sales tax outlet
Phone
City
County
State
ZIP code
Close sales tax outlet |
Closure date: ___________ |
Outlet number*: ______________ |
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*The outlet number is printed on the sales tax license. |
Close transient room outlet |
Closure date: ___________ |
Outlet number*: ______________ |
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*The outlet number is printed on the sales tax license. |
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Close cigarette/tobacco license outlet |
Closure date: ___________ |
License number: |
______________ |
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Close |
Closure date: ___________ |
License number: |
______________ |
Change phone number: ____________________________
Other: ___________________________________________________________________
__________________________________________________________________________
6 — Authorized Signature |
This form will be rejected without a signature. |
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SIGN HERE
Authorized Applicant or Owner |
Date |
Use this form to report changes to existing businesses already registered with the Tax Commission.
You can make most tax account changes online. Before filling out this form, see:
tap.utah.gov
Do not use this form to register a new business.
To register a new business, use from
tap.utah.gov or osbr.utah.gov
To register a new business location (outlet) for an existing sales tax account, use form
Get forms online at:
tax.utah.gov/forms
Section Instructions
Section 1 Fill out Section 1 completely.
In 1c, provide your business information as it was or is before the change you are reporting on this form. For example, if you are changing your business name, enter the old business name in Section 1.
Only report changes for one Utah account number on this form. If you need to report changes for multiple account numbers, submit separate copies of this form.
Section 2 Use Section 2 to report address changes. Mark the box matching the type of address you are changing.
If you are reporting a new address for an outlet that has moved, complete Section 5 and provide the address currently on file with the Tax Commission.
You cannot use this form to report a new outlet for a sales tax account. Use form
Business Locations for a Sales Tax Account).
Section 3 Use Section 3 to close your tax account. If this account has outlets, all outlets will also be closed.
If you only need to close a single outlet for a sales tax account, complete Section 5.
Section 4 Use Section 4 to report all other account changes.
Section 5 Use Section 5 to report changes to single sales outlets, such as a closure or new phone number.
If changing more than one outlet, attach additional sheets in the same format.
Section 6 Sign and date. We will not process this form without an authorized signature.
Return this form to:
Exceptions Processing
Utah State Tax Commission
210 N 1950 W
Salt Lake City, UT
or fax to
___________________
If you need an accommodation under the Americans with Disabilities Act, email taxada@utah.gov, or call