TENNESSEE DEPARTMENT OF REVENUE                                            RV-F1300501(10/20)
                                        Application for Registration

Answer all questions completely.  Incomplete and unsigned applications will delay processing.

 1.  Legal Name of Applicant

 2.  DBA Name (If different from above)

 3.  Business Location Address (Physical address only; no P.O. Box)  City                        State          Zip Code

 4.  Mailing Address                                                 City                        State          Zip Code

 5.  Legal Address (Physical address where business records are kept; no P.O. Box   City         State          Zip Code

 6.  Business Telephone Number                    Business Fax Number                     Business Email Address

 7.  Contact Name                                 Contact Telephone Number                Contact Email Address

 8.  Start Date in Tennessee            9.  Fiscal Year End Date                          10.  FEIN or SSN

11.  Type of Ownership
     Sole Proprietorship                Partnership (choose type below)   Corporation (choose type below)
     Marital Joint Ownership            General Partnership                         Tennessee Domestic Corporation
     Estate/Trust                       Limited Partnership                         Foreign Corporation
     Government Entity                  Limited Liability Partnership               S Corporation
     Real Estate Investment Trust
                                        Limited Liability Company (choose type below)
                                        Multi-Member LLC
                                        Single Member LLC
                                        Professional LLC

12.   Tennessee Secretary of State Control Number                         Primary State of Charter/Registration

13.  Taxes to Register for on this Application:
     Sales and Use Tax                            Bail Bonds            Utilities - Gas,               Tobacco*
                                                                        Water, Electric Power, 
     Franchise and Excise                         Beer Barrelage*       and Light                      Used Oil Fee
     Business     Classification                  Bottlers              Liquor by the Drink*           Wholesale Beer*
                                                  Brand Registration    Litigation                     Wholesale Alcoholic 
     County                                       Coal Severance                                       Beverage*
                                                                        Mineral Severance              Wine Direct Shipper
     City                                         Crude Oil/Natural     Mixing Bar
                                                  Gas Severance                                        Winery
     Out-of-State                                 Fantasy Sports        Petroleum*
     Auto Rental Surcharge                                              Tire Fee

Note:  Electronic filing and payment of taxes is required for sales and use tax, franchise and excise tax, tobacco tax, liquor-by-the-
drink tax, and business tax.  Please visit www.tn.gov/revenue for more information. 
*Requires Bond

                                        Application is continued on the next page.

 14. Please complete this Section if Registering for Sales Tax
      Will your gross sales exceed $4,800 per year?               Yes         No
      Will your taxable services exceed $1,200 per year?          Yes         No
     Note:  If both of the above are “no,” you do not need a sales tax number.  You must make your resale purchases from  
     Tennessee suppliers and pay the Tennessee sales tax to the suppliers at time of purchase.

 15. Franchise and Excise Classification Information.  (check the box below if applicable)
       Disregarded Entity                                Non-Depository Financial Institution
       Investment Company                                Financial Institution
       (Tenn. Code Ann. § 56-4-301-309)                  Production Credit Association 
       Regulated Investment Company (IRC 851)            (Tenn. Code Ann. § 56-4-401-406) 
       Cemetery

 16. Series LLC Entity Information (complete if applicable)

      FEIN for Master LLC:
      Entity Name for Master LLC:
      Location Address for Master LLC:
      Telephone Number for Master LLC:
      State of Domestic Certificate of Authority for master LLC:
 17. Nature of Business
       Wholesale          Retail            Both Wholesale/Retail             Contractor      Other
       Manufacturing      Service           Marketplace Facilitator           Short-term Rental Marketplace
  18.  Business Activity                                                                       19.  NAICS Code (if known)

 20. Identify Owners, Officers, Members, or Partners (Attach additional names on separate sheet.  See instructions.)
 Legal Name                                                       Legal Name

 Title                                                            Title

 FEIN or SSN                                                      FEIN or SSN

 Address                                                          Address

 City                                 State              Zip Code City                        State        Zip Code

 Telephone Number                                                 Telephone Number

 Email Address                                                    Email Address

  21.  The statements made on this application are true to the best of my knowledge and       Department Use Only
     belief.  This application must be signed by an owner, officer, member or  
     partner of the entity listed above.  Do not print or use a stamp.

     Signature:                                          Date:
                 Owner, Officer, Member, or Partner

                   INSTRUCTIONS:  Application for Registration

General Information
 The Application for Registration is used to apply for tax registration for the major taxes applicable to businesses 
and administered by the Tennessee Department of Revenue. It also is used to register as a wine direct shipper. This 
application does not register taxpayers for all taxes, fees, or permits. Additional information may be required.

Realty transfer tax and mortgage tax are administered by the county clerk’s office. Contact your local official in your 
area for registration information.

Registration for business tax using this application will not be complete until you have paid the business license fee 
and obtained your business license from the appropriate county clerk and, if applicable, city business tax official.

You must submit a fully completed the application in a timely manner to ensure that you are properly registered for 
all taxes administered by the Department of Revenue that are applicable to your business. For information on how 
to register a business online, you may visit the Department’s website at www.tn.gov/revenue and click on E-file and 
Pay.  Alternatively, this application can be mailed or delivered to any Taxpayer Services Division office.

You must complete one application for each business location that you own. Except for business tax, you will receive 
the appropriate certificate of registration, license, or permit for each location within a few days after the completion 
and return of this form. The certificate, license, or permit must be publicly displayed at the location for which it is 
issued. As previously stated, the business tax license must be obtained from the county clerk or city official.

It is important that you notify the Department if:
          •  The business ownership changes in any manner including:
                      o  selling or closing of the business,
                      o  adding or changing partners,
                      o  any transfer or change in the ownership of the business,
                      o  any change in corporate structure requiring a new charter or certificate of authority; or
         •  The business location changes.

Tax-exempt entities eligible for sales and use tax exemption under Tenn. Code Ann. § 67-6-322 wishing to register 
for a nonprofit sales and use tax exemption certificate should use the Application for Exempt Organizations or Insti-
tutions. This application can be found on the Department’s website at www.tn.gov/revenue.

Instructions
1)  Enter the legal name of the applicant.
2)  Enter the DBA (doing business as) name of the applicant, if different from the legal name.
3)  Enter the applicant’s physical business location address. Do not enter a post office Box.
4)  Enter the applicant’s mailing address. This address can be a post office Box.
5)  Enter the applicant’s legal address. This should be the physical address where the business records are               
    located. Do not enter a post office Box.
6)  Enter the applicant’s business telephone number, business fax number, and business email address.
7)  Enter a contact person’s name, telephone number, and email address.
8)  Enter the applicant’s business start date in Tennessee.
9)  Enter the applicant’s fiscal year end date.
10) Enter the applicant’s Federal Employer Identification Number (FEIN) or Social Security Number (SSN).

11)  Select the type of ownership.
            a.  If this is a partnership, choose the type of partnership.
             b.  If this is a limited liability company, choose all that apply.
             c.  If this is a corporation, choose all that apply.
12)  Enter the applicant’s Tennessee Secretary of State Control number, if applicable, and the primary state of             
       charter or registration.
13)  Select all taxes for which the applicant is registering. If registering for business tax, enter the business tax       
       classification and the name of the county and city, if applicable, in which you are doing business.
14)  If registering for sales and use tax, complete this section.
15)  If registering for franchise and excise tax, check the box of any type that applies. Skip this section if none of the   
      options are applicable.
16)  If registering as a series LLC, provide the FEIN, entity name, location address, telephone number, and state of    
       domestic certificate of authority for the master LLC.
17)  Indicate the nature of the applicant’s business.
18)  Provide a detailed description of the principal business activity at this location, including the major products       
      and/or services sold.
19)  Enter the North American Industry Classification System (NAICS) code for the primary business activity, if             
       known.
20)  Identify all owners, officers, members, or partners of the business.  Enter the social security number, address,    
      telephone number, and email address for each one listed. If the owner is another business, enter the business    
      FEIN. You may attach a separate sheet for additional owners, officers, members, and partners.
21) The application must be signed by an owner, officer, member, or partner of the organization. Do not print or            
       use a signature stamp. Applications signed by an accountant, bookkeeper, or agent for the business and               
      unsigned applications will be returned unprocessed.