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Form BAR Rev. 01/24 BUSINESS APPLICATION and REGISTRATION - page 2
Section D: Account Information Sales permit is renewable at fiscal year ending June 30th
If yes, in addition to Sections A,B,C and D, complete sections listed below:
Do you have employees working in RI? Yes No E F G and Taxpayer Status Affidavit
If yes, are they hired to work ONLY in RI? Yes No E F G and Taxpayer Status Affidavit
Do you have RI Withholding? Yes No E F G and Taxpayer Status Affidavi
Do you lease employees in RI? Yes No E F G and Taxpayer Status Affidavit
Are you an Employee Leasing Organization? Yes No E F G and Taxpayer Status Affidavit
Do you make sales at retail? Yes No F G and Taxpayer Status Affidavit
Do you have multiple locations? Yes NoF G and Taxpayer Status Affidavit
If yes, would you like to consolidate returns? Yes No If yes, enter the number of locations below next to the item(s) you will be
selling and complete Section F-2. Each location requires a separate permit.
Will you be selling: # of Locations Provide any required, additional info listed below
Beverages or Food Yes No _______
Gasoline Yes No _______ Filing station license # __________(Required)
Liquor Yes No _______
Motor Vehicles Yes No _______ If yes, MV Dealer license #________(Required)
Motor Vehicles leasing Yes No _______ If yes, MV Dealer license #________(Required)
Prepaid wireless phone cards Yes No _______
Rental of room(s)/home(s) Yes No _______ Type of Rental: Residential Dwelling Room Rental
Other Yes No _______ Product: ___________________________
Cigarettes/Tobacco/Other Tobacco* Yes No _______ * A $25.00 fee is due for each location, as well as each
# of locations selling cigarettes + # of cigarette vending machines x $25 = Total Cigarette Fee Due and Enclosed cigarette vending machine. Each location and cigarette
________________+_______________ x $25 = $_______________0.00 vending machine requires a separate license and fee.
# of Locations
Are you an Artist, Writer or Composer? Yes No _______
Are you a Class A Package and Liquor Store? Yes No _______
Are you an Eating or Drinking Establishment? Yes No _______
Are you a Convenience Store, Mini-Market or Supermarket that provides chairs, tables, or counter(s) in an area of your store where prepared
food and/or beverages may be consumed? Yes No _______
Date business will commence in this state? ________________ If Seasonal operation, enter months open: __________
Is this application for a temporary event? Yes No If yes, date(s) of temporary event? ___________________
Section E: Payroll Information
Your Unemployment Account will be set up within 90 days of your liability date, or actual first date of wages paid.
Amount of RI withholding taxes you expect Payment Frequency Number of employees working in RI: __________
to withhold from employees each month: will be
Actual first date of wages paid in RI: ___________
$600 or more Weekly
$50 or more but less than $600 Monthly
Less than $50 Quarterly
Note: Form RI-941, used to report RI withholding, is filed quarterly regardless of
the amount of RI withholding per month or payment frequency.
If any part of the business or its assets were acquired, please enter the date of acquisition, name, address and, if known,
the RI Employment Registration number of the former owner.
Date of Acquisition: RI Employer Registration #: FEIN #:
Name of former owner:
Acquired Business Name:
Address, City/Town, State and Zip:
Number of Employees acquired from that business, if any:
If you are a sole owner or partnership that is incorporating, state the name and address of the former business:
Date of Ownership Change: RI Employer Registration #: FEIN #:
Business Name: Business Address:
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