Form TC-69 "Utah State Business and Tax Registration" - Utah

What Is Form TC-69?

This is a legal form that was released by the Utah State Tax Commission - a government authority operating within Utah. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on September 1, 2020;
  • The latest edition provided by the Utah State Tax Commission;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form TC-69 by clicking the link below or browse more documents and templates provided by the Utah State Tax Commission.

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Download Form TC-69 "Utah State Business and Tax Registration" - Utah

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Utah State Tax Commission
210 N 1950 W • Salt Lake City, UT 84134 • 801-297-2200 or 1-800-662-4335 • tax.utah.gov
TC-69
Utah State Business and
Rev. 9/20
Tax Registration
Use form TC-69 to register with the Utah State Tax Commission for the taxes listed below. Read the instructions on the last page
carefully before filling it out.
You can register your business online!
• tap.utah.gov - Taxpayer Access Point. For faster processing, register online. Tax Commission only.
• osbr.utah.gov - OneStop Business Registration. Register your business with the Tax Commission,
Department of Commerce, Department of Workforce Services and select cities, all in one place.
• corporations.utah.gov - Register, renew or update your business or business name with the Department
of Commerce. No Tax Commission services available here.
Section 1 – Type of Registration
1a. Check each box that applies
Attach Schedule
Click the schedule name to
We cannot process applications
download the form.
without the required schedules.
 Employer Withholding License
TC-69WTH
 Mineral Production Withholding
TC-69WTH
 Sales and Use Tax License
TC-69STC
 Cable Operator or Multi-Channel Video
TC-69STC
USTC Use Only
or Audio Service Provider
Natural Gas or Electricity Purchases for
TC-69STC
Resale or Transportation
Fuel Tax License (motor fuel, special fuel,
TC-69FUEL
aviation fuel, hydrogen, environmental
assurance fee, CNG, LNG)
International Fuel Tax Agreement
TC-69FUEL
Special Fuel User
TC-69FUEL
 Cigarette, Tobacco, E-Cigarette License*
TC-69TOB
* In order to register for a Tobacco
account, you must have a Sales
   Cigarette Stamper*
TC-69TOB
and Use Tax license. If you do not
 Tobacco Products Distributor*
TC-69TOB
already have one, also mark the
 E-cigarette Product Seller*
Sales and Use Tax License
TC-69TOB
checkbox and attach TC-69STC.
Out of State Cigarette/Tobacco PACT Act
TC-69TOB
Delivery Shipper*
 Beer Tax (distributor/manufacturer only)
TC-69MSC
 Insurance Premium
TC-69MSC
 Self-Insured Employer
TC-69MSC
Mining Severance
TC-69MSC
Oil & Gas Conservation and Severance
TC-69MSC
Radioactive Waste
TC-69MSC
 Payroll Service or Third Party Preparer
N/A
1b. Previous or existing accounts:
Enter all previous or existing Utah tax
account numbers for all owners, officers, members, trustees and partners: ______________________ __ _ __
__ __ __ _ _ __ _ _ __ ___ ___ __ ___ ________________________________ _ __
If you purchase a business, have the seller provide you with a letter from the Tax Commission stating no sales and use tax is
due, or withhold enough of the purchase money to pay all taxes. You will be held personally liable for the seller's unpaid sales
and use tax, including all sales-related taxes, if neither of these conditions is met (Utah Code §59-12-112).
Sales, withholding and fuel tax licenses are conditional. If an applicant or a fiduciary (officer, member, owner) has a history of filing or
paying late, the applicant must resolve past delinquencies and may be required to post a bond. Fuel tax bonds may be combined into
one bond, and the amount will be the sum of the required amounts for each fuel tax type. There is an exception to the bond
requirement for aviation fuel only; the exception exists if the monthly average tax liability is less than $500 and retail sales of aviation
fuel are made to both federally certificated air carriers and other persons.
Clear form
Print Form
Utah State Tax Commission
210 N 1950 W • Salt Lake City, UT 84134 • 801-297-2200 or 1-800-662-4335 • tax.utah.gov
TC-69
Utah State Business and
Rev. 9/20
Tax Registration
Use form TC-69 to register with the Utah State Tax Commission for the taxes listed below. Read the instructions on the last page
carefully before filling it out.
You can register your business online!
• tap.utah.gov - Taxpayer Access Point. For faster processing, register online. Tax Commission only.
• osbr.utah.gov - OneStop Business Registration. Register your business with the Tax Commission,
Department of Commerce, Department of Workforce Services and select cities, all in one place.
• corporations.utah.gov - Register, renew or update your business or business name with the Department
of Commerce. No Tax Commission services available here.
Section 1 – Type of Registration
1a. Check each box that applies
Attach Schedule
Click the schedule name to
We cannot process applications
download the form.
without the required schedules.
 Employer Withholding License
TC-69WTH
 Mineral Production Withholding
TC-69WTH
 Sales and Use Tax License
TC-69STC
 Cable Operator or Multi-Channel Video
TC-69STC
USTC Use Only
or Audio Service Provider
Natural Gas or Electricity Purchases for
TC-69STC
Resale or Transportation
Fuel Tax License (motor fuel, special fuel,
TC-69FUEL
aviation fuel, hydrogen, environmental
assurance fee, CNG, LNG)
International Fuel Tax Agreement
TC-69FUEL
Special Fuel User
TC-69FUEL
 Cigarette, Tobacco, E-Cigarette License*
TC-69TOB
* In order to register for a Tobacco
account, you must have a Sales
   Cigarette Stamper*
TC-69TOB
and Use Tax license. If you do not
 Tobacco Products Distributor*
TC-69TOB
already have one, also mark the
 E-cigarette Product Seller*
Sales and Use Tax License
TC-69TOB
checkbox and attach TC-69STC.
Out of State Cigarette/Tobacco PACT Act
TC-69TOB
Delivery Shipper*
 Beer Tax (distributor/manufacturer only)
TC-69MSC
 Insurance Premium
TC-69MSC
 Self-Insured Employer
TC-69MSC
Mining Severance
TC-69MSC
Oil & Gas Conservation and Severance
TC-69MSC
Radioactive Waste
TC-69MSC
 Payroll Service or Third Party Preparer
N/A
1b. Previous or existing accounts:
Enter all previous or existing Utah tax
account numbers for all owners, officers, members, trustees and partners: ______________________ __ _ __
__ __ __ _ _ __ _ _ __ ___ ___ __ ___ ________________________________ _ __
If you purchase a business, have the seller provide you with a letter from the Tax Commission stating no sales and use tax is
due, or withhold enough of the purchase money to pay all taxes. You will be held personally liable for the seller's unpaid sales
and use tax, including all sales-related taxes, if neither of these conditions is met (Utah Code §59-12-112).
Sales, withholding and fuel tax licenses are conditional. If an applicant or a fiduciary (officer, member, owner) has a history of filing or
paying late, the applicant must resolve past delinquencies and may be required to post a bond. Fuel tax bonds may be combined into
one bond, and the amount will be the sum of the required amounts for each fuel tax type. There is an exception to the bond
requirement for aviation fuel only; the exception exists if the monthly average tax liability is less than $500 and retail sales of aviation
fuel are made to both federally certificated air carriers and other persons.
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Print Form
TC-69_2
Section 2 – General Information
2a. Organizational Structure
Must check one.
Individual
Government
Corporation
Partnership
LLC/Trust
 Sole Proprietor
 Federal
 C Corp
 General
 LLC
 Low Profit LLC
 State
 S Corp
 Limited
Check the return the LLC files with the IRS
 Corp.
 Part.
(Attach copy of
 Tribal
 Limited Liability
IRS approval letter)
 Political Subdivision  Non-profit
 Single Member LLC
Check the return the LLC files with the IRS
 Indiv.
 Corp.
 Part.
 Trust
Check the return the Trust files with the IRS
Only fill out lines 2b and 2c if you have a physical presence in Utah.
 Fiduc.
 Corp.
 Part.
2b. Organization Date
Enter the date of qualification or incorporation in Utah: __________________
(Contact the Dept. of Commerce at 801-530-4849)
2c. Department of Commerce Entity Number
Enter number issued by the Dept. of Commerce.
2d. Tax Year End Date:
_ ___ _ __ _ __ _
2e. Federal Identification Number
Every sole proprietor must provide a Social Security Number (SSN). A sole proprietor with
employees must also provide an Employer Identification Number (EIN). All other organization types must provide an EIN.
Social Security Number (SSN)
Federal Employer Identification Number (EIN)
Daytime phone number
Cell phone number
2f. Name of Legal Entity - PRINT
If you are a sole proprietor, write your name here
Legal entity’s street address
City
County
State
Foreign country (if not U.S.)
ZIP Code
Legal entity’s mailing address
City
County
State
Foreign country (if not U.S.)
ZIP Code
Business website address (URL)
Email address (provide a valid email address — we will send your account info here)
Contact phone number
2g. DBA/Business Name
Business or trade name at this physical location
Business phone number Fax number
(for additional outlets, fill out form TC-69B)
Physical street address of business (P.O. Box not acceptable)
City
County
State
Foreign country (if not U.S.)
ZIP Code
Required: Local Utah government issuing this location’s business license for a business physically located in Utah
2h . Officer/Owner Information
Enter the following information for each officer, general partner, managing member, trustee or enterprise owner. You must provide the
SSN of each individual and the EIN of each entity listed (Tax Commission Rule R861-1A-15). The Tax Commission will only discuss
account information with those listed. Attach additional sheets if you need more space. Notify the Tax Commission if any changes occur.
Name and Title - PRINT
SSN and EIN
Home Address and City/State/ZIP
Phone Number
SSN
EIN
SSN
EIN
2i. Business Description
Describe the nature of your business in detail (include the types of products sold)
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TC-69_3
Section 3 – Authorized Signatures
By signing this form, I confirm that I understand:
1. the Tax Commission will review all officers/owners listed in Section 2h for previous, unpaid tax debt and I may have to resolve tax
issues or post a bond;
2. I must post a bond if I am applying for a tax account of the same type as a prior tax account that was revoked;
3. I must notify the Tax Commission if I add or close a business location; or change the name, organizational structure, officer status or
address of the business; and
4. any person (including employees, corporate directors, corporate officers, etc.) with the authority to direct accounting processes or who
is required to collect, account for and pay any taxes and fails to do so will be liable for a penalty equal to the total amount of tax not
collected, not accounted for or not paid (Utah Code §59-1-302).
I understand my signature confirms I have reviewed this section with every person named on this form.
Third Party Designee
To authorize a third party to discuss your account(s) with the Tax Commission, enter their information here:
Name of third party designee
Phone number
PIN/PTIN
Third party mailing address
City
County
State
Foreign country (if not U.S.)
ZIP Code
To grant a third party more authorization than discussing your account(s), complete and submit form TC-737, Power of Attorney and
Declaration of Representative.
Signature Requirements (for organizational structure checked on line 2a):
Individual/Sole Proprietor ............................................ Signature must match SSN provided in Section 2 (2e)
(for example, a husband or wife may not sign on behalf of each other).
• All Partnerships ........................................................... One general partner must sign.
• Corporation / S Corporation ........................................ An officer of the corporation authorized to sign on behalf of the corporation must
sign.
• Trust............................................................................. The grantor or a trustee must sign.
• Limited Liability Company / Single Member LLC......... A member must sign.
• Government................................................................. A government official must sign.
3a. Sole Proprietors Only
You must provide the following information if you are a sole proprietor applying for the tax license(s) shown in Section 1 of this
application. Under state and federal law we cannot issue a license to any person who does not provide this information.
If you are a sole proprietor who is not a U.S. citizen, you must file this application IN PERSON at a Tax Commission office.
Check one (providing false information subjects the signer to penalties of perjury):

 I am a U.S. citizen and have provided my Social Security Number in Section 2 (2e).

 I qualify under 8 U.S.C. 1641 and I am present in the U.S. lawfully.
I-94 Number*: ____________________________
*The I-94 (arrival/departure) number and the Alien
Alien Registration Number*: ____________________________
Registration Number are issued by the U.S.
Citizenship and Immigration Service.
Employment Authorization Card Number*: ____________________________
Under penalty of perjury, I declare that I am a U.S. citizen OR that I qualify under 8 U.S.C. 1641 and am present in the United States
lawfully, and to the best of my knowledge, the information on this application is true, correct and complete.
Sole Proprietors Sign Here
__________________________________________
Title: _________________
Print Name: __________________________________________
Date: _________________
3b. All Applicants
Under penalty of perjury, I declare to the best of my knowledge, the information on this application is true, correct and complete.
ALL APPLICANTS Sign Here
__________________________________________
Title: _________________
Print Name: __________________________________________
Date: _________________
TC-69_i
TC-69 Instructions
Next Step – Set Up TAP Account
• For better accuracy and faster processing, register online at
When you receive your PIN letter(s) by postal mail, go to
tap.utah.gov.
tap.utah.gov to set up a TAP account.
• Type or print clearly. Incomplete or illegible registration forms
Note: You must file certain taxes online. But even for taxes without
will be rejected.
this requirement, using TAP to file and pay taxes online is easier,
quicker and more accurate than paper.
• Complete every section of this form and all required
schedules.
Reporting and Payment Guidelines
• Mail the completed form to the Tax Commission:
Always file tax returns by the due date and pay taxes in full. You
210 N 1950 W
must file a return, even if no taxes are due. In this case, enter zero
Salt Lake City, UT 84134
tax and file by the due date.
• Allow 15 business days to process this form.
You must file and pay timely, even if you do not receive a preprinted
After processing, we will send your information to the email
form. Get forms online at tax.utah.gov/forms.
address you provided. We will also send you a PIN by postal
mail that you will use to set up your online access in TAP
If you do not file a return or pay taxes due, we will contact you
(Taxpayer Access Point).
and/or send you a tax delinquency notice. If you disagree with a Tax
Commission action, you may file an appeal within 30 days. See Pub
• Contact the proper city or county for business licensing
2, Utah Taxpayer Bill of Rights.
requirements.
For questions about EFT payments, see form TC-86 and Electronic
If you are a sole proprietor applying for a tax license(s) AND you are
Funds Transfer - EFT (at tax.utah.gov/billing/payments), or call
not a U.S. citizen, you must apply in person at a Tax Commission
801-297-2200.
office and bring proof that you are in the United States lawfully
under 8 U.S.C. 1641. Bring your employment authorization card and
documentation showing the I-94 (arrival/departure) number and
Alien Registration Number issued by the U.S. Citizenship and
Immigration Service.
If you need an accommodation under the Americans with Disabilities Act, email taxada@utah.gov, or
call 801-297-3811 or TDD 801-297-2020. Please allow three working days for a response.
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