Form TC-69C "Notice of Change for a Business and/or Tax Account" - Utah

What Is Form TC-69C?

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 November 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-69C 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-69C "Notice of Change for a Business and/or Tax Account" - Utah

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Utah State Tax Commission
TC-69C
210 N 1950 W • SLC, UT 84134 • tax.utah.gov
Notice of Change for a
Rev. 11/20
Business and/or Tax Account
NOTE: You can make account changes online at tap.utah.gov.
Submit a separate TC-69C for each Utah tax account number.
To register a NEW business, use tap.utah.gov (Tax Commission only),
osbr.utah.gov (multiple agencies) or form TC-69.
This section is required. Provide your CURRENT
1 – General Information
information on file with the Tax Commission.
1a. Social Security Number (SSN)
Federal Employer Identification Number (EIN)
(required for individual sole proprietor)
(required for all business types other than sole proprietor)
1b. Utah tax account number
1c. Name of Legal Entity - PRINT
Daytime phone number
Cell phone number
If you are a sole proprietor, write your name here
Legal entity’s street address (before any changes)
City
County
State
Foreign country (if not U.S.)
ZIP Code
Legal entity’s mailing address (before any changes)
City
County
State
Foreign country (if not U.S.)
ZIP Code
Business website address (URL)
Email address
1d. Account type to change
(mark only the accounts affected by this change; submit additional copies of this form as needed)
Beer tax
Special fuel supplier
Sales Taxes
Sales and use tax
Brine shrimp
Gross receipts
E-911 emergency srvcs.
Sexually explicit business
Corporate/partnership
Insurance premium
Energy
Transient room
Fuel Taxes
Mining severance
Locomotive Fuel
Waste tire

Aviation fuel
Oil & gas conservation
Lubricating oil
Self-insurer’s

Compressed natural gas
Oil & gas severance
Multi-channel video/audio
Tobacco, cigarette, e-cigarette

Environment assur. fee
Radioactive waste
Municipal telecom
Withholding (employer)

Hydrogen
Property Taxes
MV rental tax
Withholding mineral production

 
Liquefied natural gas
Centrally assessed
Prepaid disp. cell phones
International Fuel Tax Agreement
Motor fuel
Railcar
Restaurant tax
Special Fuel User
2 – Address Change
Mark all that apply:


Corporate office / legal entity’s street address
Tax return mailing address
Your business offices (if any).
The address you want to receive tax returns, if

different than your mailing address.
Mailing address

The address you want to receive all written
Outlet
(for other changes, complete Section 5)
communications for this account.
A physical location where you are licensed to make
retail sales.
N EW 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.
Continued on next page
Closure date:
_ _ _ _ _ _ _ __ _ __ __ _ _
Close all accounts
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Utah State Tax Commission
TC-69C
210 N 1950 W • SLC, UT 84134 • tax.utah.gov
Notice of Change for a
Rev. 11/20
Business and/or Tax Account
NOTE: You can make account changes online at tap.utah.gov.
Submit a separate TC-69C for each Utah tax account number.
To register a NEW business, use tap.utah.gov (Tax Commission only),
osbr.utah.gov (multiple agencies) or form TC-69.
This section is required. Provide your CURRENT
1 – General Information
information on file with the Tax Commission.
1a. Social Security Number (SSN)
Federal Employer Identification Number (EIN)
(required for individual sole proprietor)
(required for all business types other than sole proprietor)
1b. Utah tax account number
1c. Name of Legal Entity - PRINT
Daytime phone number
Cell phone number
If you are a sole proprietor, write your name here
Legal entity’s street address (before any changes)
City
County
State
Foreign country (if not U.S.)
ZIP Code
Legal entity’s mailing address (before any changes)
City
County
State
Foreign country (if not U.S.)
ZIP Code
Business website address (URL)
Email address
1d. Account type to change
(mark only the accounts affected by this change; submit additional copies of this form as needed)
Beer tax
Special fuel supplier
Sales Taxes
Sales and use tax
Brine shrimp
Gross receipts
E-911 emergency srvcs.
Sexually explicit business
Corporate/partnership
Insurance premium
Energy
Transient room
Fuel Taxes
Mining severance
Locomotive Fuel
Waste tire

Aviation fuel
Oil & gas conservation
Lubricating oil
Self-insurer’s

Compressed natural gas
Oil & gas severance
Multi-channel video/audio
Tobacco, cigarette, e-cigarette

Environment assur. fee
Radioactive waste
Municipal telecom
Withholding (employer)

Hydrogen
Property Taxes
MV rental tax
Withholding mineral production

 
Liquefied natural gas
Centrally assessed
Prepaid disp. cell phones
International Fuel Tax Agreement
Motor fuel
Railcar
Restaurant tax
Special Fuel User
2 – Address Change
Mark all that apply:


Corporate office / legal entity’s street address
Tax return mailing address
Your business offices (if any).
The address you want to receive tax returns, if

different than your mailing address.
Mailing address

The address you want to receive all written
Outlet
(for other changes, complete Section 5)
communications for this account.
A physical location where you are licensed to make
retail sales.
N EW 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.
Continued on next page
Closure date:
_ _ _ _ _ _ _ __ _ __ __ _ _
Close all accounts
TC-69C_2
Clear form
Print Form
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.
New email address: _______________________________________

4c. Change DBA/Business name:
DBA
Legal business name
  
 
Mark here and attach Dept. of Commerce Articles of Incorporation (not required for sole proprietors)
New name: ___________________________________________

4d. Add/remove officer/owner:
Mark here and attach Dept. of Commerce Change Form.
Add (name and address):
___________________________________
SSN: ____________
Add (name and address):
___________________________________
SSN: ____________
Add (name and address):
___________________________________
SSN: ____________
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 TC-69B.
• To add NEW CIGARETTE, TOBACCO or E-CIGARETTE outlets, use form TC-69.
Current physical street address for this sales tax outlet
Phone
City
County
State
ZIP code
Close sales tax outlet
Closure date: ___________
Outlet number*:
______________
*The outlet number is printed on the sales tax license.
Close transient room outlet
Closure date: ___________
Outlet number*:
______________
*The outlet number is printed on the sales tax license.
Close cigarette/tobacco license outlet
Closure date: ___________
License number: ______________
Close e-cigarette license outlet
Closure date: ___________
License number: ______________
Change phone number:
____________________________
Other:
___________________________________________________________________
__________________________________________________________________________
6 — Authorized Signature
This form will be rejected without a signature.
SIGN HERE
Authorized Applicant or Owner
Date
TC-69C_i
TC-69C Instructions
Use this form to report changes to existing businesses already
You cannot use this form to report a new outlet for a
registered with the Tax Commission.
sales tax account. Use form TC-69B (
Additional
).
Business Locations for a Sales Tax Account
You can make most tax account changes online. Before filling out
this form, see:
Section 3
Use Section 3 to close your tax account. If this
account has outlets, all outlets will also be closed.
tap.utah.gov
If you only need to close a single outlet for a sales
Do not use this form to register a new business.
tax account, complete Section 5.
To register a new business, use from TC-69, or register online
Section 4
Use Section 4 to report all other account changes.
at:
tap.utah.gov or osbr.utah.gov
Section 5
Use Section 5 to report changes to single sales
outlets, such as a closure or new phone number.
To register a new business location (outlet) for an existing sales
If changing more than one outlet, attach additional
tax account, use form TC-69B.
sheets in the same format.
Get forms online at:
Section 6
Sign and date. We will not process this form without
an authorized signature.
tax.utah.gov/forms
Return this form to:
Section Instructions
Exceptions Processing
Utah State Tax Commission
Section 1
Fill out Section 1 completely.
210 N 1950 W
In 1c, provide your business information as it was or
Salt Lake City, UT 84134-3215
is before the change you are reporting on this form.
For example, if you are changing your business
or fax to 801-297-7579.
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
If you need an accommodation under the Americans with
this form.
Disabilities Act, email taxada@utah.gov, or call 801-297-3811 or
Section 2
Use Section 2 to report address changes. Mark the
TDD 801-297-2020. Please allow three working days for a
box matching the type of address you are changing.
response.
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.
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