Form STR-1 Severance Tax Registration - Alabama

Form STR-1 is a Alabama Department of Revenue form also known as the "Severance Tax Registration". The latest edition of the form was released in September 1, 2017 and is available for digital filing.

Download a PDF version of the Form STR-1 down below or find it on Alabama Department of Revenue Forms website.

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A
D
R
LABAMA
EPARTMENT OF
EVENUE
BLT: STR-1
9/2017
B
& L
T
D
Type account registering for: (check all
USINESS
ICENSE
AX
IVISION
that apply)
S
& L
S
AUST
EVERANCE
ICENSE
ECTION
___
Producer
Severance Tax Registration
P.O. Box 327560 • Montgomery, AL 36132-7560 • (334) 353-7827
___
Purchaser
___ Coal
Forest
___
Severer
Alabama Uniform Severance Tax – Section 40-13-56
___
Manufacturer
Coal Severance – Sections 40-13-3 and 40-13-34
___ Local Solid Mineral
Forest Severance – Sections 9-13-86 and 9-13-87
Oil & Gas
Local Solid Minerals – Various Acts
___
Producer
Oil & Gas Severance Tax – Sections 40-20-4 and 9-17-25
PLEASE TYPE OR PRINT LEGIBLY.
___
Purchaser
ANSWER ALL QUESTIONS APPLICABLE TO YOUR BUSINESS.
___
Offshore
1. LEGAL NAME OF BUSINESS
6. BUSINESS PHONE
7. FEDERAL I.D. NO./SOCIAL SECURITY NO.
(          )
2. TRADE NAME (D/B/A)
8. BUSINESS LOCATION (STREET)
3. MAILING ADDRESS (STREET OR P.O. BOX)
9. BUSINESS LOCATION (CITY & ZIP CODE)
10. TYPE OF ORGANIZATION
4. CITY
STATE
ZIP CODE
A.
Individual
B.
Partnership
C.
Corporation (attach copy of certificate of incorporation)
5. COUNTY IN WHICH BUSINESS ADDRESS IS LOCATED
D.
LLC (must answer election question)
11. REASON FOR APPLYING
Election made on IRS Form 8832?
Yes (attach copy)
No
12. DATE BUSINESS
13. NAME OF FORMER OWNER OF BUSINESS, IF
Change of Ownership
Change in Business Structure
BEGAN IN ALABAMA
APPLICABLE
New Business
Other
List below names, social security numbers, titles, and home addresses of owner, partners, corporate officers, or LLC member(s). Attach listing if space is not sufficient.
NAME
SSN/FEIN
TITLE
ADDRESS
Signature(s) of owner, all partners, corporate officers or LLC member(s) is/are required.
NAME 1
TITLE
DATE
NAME 2
TITLE
DATE
NAME 3
TITLE
DATE
NAME 4
TITLE
DATE
A
D
R
LABAMA
EPARTMENT OF
EVENUE
BLT: STR-1
9/2017
B
& L
T
D
Type account registering for: (check all
USINESS
ICENSE
AX
IVISION
that apply)
S
& L
S
AUST
EVERANCE
ICENSE
ECTION
___
Producer
Severance Tax Registration
P.O. Box 327560 • Montgomery, AL 36132-7560 • (334) 353-7827
___
Purchaser
___ Coal
Forest
___
Severer
Alabama Uniform Severance Tax – Section 40-13-56
___
Manufacturer
Coal Severance – Sections 40-13-3 and 40-13-34
___ Local Solid Mineral
Forest Severance – Sections 9-13-86 and 9-13-87
Oil & Gas
Local Solid Minerals – Various Acts
___
Producer
Oil & Gas Severance Tax – Sections 40-20-4 and 9-17-25
PLEASE TYPE OR PRINT LEGIBLY.
___
Purchaser
ANSWER ALL QUESTIONS APPLICABLE TO YOUR BUSINESS.
___
Offshore
1. LEGAL NAME OF BUSINESS
6. BUSINESS PHONE
7. FEDERAL I.D. NO./SOCIAL SECURITY NO.
(          )
2. TRADE NAME (D/B/A)
8. BUSINESS LOCATION (STREET)
3. MAILING ADDRESS (STREET OR P.O. BOX)
9. BUSINESS LOCATION (CITY & ZIP CODE)
10. TYPE OF ORGANIZATION
4. CITY
STATE
ZIP CODE
A.
Individual
B.
Partnership
C.
Corporation (attach copy of certificate of incorporation)
5. COUNTY IN WHICH BUSINESS ADDRESS IS LOCATED
D.
LLC (must answer election question)
11. REASON FOR APPLYING
Election made on IRS Form 8832?
Yes (attach copy)
No
12. DATE BUSINESS
13. NAME OF FORMER OWNER OF BUSINESS, IF
Change of Ownership
Change in Business Structure
BEGAN IN ALABAMA
APPLICABLE
New Business
Other
List below names, social security numbers, titles, and home addresses of owner, partners, corporate officers, or LLC member(s). Attach listing if space is not sufficient.
NAME
SSN/FEIN
TITLE
ADDRESS
Signature(s) of owner, all partners, corporate officers or LLC member(s) is/are required.
NAME 1
TITLE
DATE
NAME 2
TITLE
DATE
NAME 3
TITLE
DATE
NAME 4
TITLE
DATE
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