business license package · 2008. 8. 5. · business activity retail women's apparel products...

John Doe

351 Malvern Ave

Hot Springs, AR 71901

Order ID: SMPL9256

Dear John:

Thank you for selecting Business Licenses, LegalZoom’s trusted partner, to assist you with your business licensing

requirements. Based on the order information you provided, we’ve put together a customized Business License

Package for Martin Shoppes, Inc..

Business License Package

8/4/2008

If you have any questions about your order, please contact us at [email protected] call 845.369.8799 - Option 4.

Sincerely,

Business LicensesBrought to you by

LegalZoom.com

Your License Requirements Package includes the following:

ü A customized list of the licenses, permits and tax registrations required for your business type and your

indicated business location

ü Forms ready for you to fill in and mail

ü Easy to follow instructions

ü Convenient contact for each form so you’ll know exactly where to go if you have questions

Business License Package :: 8/4/2008 6:31:58PMOrder ID: 9256 / SMPL9256

LicensesBusinessTMLicensing Simplified

www.businesslicenses.com

mailto:[email protected]


Contact Information

John Doe

Martin Shoppes, Inc.

321-654-0987

[email protected]

Business Address

351 Malvern Ave


County:

Area(s) Doing Business In

Hot Springs, Garland County, AR

Employees

Your Business Details

This package has been prepared based on the information you provided as detailed below:

Business Activity

Retail women's apparel

Products Sold

Women's apparel, casual and dressy footwear,

accessories, hats, handbags and specialty gifts.

Your Request

Please provide all license applications required to open

our Hot Springs, AR location.

Package Contents

This package contains the license application that we have identified for you.

Every application is preceded with a cover sheet containing the licensing authority's contact information (name, address,

telephone number, etc.) as well as instructions on how to file your application.

Please be advised, in addition to the following identified licenses, most businesses are also required to apply for a

Federal Tax ID (EIN). Please see the 'Our Findings' section on the following page for details on how to get this document.

This package contains 4 application(s)

State Level

Sales Tax Registration: Application For Sales And Use Tax Permit (AR)

Withholding Tax Registration: Withholding Registration (AR)

Unemployment Insurance Registration: Report To Determine Liability Under The Arkansas Employment Security

Local Level

Business License: Business Occupation Tax Application (Hot Springs AR)

(listed below):

Licensing Simplified TM

LicensesBusiness


Order ID: 9256 / SMPL9256 Business License Package :: 8/4/2008 6:31:58PM

Our Findings


Package Scope

This report sets forth the license and permit requirements we have identified as being relevant to

a retail clothing business. These requirements are based on details provided in connection with

location and business activity. The business address provided is within the incorporated City of

Hot Springs, Garland County in the State of Arkansas.

Please be advised, in addition to the identified licenses in this package, most businesses are also

required to apply for a Federal Tax ID (EIN). LegalZoom.com offers preparation and obtainment

of your tax ID. To order now or learn more go to www.Legalzoom.com.

Overview of Licenses & Permits

State Level (AR):

The following license and/or permit requirements may be relevant to a retail clothing business at

the state level:

· Sales Tax Registration: Application For Sales And Use Tax Permit

· Withholding Tax Registration: Withholding Registration

· Unemployment Insurance Registration: Report To Determine Liability Under The Arkansas

Employment Security Law Form

County Level (Garland):

We have not identified any license and/or permit requirements that are relevant to a retail

clothing business at the county level.

Local Level (Hot Springs):

The following license and/or permit requirements may be relevant to a retail clothing business at

the local level:

· Business License: Business Occupation Tax Application

LicensesBusinessLicensing Simplified TM



http://www.legalzoom.com/additional-business-services/ein-federal-tax-identification-number.html

Sales Tax Registration: Application For Sales And Use Tax Permit(State, AR)


Issuing Authority Information

Contact Information

If you have questions regarding this application please contact the

issuing authority using the information provided below.

Arkansas Finance & Administration Dept.

PO Box 1272

Little Rock, AR 72203-1272

Phone 1: (501)682-7104

Phone 2: (501)682-7168

Phone 3: (501)682-7025

Fax: (501)683-1036

Email: [email protected]

Website: http://www.arkansas.gov/dfa/

Mailing AddressMail the application to the mailing address provided below, unless

otherwise noted on the form.


PO Box 1272


Additional Helpful Information

General Notes

Information pertaining to filing this form- The following special signature/seal are required: ( An original

signature )

- Additional Information: If applicant operates a Home Based

Business, they must attach a copy of their city business license or

furnish a statement that

said license is not required.

Fee Information

This application requires you to pay a fee to the licensing authority. The fee should be submitted with the application.

The flat fee for this application is $50.00.

Payment

If paying by check, make check payable to: Arkansas Department of Finance and Administration

Additional Documents

The following documents have also been included to assist you with this application:

● Starting a New Business This document is available online by clicking here.




http://www.arkansas.gov/dfa/income_tax/documents/starting_a-new_business.pdf

Form ST-1 (R 07/2006)

ARKANSASDepartment of Finance and Administration

FORM ST-1Sales and Use Tax SectionP. O. Box 1272, Little Rock, AR 72203-1272 (501) 682-7104

For Office Use

Application for Sales and Use Tax PermitApplicants must answer ALL of the requested information fields in order to receive a permit for business in Arkansas.

Complete form in BLUE or BLACK ink ONLY 1.

Name of Business (DBA) 2.

Corporate Name or Partnership Name 3.

Location – Street Address of Business (Not P. O. Box) 4.

Location – Street Address of Business (if additional space is needed) 5.

City ST Zip Code County (if in Arkansas) 6.

Business Location Phone Number Ext 7.

Mailing Address (if different from Location Address) 8.

Mailing Address (if additional space is needed) 9.

City ST Zip Code10.

Owner/Home Office Phone Number Ext11.

Federal ID12.

Name of Owner/Officer or Partner First MI Last

Title

Mailing Address of Owner


City ST Zip Code SSN

13.Name of Owner/Officer or Partner First MI Last

Title



City ST Zip Code SSN

14. List exactly the products sold or type of service rendered.

Form ST-1 (R 07/2006)

15. What's the dollar value of your inventory?

16 What's the dollar value of your fixtures and equipment?

17. Date you will begin your business?mm/dd/yyyy

18. Check type of business: Retail Wholesale

CHECK TYPE OF BUSINESS ENTITY:

19. Corporation S Corporation Individual Partnership

LLC LLP Government

20. Date Arkansas Incorporated?mm/dd/yyyy

21. Please check one: Inside city limits Outside city limits

22. Does this business sell or serve beer? wine? liquor? mixed drinks? Private Club?If YES, please furnish the ABC number under which you are operating.

23. Does this business sell tobacco products?

24. Do you operate more than one business in Arkansas? If YES, please list all locations, names, addresses and permitnumbers on a separate schedule.

25. Did you purchase the inventory, fixtures or equipment of an established business? If YES, give the name and permit number of the business. (attach bill of sale)

Former business name Former business permit number

26. Are you leasing the property? If YES, attach a copy of the lease agreement.

27. Do you operate a business in your home? If Yes, attach a copy of your city business license or furnish a statement thatthis license is not required.

28. If you operate an out-of-state business; do you perform any type of repair or service within the state of Arkansas?If YES, please list exactly the repair or service performed.

Important Information

A) A $50.00 FEE IS REQUIRED OF ALL ARKANSAS VENDORS ON A RETAIL OR WHOLESALE BASIS.Out of state vendors that lease property into Arkansas or perform taxable services in Arkansas are required to pay the $50 registration fee. Please make check payable to Department of Finance and Administration.

B) The former owner of a business must surrender the permit, and report and pay all taxes due by the business through the transfer date. A lien will attach to the stock and fixtures to secure the State of Arkansas for delinquent taxes and is enforceable against purchaser.

C) Arkansas Code Annotated 26-52-207 states that the tax liability of the former owner transfers to the new owner when the business is sold. No permit will be issued to the new owner until all tax liability is paid.

I DECLARE UNDER PENALTY OF PERJURY, THAT THIS APPLICATION (INCLUDING ANY ACCOMPANYING SCHEDULES) HAS BEEN EXAMINED BY ME, AND TO THE BEST OF MY KNOWLEDGE AND BELIEF IS A TRUE, CORRECT AND COMPLETE APPLICATION.

Original Signature of Owner/Partner/Officer Printed Name of Owner/Partner/Officer Date

FOR OFFICE USE ONLY - DO NOT WRITE IN THIS SPACE

SALES USE MD LE AV TEX SIC:

ACCT: COUNTY CODE: LOC CODE: PREVIOUS ACCT:

BONDED: ISSUED BY: DATE: PAID BY:cash/check/money order

Form ST-1 (R 07/2006)

State of Arkansas"The Natural State"Sales and Use Tax Section

7th & Wolfe Streets/Ledbetter Bldg./P. O. Box 1272/Little Rock, AR 72203-1272/(501) 682-7104

Arkansas Application for Permit Instructions - FORM ST-1

GENERAL INSTRUCTIONSPlease PRINT or TYPE all information on this form in blue or black ink. Do not add additional blocks or change this form.

LINE-BY-LINE INSTRUCTIONS.Line 1. Insert the name of your business as shown to the public.

Line 2. Insert your corporate name if this business is a corporation, sub chapter S corporation, or LLC.

Line 3. Insert street address where your business is physically located. Not your mailing address. Out of state businesses: If you have an Arkansas location, that address would go here.

Line 4. If your location address takes two lines, then use this line to complete your address.

Line 5. Insert your city, state, zip code and county of your business location.

Line 6. Insert the phone number of the store location listed above.

Line 7. Insert the mailing address of your business if different than location address.

Line 8. Additional space if mailing address takes two lines.

Line 9. Insert city, state and zip code of your mailing address.

Line 10. Insert owner’s home phone, if business is a sole proprietorship. Insert corporate (home office) phone if a corporation.

Line 11. Insert your federal ID number if your business has one. If your business does not have a federal ID number, then insert the owner’s SSN. Corporations, legal, partnerships, LLCs and LLPs must have a Federal Identification Number before the permit will be issued.

Line 12. Insert the owner’s name, title (President, Vice-President, etc.), mailing address and SSN on these lines. If a corporation, insert corporate officer information. If a partnership, insert partner information. Round owner percentage off to nearest whole number. (All owners, partners and officers must be listed.)

Line 13. Same as line 12If you need additional owner/partner/officer spaces, use form ST-1-A

Line 14. List the product(s) you sell or the service that you render. Please be specific.

Line 15. Enter the dollar value of inventory. If not known exactly, please estimate.

Line 16. Enter the dollar value of fixtures and equipment. If not known exactly, please estimate.

Form ST-1 (R 07/2006)

Line 17. Insert the date you will begin your business. If the actual date is not known, then estimate a date that you believe you will begin your business. NOTE: Do not submit this application if more than sixty days prior to opening date.

Line 18. Mark an “X” in the appropriate box, you may select both boxes. Wholesale means you make no sales to the final consumer, all sales are made to businesses that will resell the product.

Line 19. Mark an “X” in the appropriate box.

Line 20. Insert the date your business was incorporated by the State of Arkansas. If your business is not a corporation, skip this line.

Line 21. Mark an “X” in the appropriate box.

Line 22. Answer the questions with either “Yes” or “No”. If yes to any question, furnish the ABC permit information.

Line 23 Answer the question with either “Yes” or “No”

Line 24. If you answer “YES” to this question, you must list all of your businesses, permit numbers and locations on a separate page and attach them to this application.

Line 25 Answer the question with either “Yes” or “No”. If you answer yes, you must provide the name and permit number of the person from whom you purchased the business.

Line 26. Answer this question, “YES” or “NO”. If you answer Yes, attach the Lease Agreement.

Line 27. Answer this question, "YES" or "NO".If you answer Yes, attach a copy of your city license or the statment from the city.

Line 28. Out of state businesses: Answer this question “YES” or “NO”. If “YES”, then indicate the type of service or repair work performed. Please be specific.

ALL QUESTIONS MUST BE ANSWERED for the application to be accepted.You must sign and date the application for it to be complete and accepted by the department. The application must have the original signature of an owner, partner or officer listed on the application.

NOTE: GROSS RECEIPTS (Sales Tax) APPLICANTS AND OUT OF STATE BUSINESSES PERFORMING TAXABLE SERVICES OR LEASING TANGIBLE PERSONAL PROPERTY INTO ARKANSAS:

ATTACH A CHECK FOR THE $50.00 NON-REFUNDABLE FEE TO THIS APPLICATION. MAKE CHECKS PAYABLE TO: Department of Finance and Administration. FAILURE TO ATTACH THE FEE WILL CAUSE DELAYS IN ISSUING YOUR PERMIT.

Visit our web site for more information about Sales Tax: www.state.ar.us/salestax

Withholding Tax Registration: Withholding Registration(State, AR)



Contact Information




PO Box 1272


Phone 1: (501)682-7104

Phone 2: (501)682-7168

Phone 3: (501)682-7025

Fax: (501)683-1036


Website: http://www.arkansas.gov/dfa/




Withholding

P.O. Box 8055



General Notes

Information pertaining to filing this form

- Additional Information: Please refer to the form for the documents

that must be submitted along with the application.

Fee Information

Payment is not required when filing this application.




STATE OF ARKANSAS

Department of Financeand Administration

REVENUE DIVISIONIndividual Income Tax

Withholding Branch7th and Wolfe Streets, Room 1380

Post Office Box 8055Little Rock, Arkansas 72203-8055

Telephone: (501) 682-7290Fax: (501) 683-1036

www.arkansas.gov/dfa

“EQUAL OPPORTUNITY EMPLOYER”

General Instructions for Registering and Filing Withholding Tax Statements for the State of Arkansas

Please complete the enclosed State of Arkansas Withholding Tax Registration Form (AR4ER). This registration form must be completed and submitted to the State of Arkansas in order to establish your withholding account and for you to receive preprinted payment coupons. PAYMENTS RECEIVED WITHOUT A REGISTRATION FORM ON FILE WILL BE HELD IN SUSPENSE AND COULD CAUSE LATE BILLING NOTICES TO BE SENT OUT ON YOUR ACCOUNT. To avoid problems or delays in processing, complete the registration form and return it to the State of Arkansas within 10 days. Be sure to include your telephone number on your registration form. In most cases, if there is a problem with your registration form, it can be cleared up with a simple telephone call rather than returning the registration to you for correction. A list of Principal Business Activity Codes is listed on the reverse side of these instructions. Select one of these codes when filing your registration. If you do not have a Federal Identification number, complete the Federal SS-4 form and call the Internal Revenue Service to have one issued immediately. The telephone number is 1-800-829-4933. This is a toll free call.

All newly registered businesses will file withholding tax on a monthly basis. Payments are due on the 15th day of the month following the month the taxes were withheld. Arkansas does not have quarterly filing. You are required to file the coupon (Form AR941M) for every period you are registered in Arkansas even if the amount of withhold-ing is zero.

Make your payments using the Arkansas payment coupons (Form AR941M). Please use the blank coupons pro-vided to start making your payments. Once you have submitted your registration (Form AR4ER), you will be sent a package of preprinted coupons for your business. These packages will have a coupon for every month of the current reporting year. When you receive your preprinted coupons, destroy any coupons that are for the months that you have already filed or for months prior to the date your business started. This will help prevent you from accidentally using the wrong monthly coupon and help prevent the Withholding Branch from assessing incorrect penalty and interest charges for late filing. It is very important to use the proper coupon for the month you are fil-ing. If you do not have the payment coupons (Form AR941M), contact our office for forms. If the due date is near and you still do not have forms, submit your payment with a letter of explanation including your business name, address, federal identification number, and amount of Arkansas taxes withheld. Failure to receive forms is not a valid excuse for late payments. Penalty and interest charges will be assessed on all late payments.

If you have any questions concerning your State of Arkansas withholding account, please contact one of our Tax-payer Service Representatives at (501) 682-7290.

(R 10/03/07)

Agricultural Services, Forestry, Fishing

Code 1990 Animal services other than breeding1933 Crop Services 2113 Farm labor & management services2246 Fishing, commercial 2238 Forestry, except logging 2212 Horticulture & landscaping2469 Hunting & trapping 1974 Livestock breeding 0836 Logging 1958 Veterinary services, including pets

Construction

0018 Operative builders (for own account)

Building Trade Contractors Including Repairs

0414 Carpentering & Flooring0455 Concrete work 0273 Electrical work 0299 Masonry, dry wall, stone, & tile0257 Painting & paper hanging 0232 Plumbing, heating, & air conditioning0430 Roofing, siding, sheet metal0885 Other building trade contractors

(excavation, etc.)

General Contractors

0075 Highway/street construction0059 Nonresidential building0034 Residential building 3889 Other heavy construction (pipe laying,

bridges, etc.)

Finance, Insurance, Related Services

6064 Brokers/dealers of securities commodity6080 Commodity contracts brokers & dealers;

security & commodity exchanges 6148 Credit institutions & mortgage bankers5702 Insurance agents or brokers5744 Insurance service (appraisal consulting,

inspection, etc.) 6130 Investment advisors & services5777 Other financial services

Manufacturing, Including Printing &

Publishing 0679 Apparel & other textile products1115 Electric & electronic equipment1073 Fabricated metal products0638 Food products & beverages0810 Furniture & Fixtures 0695 Leather footwear, handbags0836 Lumber & other wood products1099 Machine & machine shops0877 Paper & allied products1057 Primary metal industries0851 Printing & publishing 1032 Stone, clay, & glass products0653 Textile mill products 1883 Other Manufacturing industry

Mining & Mineral Extraction

1537 Coal mining 1511 Metal mining1552 Oil & gas 1719 Quarrying & nonmetallic mining Real Estate

5538 Operators & lessors of buildings

including residential 5553 Operators & lessors of other real

properties 5520 Real estate agents/brokers5579 Real estate property manager5710 Subdividers & developers, except

cemeteries 6155 Title abstract office

Services: Personal, Professional & Business Services

Amusement & Recreational Services 9670 Bowling centers9688 Motion picture & tape distribution/allied

services9597 Motion picture & video production9639 Motion Picture theaters8557 Physical fitness facilities9696 Professional sports & racing including

promoters & managers9811 Theatrical performers, musicians, agents,

producers & related services9613 Video tape rental9837 Other amusement & recreation services

Automotive Services

8813 Automotive rental or leasing, without driver

8953 Automotive repairs, general & specialized8839 Parking, except valet8896 Other automotive services (wash, towing,

etc.)

Business & Personal Services

7658 Accounting & bookkeeping7716 Advertising, except direct mail7682 Architectural services8318 Barber shop (or barber)8110 Beauty shop (or beautician)8714 Child day care2238 Communication services7872 Computer programming, process, data

preparation & related services7286 Consulting services7799 Consumer credit reporting & collection

services8755 Counseling (except health practitioner)6395 Courier or package delivery7732 Employment agencies & personnel

supply7518 Engineering services7773 Equipment rental & leasing (except

computer or auto)8532 Funeral services & crematories7633 Income tax preparation7914 Investigative & protective services7617 Legal services (or lawyer)7856 Mailing, reproduction, commercial, art, photography, & stenographic services7245 Management services8771 Ministers & chaplains8334 Photographic studios7260 Public relations6536 Public warehousing7708 Surveying services8730 Teaching or tutoring6510 Trash collection without own dump6692 Utilities (dumps, snowplowing, road

cleaning, etc.)7880 Other business services6882 Other personal services

Hotels & Other Lodging Places

7237 Camps & camping parks7096 Hotels, motels, tourist homes7211 Rooming & boarding houses

Laundry & Cleaning Services

7450 Carpet & upholstery cleaning7419 Coin-operated laundries & dry cleaning7435 Full-service laundry, dry cleaning &

garment service7476 Janitorial & related service (building, house,

& window)

Medical & Health Services

9274 Chiropractors9233 Dentist’s office or clinic9217 Doctor’s office or clinic9456 Medical & dental laboratory9472 Nursing & personal care facilities9290 Optometrists9258 Osteopathic physicians & surgeons9241 Podiatrists9415 Registered & practical nurses9431 Offices & clinics of other health practitioners

(dietician, midwives, speech pathologists, etc.)

9886 Other health services

Miscellaneous Repair, Except Computers

9019 Audio equipment & TV repair9035 Electrical & electronic equipment repair,

except audio & TV9050 Furniture repair/ reupholstery2881 Other equipment repair

Trade, Retail-Selling goods to Individuals & Households

3038 Catalog or mail order3012 Selling door to door, by telephone or

party plan, or from mobile unit3053 Vending machine selling

Selling From Showroom, Store, Or Other Fixed Location

Apparel & Accessories

3921 Accessory & specialty stores furrier for women

3939 Clothing, family3772 Clothing, men’s & boys3913 Clothing, women’s3756 Shoe stores3954 Other apparel & accessory stores

Automotive & Service Station

3558 Gasoline service stations3319 New car dealers (franchised)3533 Tires, accessories, & parts3335 Used car dealers3517 Other automotive dealers (motorcycle,

recreational vehicles, etc.)

Building, Hardware, & Garden Supply

4416 Building materials dealers4457 Hardware stores4473 Nurseries & garden supply store4432 Paint, glass, & wallpaper stores

Food & Beverages

0612 Bakeries selling at retail3086 Catering services3095 Drinking places (bars, taverns, pubs, saloons, etc.)3079 Eating places, meals & snacks3210 Grocery stores (general line)3251 Liquor store3236 Specialized food stores (meat, produce, candy, health food)

Furniture & General Merchandise

3988 Computer & software stores3970 Furniture stores4317 Home furnishings stores (china floor covering, drapes)4119 Household appliance stores4333 Music & record stores3996 TV, Audio & electronic stores3715 Variety stores3731 Other general merchandise stores

Miscellaneous Retail Stores

4812 Boat dealers5017 Book store, excluding newsstands4853 Camera & Photo supply stores3277 Drug stores5058 Fabric & needlework stores4655 Florists5090 Fuel dealers (except gasoline)4630 Gift, novelty, & souvenir shops4838 Hobby, toy, & game shops4671 Jewelry stores4895 Luggage & leather goods store5074 Mobile home dealers4879 Optical goods stores4697 Sporting good & bicycle shops5033 Stationery stores4614 Used merchandise & antique stores

(except motor vehicle parts)5884 Other retail stores

Trade, Wholesale-Selling Goods To Other Business, etc.

Durable Goods, Including Machinery Equipment, Wood, Metal, etc.

2634 Agent or broker for other firms-more than 50% of gross sales on commission

2618 Selling for your own account

Nondurable Goods, Including Food, Fiber, Chemicals, etc.

2675 Agent or broker for other firms-more than 50% of gross sales on commission

2659 Selling for your own account

Transportation Services

6619 Air transportation6312 Bus & limousine transportation6361 Highway passenger transportation (except

chartered service)6114 Taxicabs6635 Travel agents & tour operators6338 Trucking (except trash collections)6551 Water transportation6650 Other transportation services

Agricultural

F120 Field Crop, including grains and nongrains such as cotton peanuts, feed corn, wheat, tobacco, Irish potatoes, etc.

F160 Vegetables and melons, garden type vegetables and melons such as sweet corn,

tomatoes squash, etc.F170 Fruit and tree nuts, including grapes,

berries, olives, etc.F180 Ornamental floriculture and nursery

productsF185 Food crops grown under cover, including

hydroponics cropsF211 Beefcattle feedlotsF212 Beefcattle, except feedlotsF215 Hogs, sheep, and goatsF240 DairyF250 Poultry and eggs, including chickens,

ducks, pigeons, quail, etc.F260 General livestock, not specializing in any

one livestock categoryF270 Animal specialty, including fur-bearing animals pets, horses, etc.F280 Animal aquaculture, including fish, shellfish,

mollusks, frogs, etc., produced within confined space

F290 Forest products, including forest nurseries and seed gathering, extraction of pine gum, and gathering of forest products

F300 Agricultural production, not specified

8888 Unable to classify

PRINCIPAL BUSINESS OR PROFESSIONAL ACTIVITY CODES

Locate the major category that best describes your principal activity. Within the major category, select the activity code that most closely identifies the business or profession that is the principal source of your sales or receipts. Enter the 4 character code on page 1. Line 13 of the Withholding Registration Form (AR4ER.)

1 Type of Withholding Wages Pension Pass Through Entity (Check only one)

2. Employer’s Federal Identification Number: ____ ____ _____ ____ ____ ____ ____ ____ ____

3. Name of Business: (Trade Name)

4. Business Location: (Physical Address) _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________

5. Mailing or Care of Address: __________________________________________________________________________

__________________________________________________________________________ __________________________________________________________________________

__________________________________________________________________________

6. Name of Owner or Responsible Party: a.

Social Security Number: b. ____ ____ ____ ____ ____ ____ _____ _____ _____

7. Address of Owner/Responsible Party: __________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

8. Date Arkansas Withholding was Started and/or Required:

9. Principle Business Activity: (See Instructions)

10. Type of Organization: Sole Proprietorship Partnership Domestic Corp. Foreign Corp. / Domestic LLC / Foreign LLC

11. County - Arkansas:

12. Signature of Owner or Responsible Party __________________________________________________________________________

13. Federal Business Code:

STATE OF ARKANSASWithholding Registration

P. O. Box 8055, Little Rock, Arkansas 72203-8055(Read instructions on reverse side. Type or print. Keep one copy for your records)

AR4ER

( )Telephone Number

Street

City State Zip

( )Telephone Number

Street

City State Zip

mm/dd/yy

Signature Date

FOR DEPT.USE ONLY

ExamCode

AR4ER (R 3/18/07)

ALL NEW ACCOUNTS FILE ON A MONTHLY BASIS - THERE IS NO QUARTERLY FILING

In Care of

Street

City State Zip

c.

WHERE TO FIND COMPLETE INFORMATION: You may find more information in the Department of Finance and Administration publication entitled: “Instructions For Employers-Arkansas Income Tax Withholding.”

WHO MUST FILE THIS REGISTRATION: Every employer with one (1) or more employees must file Form AR4ER.

WHERE TO FILE: Mail Form AR4ER to Department of Finance and Administration, Withholding, P.O. Box 8055, Little Rock, Arkansas 72203-8055.

HOW TO REGISTER: Print or type. Follow the instructions below which correspond to the numbers on the front of this form. If you need to make a payment when registering, complete Form AR941M for each month involved.

TYPE OF FILER: ALL NEW ACCOUNTS ARE MONTHLY FILERS. THERE IS NO QUARTERLY FILING METHOD. If your filing status changes, you will be notified by our department.

PAYMENTS: Wage withholding payments are due on the 15th of the month following the end of the monthly reporting period. Pension withholding payments are due on the 15th of the month following the end of the monthly reporting period. Pass through entity payments are due annually with the due date being February 28th of the following tax year. If you do not have forms, you can mail your payment with a letter containing the name of your business, the month and year you are filing, the amount of withholding, your federal identification number, and the name of the contact person in case of a problem.

SPECIFIC

1. Indicate the type of withholding: If you will be withholding from wages, check Wages. If you will be withholding from pension distribu-tions or other annuity payments, check Pension . If you are a pass through entity and you will be withholding tax from distributions to nonresident members, check Pass Through Entity. You must complete a separate AR4ER for each type of withholding tax.

2. Enter your Federal Employer’s Identification Number. This is the nine digit number the IRS issues, which is used to identify the tax accounts of employ-ers. IMPORTANT: When completing the AR4ER, you must add a two digit processing suffix number to the end of your FEIN. YOU MUST use your FEIN with the processing number on all related forms for the withholding tax you are filing. If this processing number is not included with your FEIN, processing of your payments will be delayed. If you check the “Wages” box, add “00” to the end of your FEIN (ex: 12-3456789-00). If you check the “Pension” box, add “50” to the end of your FEIN (ex: 12-3456789-50). If you check the “Pass Through Entity” box, add “70” to the end of your FEIN (ex: 12-3456789-70).

3. Enter the complete name of the business or trade name under which this business is operated. Also enter the telephone number with area code. 4. Enter the address where the business is physically located. This will be the street address in most cases. Do not enter a P.O. Box number. 5. If you would like to have your reports mailed to an address other than that of your business, enter the address on this line. 6. Enter the name of the owner or party responsible for assuring the payment of state withholding taxes. This is the individual owner, a general

partner, or corporate officer. Also, enter the Social Security Number and phone number of the owner/responsible party. 7. Enter the street address or mailing address where the owner/responsible party may receive notices from the Arkansas State Withholding Tax Branch. 8. Enter the date you started withholding Arkansas taxes from your employees’ wages. Enter as mm/dd/yy. 9. Describe the type of business carried on by the employer. It is important that you state if the business is for wholesale or retail usage. Some examples

of the type of information needed are as follows:

A: MINING & QUARRYING: State principal product (i.e., mine bauxite, crushed limestone, gravel, etc.). B: CONSTRUCTION: State if general or special trade contractor and type of work normally performed (i.e., general contractor streets and high ways, electrical subcontractor, etc.). C: WHOLESALE OR RETAIL TRADE: Specify which (i.e., wholesale grocery, retail grocery; retail gasoline service station; retail hardware; wholesale petroleum – bulk products; wholesale dairy products, retail drugs, etc.). D: MANUFACTURING: State type of establishment operated (i.e., sawmill, vegetable cannery, etc.) and state principal products or line of goods sold (i.e., toy manufacturing, fishing equipment, etc.). E: AGRICULTURE: (Specify) includes: Farms of all types – livestock, crops, vegetables, cotton gins, nurseries and horticulture, etc. F: NON-PROFIT ORGANIZATIONS: State purpose for which operated (i.e., religious, charitable, educational, scientific, etc.) and principal activity (i.e., religious organization – hospital; charitable – home for the aged, etc.). G: GOVERNMENTAL: Identify further if deemed necessary. H. OTHER ACTIVITIES: State exact type of business operated (i.e., advertising agency, dry cleaning plant, motion picture theater, doctor’s office or clinic, barber shop, rental of coin-operated machines, etc.)

10. Mark the box that describes your type of business ownership: Sole Proprietorship, Partnership, Domestic Corporation/LLC (created in the State of Arkansas), or Foreign Corporation/LLC (organized outside the State of Arkansas).

11. Enter the county in which your business is located.12. Sign and date registration. 13. Find the Federal Principal Activity Code that best describes your business and enter the 4-digit code in the space provided.

IMPORTANTEach corporation of an affiliated group must be treated as a separate employer and must register separately.

AR4ER Instr. (R 10/03/07)

Instructions

Unemployment Insurance Registration: Report To Determine Liability Under The Arkansas

Employment Security Law Form(State, AR)



Contact Information



Arkansas Department of Workforce Service

P.O. Box 2981


Phone 1: (501)682-3798

Website: http://www.dws.arkansas.gov/



Arkansas Department of Workforce Service

P.O. Box 2981



General Notes


- Additional Information: Please submit the following information

along with the application:

IF APPLICABLE, PLEASE ATTACH COPY OF POWER OF ATTORNEY.

Fee Information

Payment is not required when filing this application.



● Unemployment Insurance Handbook For

Arkansas Employers This document is available online by clicking here.




http://www.dws.arkansas.gov/ForEmployer/PDF/UI_EMPLOYER_HANDBOOK.pdf

CITY STATE ZIPCODE PHONENUMBER( )

6. ENTERTHENAME(ORFIRMNAME)ANDBUSINESSADDRESSWHEREPAYROLLRECORDSAREKEPT(IFDIFFERENTFROMITEM#5).

CITY STATE ZIPCODE PHONENUMBER

( )

NAME MAILINGADDRESS

Ifthetypeofownershipisanindividualorpartnership,enterthename(s)andsocialsecuritynumber(s)asapplicablebelow,orifthetypeofownership is a corporation/LLC, complete the information for two officers. Do not list Board Members or Directors.

NAME SOCIALSECURITYNUMBER TITLE RESIDENCEADDRESS,CITY,STATE,ZIP

TRADENAME STREETADDRESS,CITY,ZIP,COUNTY TELEPHONENO.

7.OwnersOrCorporateOfficers

AttachAdditionalSheetIf

Necessary

AttachAdditional

SheetIfNecessary

8.BusinessPHYSICALLOCATIONInArkansasREQUIRED

No.ofEmployees

REPORTReportToDetermineLiabilityUnderTheDepartmentofWorkforceServicesLaw

STATUSP.O.Box8007LittleRock,AR72203-8007Telephone(501)682-3798

IDENTIFICATION SECTION1. ACCOUNTNUMBERASSIGNEDBYDWS(IFANY) 2. FEDERALEMPLOYERI.D.NUMBER

3. TYPEOFOWNERSHIP(CHECKONE) 1. oCorporation 1a.oLLC 2. oPartnership3. oIndividual(SoleProprietor) 4. oProfessionalAssociation 5. oLimitedPartnership 6. oEstate 7. oStateAgency8. oPoliticalSubdivision 9. oTrust 10.oLeasing(PEO)

IFTHETYPEOFBUSINESSISACORPORATION/LLCENTERTHECORPORATENAMEINITEM4BELOW.

4. NAME 5. MAILINGADDRESS

Department of

WORKFORCESERVICES

IF YOUR BUSINESS IS A CORPORATION/LLC, ENTER:

9. ORIGINALCORPORATENAME,IFDIFFERENTTHANABOVE

▲▲

10.IF THE BUSINESSIN ARKANSAS WAS ACQUIRED FROM ANOTHER LEGAL ENTITY ENTER: ▲▲

PREVIOUSOWNER’SACCOUNTNUMBER (IFKNOWN)

NAMEOFPREVIOUSOWNER ADDRESS CITY

MONTHDATEOFACQUISITION: ▲▲

(CHECK(ONE)❒ ALL. ❒ PART(SPECIFYPERCENTAGE)_____________________

STATE

DAY YEAR

WHATPORTIONOFTHISACCOUNTWASACQUIRED?

EMPLOYMENT SECTION

REPORTING SECTION

DWSENCOURAGESALL EMPLOYERSTOREGISTERANDFILEONLINEAT:www.ar-tax.org

DOMESTIC - HOUSEHOLD EMPLOYMENT SECTIONComplete 14 only ifyouhavedomesticorhouseholdemployees(Includesmaids,cooks,chauffeurs,sitters,etc.)

14. ENTERTHEENDINGDATEOFTHEFIRSTCALENDARQUARTERINWHICHYOUPAIDGROSSWAGESOF$1,000ORMORETOEMPLOYEESPERFORMINGDOMESTICSERVICE: ▲▲

MONTH DAY YEAR

11. ENTERTHEDATEYOUBECAMELIABLEFORSTATEUNEMPLOYMENT(HADONEORMOREEMPLOYEESINSOMEPARTOFTENDAYS)(ACA11-10-209)(1). SEEINSTRUCTIONS

▲▲

12. IFYOURACCOUNTHASBEENINACTIVE:

ENTERTHEDATEYOURORGANIZATIONRESUMEDEMPLOYINGSOMEONEINARKANSAS.

▲▲

MONTH DAY YEAR

13. IFYOUAREEXEMPTFROMFEDERALINCOMETAXESUNDERINTERNALREVENUECODEOF1954SECTION501(C)(3), ATTACHACOPYOFYOUREXEMPTIONLETTER. INDICATEYOURPREFERENCE: o REIMBURSE o CONTRIBUTORY

DWS-ARK-201(Rev.01-07)PAGE1OF2 (CONTINUEDONREVERSESIDE)

11a. ENTERTHEDATEYOUFIRSTPAIDWAGESINARKANSAS ▲▲

AGRICULTURE EMPLOYMENT SECTION

AREYOUANAGRICULTURALEMPLOYER?(FARMORRANCH)..................................................................................... o YESo NO15.

16. ENTERTHEENDINGDATEOFTHETWENTIETHWEEKINWHICHYOUHADATLEASTTENEMPLOY-EESINARKANSASPERFORMINGAGRICULTURALLABOR:

▲▲

MONTH DAY YEAR

17. ENTERTHE ENDING DATE OFTHE FIRST CALENDAR QUARTER IN WHICHTOTAL WAGES OF$20,000.00ORMOREWEREPAIDFORAGRICULTURALLABOR:

▲▲VOLUNTARY ELECTION SECTION

18. IFYOUARENOTLIABLEUNDERACOMPULSORYPROVISIONOFTHEDEPARTMENTOFWORKFORCESERVICESLAW,ANDWISHTOVOLUNTARILYELECTCOVERAGEFORYOUREMPLOYEES;CHECKHEREo, ANDENTERTHEYEARYOUWISHLI-ABILITYTOBEGIN:__________________________________ ATTHEENDOFTWO(2)YEARSFROMTHISDATE,ORATTHEENDOFANYSUBSEQUENT CALENDARYEAR,YOUMAYWITHDRAWTHISELECTIONBYFILINGAWRITTENREQUEST.

YOU WILL BE NOTIFIED OF THIS DETERMINATION IN WRITING.NATURE OF BUSINESS SECTION

19.DESCRIBE FULLYTHE NATURE OFYOURBUSINESS INARKANSASAND LIST THEPRINCIPAL PRODUCTS IN ORDER OF IM-PORTANCE:

▲▲

CODE SHORT TITLE 11 Agricultural, Forestry, and Hunting 111 - CropsProduction 112 - AnimalProduction 113 - ForestryandLogging 114 - Fish,Hunting,andTrapping 115 - SupportServicesforAgricultureandForestry 21 Mining 211 - OilandGasExtraction 212- Mining(exceptOilandGas) 22 Utilities 221- Utilities 23 Construction 236- ConstructionofBuildings 237- HeavyandCivilEngineeringConstruction 238- SpecialtyTradeContractors 31-33 Manufacturing 311 - FoodManufacturing 312- BeverageandTobaccoProductManufacturing 313- TextileMills 314- TextileProductMills 315- ApparelManufacturing 316- LeatherandAlliedProductManufacturing 321- WoodProductManufacturing 322- PaperManufacturing 323- PrintingandRelatedSupportActivities 324- PetroleumandCoalProductsManufacturing 325- ChemicalManufacturing 326- PlasticsandRubberProductsManufacturing 327- NonmetallicMineralProductManufacturing 331- PrimaryMetalManufacturing 332- FabricatedMetalProductManufacturing 333- MachineryManufacturing 334- ComputerandElectronicProductManufacturing 335- ElectricalEquipment,Appliance,andComponent Manufacturing 336- TransportationEquipmentManufacturing 337- FurnitureandRelatedProductManufacturing 339- MiscellaneousManufacturing 42 Wholesale Trade 423- MerchantWholesalers,DurableGoods 424- MerchantWholesalers,NondurableGoods 425- WholesaleElectronicMarketsandAgentsandBroker 44-45 Retail Trade

CODE SHORT TITLE 441- MotorVechicleandPartsDealers 442- FurnitureandHomeFurnishingsStores 443- ElectronicandApplianceStores 444- BuildingMaterialandGardenEquipmentandSuppliesDealers 445- FoodandBeverageStores 446- HealthandPersonalCareStores 447- GasolineStations 448- ClothingandClothingAccessoriesStores 451- SportingGoods,Hobby,Book,andMusicStores 452- GeneralMerchandiseStores 453- MiscellaneousStoreRetailers 454- NonstoreRetailers 48-49 Transportation and Warehousing 481- AirTransportation 482- RailTransportation 483- WaterTransportation 484- TruckTransportation 485- TransitandGroundPassengerTransportation 486- PipelineTransportation 487- ScenicandSightseeingTransportation 488- SupportActivitiesforTransportation 491- PostalService 492- CouriersandMessengers 493- WarehousingandStorage 51 Information 511 - PublishingIndustries(exceptinternet) 512- MotionPictureandSoundRecordingIndustries 515- Broadcasting(exceptinternet) 516- InternetPublishingandBroadcasting 517- Telecommunications 518- InternetServiceProviders,WebSearchPortals,andData ProcessingServices 519- OtherInformationServices 52 Finance and Insurance 521- MonetaryAuthorities-CentralBank 522- CreditIntermediationandRelatedActivities 523- Securities,CommodityContracts,andOtherFinancial InvestmentsandRelatedActivities 524- InsuranceCarriersandRelatedActivities 525- Funds,Trusts,andOtherFinancialVehicles 53 Real Estate and Rental and Leasing 531- RealEstate 532- RentalandLeasingServices

CODE SHORT TITLE 533 - Lessors of Nonfinancial Intangible Assets (exceptCopyrightedWorks) 54 Professional, Scientific, and Technical Services 541 - Professional, Scientific, and Technical Services 55 Management of Companies and Enterprises 551- ManagementofCompaniesandEnterprises 56 Administrative and Support and Waste Management and Remediation Services 561- AdministrativeSupportServices 562- WasteManagementandRemediationServices 61 Educational Services 611 - EducationalServices 62 Health Care and Social Assistance 621- AmbulatoryHealthCareServices 622- Hospitals 623- NursingandResidentialCareFacilities 624- SocialAssistance 71 Arts, Entertainment, and Recreation 711 - PerformingArts,SpectatorSports,andRelatedIndustries 712- Museums,HistoricalSites,andSimilarInstitutions 713- Amusement,Gambling,andRecreationalIndustries 72 Accommodation and Food Services 721- Accommodation 722- FoodServicesandDrinkingPlaces 81 Other Services (except Public Administration) 811 - RepairandMaintenance 812- PersonalandLaundryServices 813- Religious,Grantmaking,Civic,Professional,andSimilar Organizations 814- PrivateHousehold 92 Public Administration 921- Executive,Legislative,andOtherGeneralGovernmentSupport 922- Justice,PublicOrder,andSafetyActivities 923- AdministrationofHumanResourcePrograms 924- AdministrationofEnvironmentalQualityPrograms 925- AdministrationofHousingPrograms,UrbanPlanning andCommunityDevelopment 926- AdministrationofEconomicPrograms 927- SpaceResearchandTechnology 928- NationalSecurityandInternationalAffairs

AGENCYUSE

ONLY

NAICSCODE: BLSOWNCODE: AUXCODE: COUNTYCODES: STATUS BLS

SEASONCODE TypeReimbursable_____OriginationCode_______

SIGNATURE SECTION20. IHEREBYCERTIFYTHATTHEPRECEDINGINFORMATIONISTRUEANDCORRECT,ANDTHATIAMAUTHORIZEDTOEXECUTE

THISSTATUSREPORTONBEHALFOFTHEEMPLOYINGUNITNAMEDHEREIN.(AUTHORIZED SIGNATURES: OWNER, OFFICER, PARTNER OR AUTHORIZED AGENT PER POWER OF ATTORNEY. IF APPLI-CABLE, PLEASE ATTACH COPY OF POWER OF ATTORNEY.)

SIGNEDBY: TITLE:

CONTACTE-MAILADDRESS: TELEPHONE: DATE:

DWS-ARK-201(Rev.01-07) PAGE2OF2

FAXNO.:

Business License: Business Occupation Tax Application(Local, Hot Springs AR)



Contact Information



Hot Springs Treasurer's Office

349 Malvern Avenue


Phone 1: (501)321-6820

Fax: (501)321-6833

Website:

http://www.ci.hot-springs.ar.us/dept-finance-purchasin

g.html



Hot Springs Treasurer's Office

349 Malvern Avenue



General Notes


Fee Information

This application requires you to pay a fee to the licensing authority. The fee should be submitted with the application.

The fee varies and is based on the following:

- Business Type

- Inventory

Payment

If paying by check, make check payable to: City of Hot Springs



● Information Packet on Doing Business in Hot

Springs This document is available online by clicking here.




http://www.ci.hot-springs.ar.us/pdfs/BUSINFO.pdf

__

CITY OF HOT SPRINGS ACCT# 349 MALVERN AVE

PO BOX 6300 HOT SPRINGS, AR 71902-6300 PHONE (501)321-6826 FAX (501)321-6833

BUSINESS/OCCUPATION TAX APPLICATION

BUSINESS NAME (DBA) CORPORATE NAME BUSINESS PHONE CORPORATE PHONE BUSINESS ADDRESS STREET CITY STATE ZIP

MAILING ADDRESS STREET CITY STATE ZIP BUSINESS FEDERAL ID# OR SOCIAL SECURITY #

ARKANSAS STATE SALES TAX #

ADVERTISING & PROMOTION COMMISSION TAX #

(Hotel, Motel, Restaurant & Concession 3% sales tax)

OWNER'S NAME HOME PHONE OWNER'S ADDRESS STREET CITY STATE ZIP CODE OULD THIS BUSINESS BE CONSIDERED SEXUALLY ORIENTED? C YES NO If Yes, Complete a Sexually Oriented Application DO YOU SERVE ALCOHOL? YES NO If Yes, Complete a City Alcohol Permit Application & submit with copy of your State License

RIEF DESCRIPTION OF BUSINESS: B NED IN HOT SPRINGS ____________________ DRIVERS LICENSE NUMBER DATE OPE _ Month Day Year OTHER APPLICABLE INFORMATION

OFFICE USE ONLY BUSINESS CLASSIFICATION TYPE YEARLY TAX $ TAX DUE $

THE ABOVE INFORMATION IS CORRECT AND TRUE TO THE BEST OF MY KNOWLEDGE. OWNER'S SIGNATURE OWNER'S PRINTED NAME DATE

Occupation taxes are renewable and due the 1st of each year. Statements are mailed the first week of January and tax becomes delinquent April 1st. Any payment not received or postmarked by March 31 will be charged a 10% penalty.

Need Help?

If you have questions regarding a specific license or permit application, please contact the licensing authority using

the contact information provided on the application coversheet preceding the specific application.

Have questions about the content of this package? Please contact us using the contact information provided below.

Please note: questions that are of a nature that require additional research not covered in this report will be subject

to additional charges.

Customer Service Representative:


Kate Crawford

Business Licensing Support

Tel: 845.369.8799 - Option 4


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