home home Doing business home Registermybusiness home Temporary registration Temporary registration
If you are conducting temporary business and need a Temporary Registration Certificate, complete and submit the form below. We will respond to your e-mail request within two business days. You will receive:

  • a confirmation message with your Unified Business Identifier (UBI)/Tax Registration Number via e-mail.

  • your Temporary Registration Certificate by mail at the address provided below.

Complete the form and click Submit.


UBI/Tax Registration Number
(if previously issued)                   (*Required)
Name of Business (if applicable)
Name of Business Owner (if applicable)
E-mail Address of Person completing this form
 * 
Business Telephone Number
()   -  ext.  *   (Example: (555) 555-5555 ext. 5555)

Type of Business
(Example: sole owner, association, partnership, corporation, limited liability company)

  


Mailing Address
Street
  
City
  
State
  
Zip
  


First Date of Event

 /  /  Calendar Pop-Up   (Example: MM/DD/YYYY, 01/14/2002)* 

Last Date of Event

 /  /  Calendar Pop-Up   (Example: MM/DD/YYYY, 01/14/2002)* 

Name of Event
  

Location of Event
  

Type of Goods Sold/Services Provided
  


The information received will be used to set up or reopen your account or to contact you. The telephone number, e-mail address and business activity information will not be given to anyone without taxpayer?s permission or specific statutory authority.