Tax Application Form[Type here] Finance Department
334.595.0150
revenue@prattvileal.gov
CITY OF PRATTVILLE TAX APPLICATION FORM
RESERVED FOR REVEUE OFFICE ONLY
Taxpayer ID # __________________________ Date ____ /____ /____
Business Name: ______________________________________________________________________
DBA (if applicable): ____________________________________________________________________
Physical Address: _____________________________________________________________________
City: _________________________ State: _________________________ Zip: ____________________
Mailing Address: ______________________________________________________________________
City: _________________________ State: _________________________ Zip: ____________________
Phone: _____________________________________ Fax:____________________________________
Email: ______________________________________________________________________________
Federal ID (FEIN) or Social Security #: ______________________________________________________
Describe Type of Business Activities Engaged In:
_____________________________________________________________________________________
_____________________________________________________________________________________
How do you deliver your products (Self or Common Carrier): ___________________________________
Do you have a salesman calling on customers in Prattville: _____________________________________ Sales Tax Type: _____________Sales _____________Use _____________Rental
You Will Report: ____Monthly ____Quarterly ____Annually ____Semi-Annually ____Occasionally
I CERTIFY THAT THE ABOVE INFORMATION IS CORRECT:
Name: ___________________________________Signature: __________________________________ Title: ____________________________________________________________ Date ____ /____ /____
RETURN TO: The City of Prattville Revenue Department PO Box 680190 Prattville, AL 36068-0190