Get IN Form BT-1 2016
12. Owner, Partners, or Officers (Attach separate sheet if necessary.) A Social Security Number Month Social Security Numbers are required in accordance with IC 4-1-8-1. B C D E Last Name, First Name, Middle Initial, Suffix F Title G Street Address City State Zip Code 1 2 3 13. Tax(es) to be Registered for this Business Location (Check all that apply.) E Sales Tax (Complete Section B for a Registered Retail Merchants Certificate.) A Withholding Tax (Complete Section C.) B County Innkee.
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