City of Newcastle Admissions Tax Application for Certificate of Registration
Business Name
*
List legal name
Business Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Primary Contact
*
First Name
Last Name
Primary Contact Title
*
Phone Number
*
Please enter a valid phone number.
Email
*
example@example.com
Business Activity
Describe eligible Admission activities below.
Is the Admission activity ongoing or a temporary/individual event?
*
Please Select
Ongoing business
Temporary/individual event(s)
Event location (if different from Business address)
*
Site Owner (if not event sponsor)
Street Address
City
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Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
List Event Date and Time, add additional rows if multiple events in current year:
*
Please list all eligible Admission items with cost (including 5% Admission tax), adding extra rows as necessary:
*
Please provide brief description of Admission activity:
*
Name of person submitting form
*
First Name
Last Name
Position Title
*
Signature
*
Continue
Continue
Should be Empty: