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.
Format: (000) 000-0000.
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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Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
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: