RETAIL CIGARETTE LICENSE
Exempt States for Cigarette License: Arizona, Colorado, Illinois, Kentucky, New Mexico, South Carolina and Virginia.
PLEASE SELECT SUBSCRIPTION TYPE
Subscription Type:
PLEASE SELECT
Select State* :
-- Select State -- Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennenssee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
Select County:
-- Select County --
Note: NYC Fees is not included in the package, you will
be informed the filing fees for NYC according to the ODD and EVEN Years by Infotax square Representative.
Type of Entity* :
-- Select Entity Type --
Sole Proprietor
Partnership
S-Corporation
Corporation
Single Member LLC
Multi-Member LLC
CONTACT INFORMATION (This is where we will ship your documents)
First Name* :
Last Name* :
Address* :
Suite/Apt:
City* :
State* :
-- Select State -- Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennenssee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
Zip* :
Phone* :
Fax:
BUSINESS OVERVIEW
Name of Entity* :
State of Formation* :
-- Select State -- Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennenssee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
Date of Formation* :
(mm/dd/yyyy)
Estimated Monthly Gross Receipts/Sales:
Employer ID Number* :
Address* :
Suite/Apt:
City* :
State* :
-- Select State -- Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennenssee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
Zip* :
Date Business Planning to Start* :
(mm/dd/yyyy)
Application Type:
Please Select All that applies how the cigarettes or tobacco products are sold at retail* :
Business Description* :
BANK INFORMATION (if any)
To apply for Sales Tax ID Number, Bank information is required by the department of revenue where all the sales receipts will be deposited.
Bank Name:
Account Number:
Address:
Suite/Apt:
City:
State:
-- Select State -- Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennenssee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
Zip:
OFFICERS/MEMBERS INFORMATION
OFFICER 1
Full Name* :
Title* :
(President, Vice President, Secratary, Treasurer, Owner, Member)
Driving License Number:
(if any)
Social Security Number* :
(999-99-9999)
Percentage of Ownership* :
Date of Birth* :
(mm/dd/yyyy)
Residence Address* :
City* :
State* :
-- Select State -- Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennenssee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
Zip* :
Phone:
Fax:
OFFICER 2
Full Name:
Title:
(President, Vice President, Secratary, Treasurer, Owner, Member)
Driving License Number:
(if any)
Social Security Number:
(999-99-9999)
Percentage of Ownership:
Date of Birth:
(mm/dd/yyyy)
Residence Address:
City:
State:
-- Select State -- Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennenssee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
Zip:
Phone:
Fax:
OFFICER 3
Full Name:
Title:
(President, Vice President, Secratary, Treasurer, Owner, Member)
Driving License Number:
(if any)
Social Security Number:
(999-99-9999)
Percentage of Ownership:
Date of Birth:
(mm/dd/yyyy)
Residence Address:
City:
State:
-- Select State -- Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennenssee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
Zip:
Phone:
Fax:
ORDER INFORMATION
If you are selling products or offering services that is taxable you must apply
for sales tax id number in your state. The process of getting a Sales Tax ID
is called obtaining a "Certificate of Authority", "Sales tax ID Number".
Do you want to apply for Sales Tax ID Number?
Sales Tax Vendor ID:
LOGIN INFORMATION
Please Fill up the Information Required for your future Login and check the order status. If you already have the login information for Infotax then please type your existing email and password.
Email* :
Password* :
PAYMENT INFORMATION
First Name* :
Last Name* :
Billing Address* :
City* :
State* :
-- Select State -- Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennenssee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
Zip* :
Phone* :
Fax:
Card Type* :
-- Select One --
Visa
Mastercard
Discover
American Express
Expiration Date* :
01
02
03
04
05
06
07
08
09
10
11
12
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
Card Number* :
Card Security Code* :
The Card Security Code is a 3 or 4 digit code embossed or imprinted on the reverse side of Visa, MasterCard and Discover cards and on the front of American Express cards.
Please note:The card security code is not the last 3 or 4 digits of your credit
card number.
Country:
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General Comments / Instructions
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