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Angelica

Food Processing Establishment License - NEW YORK



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*:
PLEASE SELECT
Type of Entity*:
State:
Service Currently Available in New York Only
ORDER INFORMATION
Infotax Square fees for filing your Food Processing Establishment License: $
Standard State Filing Fee: $
Include Expedite Fees: $
Shipping and Handling: $
Total: $
Reseller Discount: $
Total: $
CONTACT INFORMATION (This is where we will ship your documents)
First Name*:
Last Name*:
Address*:
Suite/Apt:
City*:
State*:
Zip*:  (99999) OR (99999-9999)
Phone*:
Fax:
 
BUSINESS OVERVIEW
Name of Entity*:
DBA/Trade Name : (if any)
State of Formation*:
Date of Formation*:  (mm/dd/yyyy)
  Same as Contact Information
Principal Office Address*:
(If different from the above)
Suite/Apt:
City:
State:
Service Currently Available in New York Only
Zip:  (99999) OR (99999-9999)
County*:
Federal ID Number /
Sales Tax Vendor ID number:
(if any)
Sole Proprietor /
Individual Provide Social Security Number:
Food List:
(List of all food preparation or processing activities at this location to be covered by this license)
 
OFFICERS/DIRECTORS INFORMATION
OFFICER 1
  Same as Contact Information
Full Name*:
Title*:
Residence Address*:
City*:
State*:
Zip*:  (99999) OR (99999-9999)
OFFICER 2 
Full Name:
Title:
Residence Address:
City:
State:
Zip:  (99999) OR (99999-9999)
PAYMENT INFORMATION
  Same as Contact Information
First Name*:
Last Name*:
Billing Address*:
City*:
State*:
Zip*:  (99999) OR (99999-9999)
Phone*:
Fax:
Card Type*:
Expiration Date*:
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:
 
General Comments / Instructions
 
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