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Our Online Order Forms are Secure and Safe. We had made our Online process as simple as possible. Simply fill in your Information, Review, submit and Print the confirmation page for your record.

 
Please complete the requested information below for your Retail Food Store License License. Infotax Square representative will begin processing your order upon receipt of payment.

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RETAIL FOOD STORE LICENSE



PLEASE SELECT
Type of Entity*:
State:
Service Currently Available in New York Only
 
CONTACT INFORMATION (This is where we will ship your documents)
First Name*:
Last Name*:
Address*:
Suite/Apt:
City*:
State*:
Zip*:
Phone*:
Fax:
 
BUSINESS OVERVIEW
Name of Entity*:
DBA/Trade Name : (if any)
State of Formation*:
Date of Formation*: (mm/dd/yyyy)
Principal Office Address*:
(If different from the above)
Suite/Apt:
City:
State:
Service Currently Available in New York Only
Zip:
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 / MEMBERS / INDIVIDUAL INFORMATION
OFFICER 1
  Same as Contact Information
Full Name*:
Title*:
Residence Address*:
City*:
State*:
Zip*:
OFFICER 2
Full Name:
Title:
Residence Address:
City:
State:
Zip:
 
ORDER INFORMATION
Infotax Square fees for filing your Retail Food Store License: $
Standard State Filing Fee: $
Include Expedite Fees: $
Shipping and Handling: $
Total: $
 
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
  Same as Contact Information
First Name*:
Last Name*:
Billing Address*:
City*:
State*:
Zip*:
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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+1 (866)754 4460
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