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Retail Cigarette License
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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*: |
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Password*: |
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PLEASE SELECT SUBSCRIPTION TYPE |
Subscription Type: |
New Subscription
Re-new Existing Subscription
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PLEASE SELECT |
Select State*: |
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Select County: *: |
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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*: |
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ORDER INFORMATION |
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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".
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Do you want to apply for Sales Tax ID Number?
Yes
No
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Sales Tax Vendor ID:
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CONTACT INFORMATION (This is where we will ship your documents) |
First Name*: |
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Last Name*: |
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Address*: |
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Suite/Apt: |
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City*: |
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State*: |
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Zip*: |
(99999) OR (99999-9999)
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Phone*: |
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Fax: |
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BUSINESS OVERVIEW |
Name of Entity*: |
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State of Formation*: |
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Date of Formation*: |
(mm/dd/yyyy)
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Estimated Monthly Gross Receipts/Sales: |
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Employer ID Number*: |
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Copy Address from Contact Information if same |
Address*: |
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Suite/Apt: |
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City*: |
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State*: |
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Zip*: |
(99999) OR (99999-9999)
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Date Business Planning to Start*: |
(mm/dd/yyyy)
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Application Type: |
New Application
Registering Additional Locations or Vending Machines |
Please Select All that applies how the cigarettes or tobacco products are sold at retail*: |
Retail Location (example: convinient store)
Cars, Trucks, Stands etc.
Vending Machines
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Business Description*: |
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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.
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Bank Name: |
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Account Number: |
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Address: |
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Suite/Apt: |
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City: |
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State: |
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Zip: |
(99999) OR (99999-9999)
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OFFICERS/MEMBERS INFORMATION |
OFFICER 1 |
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Copy from Contact Information if same |
Full Name*: |
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Title*: |
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Driving License Number: |
(if any) |
Social Security Number*: |
(999-99-9999) |
Percentage of Ownership*: |
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Date of Birth*: |
(mm/dd/yyyy) |
Residence Address*: |
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City*: |
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State*: |
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Zip*: |
(99999) OR (99999-9999)
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Phone: |
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Fax: |
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OFFICER 2 |
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OFFICER 3 |
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PAYMENT INFORMATION |
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Same as Contact Information
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First Name*: |
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Last Name*: |
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Billing Address*: |
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City*: |
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State*: |
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Zip*: |
(99999) OR (99999-9999)
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Phone*: |
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Fax: |
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Card Type*: |
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Expiration Date*: |
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Card Number*: |
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Card Security Code*:
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Please use the security code as follow:
1. Master Card- Please insert 3 digits security code from the back of the card
2. Visa Card- Please insert 3 digits security code from the back of the card
3. Discover Card- Please insert 3 digits security code from the back of the card
4. American Express- Please insert 4 digits security code from the front of American Express
For any help we can be contacted at +1 (866)754 4460
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Country: |
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General Comments / Instructions |
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TERMS OF USE AGREEMENT & DISCLAIMER |
Yes, I have read and accept the above terms and condition. (Please Select before submitting the form)
Yes
No
Do you want to subscribe to notify you for Filing Deadlines & create a Free Business Listing in our Business Directory?
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Privacy Policy
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