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Angelica

Retail Food Store 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 Retail Food Store 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*:
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
Country:
 
General Comments / Instructions
 
TERMS OF USE AGREEMENT & DISCLAIMER


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