online tax id number

 
Business Information Worksheet



The information entered in the following form is used for obtaining a State Resale Tax Certificate.

As certain information may not pertain to your business, not all form fields are required. If you are unsure about a form field, simply enter it to the best of your ability.

Please provide the following contact information

First Name
Last Name
Title
Phone
E-mail

Business Information

Company Name
DBA, if applicable
Type of Entity  
Federal Tax Id Number (EIN )
State of Incorporation
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Work Phone
FAX
E-mail
URL
Business Activity
Description

Business Postal Mailing Address

Name
Title
Organization
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country

Primary Business Owner Information

Name
Title
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Phone
FAX
E-mail

Please enter any notes, questions, or comments below

Please be as detailed as possible. 
 

 

 The information entered on this form will be reviewed by our staff; you will be able to modify the information before the final application is submitted for issue of the State Resale Tax Certificate.

Revised: 05/04/12