Online Request – Gravity Form

Total

Please Confirm State Sales Tax Application(Required)

Expedite Request(Required)

No

Yes (+$47)

* New Sales Tax Registration Only. You may also apply for a Federal Employment Identification Number, an option at add no additional charge selectable within this form. CO & SC additional one hundred dollars. This form should be completed by any officer, partner, member, shareholder, owner, or employee who is affiliated with the business. If you already have an existing Sales Tax Number and are looking to renew your certificate, please do not continue with this online form.

Company Contact Information

Company Contact Person Name(Required)

First Last

Company Name(Required)

DBA (Doing Business As)

Contact E-mail(Required)

Verify Contact E-mail(Required)

Company Contact Phone Number(Required)

Additional Phone Numbers

Business Phone

Alternate Phone

Fax

Start Date of Company(Required)

Business Entity Type & FEIN(Required)

FEIN - Federal Employment Identification Number

Must be between 9 and 10 characters.

Physical Business Address [Cannot be a Post office Box]

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Name of COUNTY and/or TOWNSHIP(Required)

Business Mailing Postal Address

SAME AS Physical Business Address Above

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Business Activity Description

Please Enter Company Purpose(Required)

Primary Owner's Information

Primary Owner's Name

First Last

Business Mailing Postal Address

SAME AS Physical Business Address Above

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Primary Owner's Date of Birth(Required)

Primary Owner's Social Security Number(Required)

Must be between 9 and 11 characters. Currently Used: 0 characters.

Business License & Permits (Federal/State/Local)

Obtain All Licenses and Permits For Your Business.

Business Licenses / Permits includes:

Review of Your Business Type & Industry
Federal, State, County, City, & Local Business License/Permit
Includes Online Access
Submit only the applications you wish when you are ready

Add Business / Permit to State Sales Tax Registration

No

Yes (+$99)

Please note, applications are processed upon completion of payment on the next screen. Once the application is submitted, you will be directed to the payment page.

You will not be able to use the back button on your browser to edit or view the information once you have left this page.

If you wish to edit the information, please click the Previous link below.

Total

Description

Item Price

Please Confirm State Sales Tax Application

Expedite Request

Add Business / Permit to State Sales Tax Registration

Credit Card

American Express

Discover

MasterCard

Visa

Card Number

Expiration Date

Security Code Cardholder Name

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country