State Sales Tax Application

"*" indicates required fields

Please Select State Sales Tax Registration ( Required )*

Please select the State the business is requesting for new registration ( Required )

Total

For Additional Registrations, please select the States below. This is optional and only applies if you wish to register in more than one state.

Please Select Second State Sales Tax Registration ( Optional )

Please select the Second State the business is requesting for new registration ( Optional )

Please Select Third State Sales Tax Registration ( Optional )

Please select the Third State the business is requesting for new registration ( Optional )

Is the company seeking to register in one single state?*

Typically, most new businesses register in one state.

Yes, One Single State Application

No, Multiple State ( Two or more ) Application

Company Contact Information

Company Name*

DBA (Doing Business As)

Company Contact Person Name*

First Last

Company Contact E-mail*

Enter Email Confirm Email

Company Contact Phone Number - For Company Verification*

In order to verify the information, a representative will call this number.

Send Updates To My Mobile Number

Get updates on your mobile device?

Mobile Phone

Mobile device to get updates.

This field is hidden when viewing the form

Company Contact Phone Number

This field is hidden when viewing the form

Additional Phone Numbers

Business Phone

Alternate Phone

Fax

Start Date of Company*

EIN - Employer Identification Number

If applicable, enter your existing EIN (Employer Identification Number) below. Example: 12-3456789

Business Entity Classification Type*

Please Select Entity Below

State of Company Incorporation

Secretary of State ( SOS ) Number

If incorporated in AR, CA, CO, IN, LA, MO, NJ, NC, or TX with a Secretary of State number, enter it here.Typically applies to LLCs, and Corporations

Physical Business Address [Cannot be a Post office Box]

Address*

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

Name of COUNTY and/or TOWNSHIP*

Business Mailing Postal Address [ Post Office Box Acceptable ]

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*

Owner's Information

Owner's Name*

First Last

Owner Address

SAME AS Physical Business Address

Owner Address

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

Owner's Social Security Number*

Use hyphens when entering your Social Security Number. For example: xxx-xx-xxxx

Owner's Date of Birth*

Owner # 2 Information

Owner #2 Name

First Last

Owner #2 Address

SAME AS Physical Business Address

Owner #2 Address

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

Owner #2 Social Security Number

Owner #2 Date of Birth

Business License & Permits (Federal/State/Local)

Obtain all required licenses and permits for your business.

Review of Your Business Type & Industry
Federal, State, County, City, & Local Licensing
Includes Online Access to Forms
Submit Only the Applications You Choose

Add Business / Permit to State Sales Tax Registration

Yes (+$82)

Expedite Request - Included

w/Same Day eConfirmation guaranteed in most cases*

Yes

Total

Description

Payment Information

This field is hidden when viewing the form

Confirm State of New Registration

This is the state where the business is to be newly registered.

Total

Name on Credit Card*

First Last

Credit Card*

American Express

Discover

MasterCard

Visa

Card Number

Expiration Date

Security Code Cardholder Name

This field is hidden when viewing the form

Credit Card Number

Enter numbers only. No dashes or hyphens.

This field is hidden when viewing the form

Credit Card Expiration

This field is hidden when viewing the form

Credit Card Security Code

The card security code (CSC) is a 3 - or 4 - digit number, usually printed on the back of the card by the signature line.

Driver's License Number

Used for verification purposes only

Credit Card Billing Address*

Street Address Address Line 2 City State ZIP Code

Please enter the billing address of the credit card.

Consent & Signature

Credit Card Authorization Consent Agreement*

***** Please scroll and read and agree to the Credit Card Authorization Consent Agreement

I am an authorized user of the credit card. “ I “ refers to the cardholder / authorized user.

I understand my card will be pre-authorized, and a hold will be placed on the credit card for the exact amount of the charge.

I understand the information is verified on the application for errors. At times, the information verification process may add additional time. I understand this may create a delay in the processing of the application.

I understand as this is a unique service for the business information entered, and a refund will be issued only if the business is registered, or if the application for the company is rejected; if this applies to your application, your card will either not be charged or will be refunded.

I understand the information must be verified on the application submitted, and any errors, intentional or otherwise, may create a delay in the processing of your application.

Once the application is reviewed and the application is processed, I understand I will receive an email confirmation, at which point my credit card will be charged.

I am authorizing a single, one (1) time credit card charge to be processed through License Tax Sales Services.

I understand no additional charges will be authorized, and only the last four digits of the credit card are kept on file, solely for record keeping purposes.

I authorize a charge for the above amount to the credit card indicated in this authorization form according to the terms outlined above.

This payment authorization is for the services described above, for the amount indicated above only, and is valid for one time use only.

I certify that I am an authorized user of this credit card and that I will not dispute the payment with my credit card company; so long as the transaction corresponds to the terms indicated in this form.

This authorization is for a single transaction only, and does not provide authorization for any additional unrelated debits or credits to your account.

Accept Consent for Credit Card Authorization Consent Agreement

Please note charges will appear on the credit card as* Licensing Registration Services *

Signature*

Submitting the application may take a minute or two.

Apply

Business Info

Notification

Processing

Certificate Issued

Company Contact Information

Physical Business Address [Cannot be a Post office Box]

Business Activity Description

Owner's Information

Owner # 2 Information

Business License & Permits (Federal/State/Local)

Payment Information

Consent & Signature