Sales And Contractors' Excise Tax License Application Form - South Dakota Department Of Revenue & Regulation
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1
2Sales and Contractors’ Excise Tax License Application
South Dakota Department of Revenue & Regulation
RV063
445 E. Capitol Avenue | Pierre, SD 57501-3100
Revised 07/03
1-800-TAX-9188 |
FOR OFFICE USE ONLY
Please provide all of the following information that applies to
your situtation. All applicable information MUST be
completed before a license will be issued.
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6a. Can we talk to this individual/company named in part 6 regarding your account?
" Single Owner
" Trust " Partnership/Limited Partnership
" Corporation/Date of Incorporation
7. Type of Ownership:
State of Incorporation:
If corporation, date of registration with SD Secretary of State:
" Limited Liability Company (Please include articles of organization and operating agreement.) " Other
" Sales "Use " Wholesaler " Manufacturer " Contractors' Excise
8. Type of License Requested: (check all that apply)
9. Brief description of business: (grocery store, accountant, etc.)
10. If you have purchased this business, provide the previous owner's name?
11. This business is: " Full-Time " Part-Time
"Transient (no permanent South Dakota business location)
13. Accounting Method " Cash "Accrual
12. Start Date:
14. Estimated Monthly Taxable Gross in South Dakota resulting from this business: $
15. Do you have any current or cancelled tax licenses issued by the SD Department of Revenue & Regulation? " Yes
" No
If ""Yes"", please list below (includes sales, use, contractors' excise, motor fuel, liquor, cigarette, IFTA, IRP, etc...) and proceed to
back page. If ""NO"", proceed to back page.
Type_____________ License Number _________________________________ Operated From _____________ To _____________
Type_____________ License Number _________________________________ Operated From _____________ To _____________
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