Form Boe-400-Mt - Application For Seller'S Permit - Temporary Page 2
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2BOE-400-MT (BACK) REV. 9 (1-03)
SECTION III: SELLING LOCATION AND EVENT INFORMATION
29. PERIOD OF SALES
30. ADMISSION CHARGED
Yes
No
FROM:
THROUGH:
31. WHAT WILL YOU SELL?
32. PROJECTED SALES (if unknown, enter estimated amount)
33. COST OF SPACE RENTAL (if any)
34. ORGANIZER OF EVENT (if any)
ADDRESS (street, city, state, zip code)
35. TELEPHONE NUMBER
(
)
36. SELLING LOCATION (physical location or address)
37. HOW MANY SELLING LOCATIONS WILL YOU HAVE? (if more than one, list all locations)
CERTIFICATION
All owners and partners must sign below.
I am duly authorized to sign the application and certify that the statements made are correct to the best of my knowledge and belief.
I also represent and acknowledge that the applicant will be engaged in or conduct businesses as a seller of tangible personal property.
NAME (typed or printed)
SIGNATURE
DATE
✍
NAME (typed or printed)
SIGNATURE
DATE
✍
NAME (typed or printed)
SIGNATURE
DATE
✍
NAME (typed or printed)
SIGNATURE
DATE
✍
If you have not been instructed where to return your application, you may return it to a Board field office.
Call 1-800-400-7115 for locations and telephone numbers.
FOR BOARD USE ONLY
Furnished to Taxpayer
REPORTING BASIS
FORMS
PUBLICATIONS
MONTHLY
TAX RETURN
SECURITY REVIEW
TAX RATE CHARTS
BOE-530-B
BOE-598 $
BOE-1009
BY
APPROVED BY
REGULATIONS
REG 1668
REMOTE INPUT DATE
REG 1698
REG 1700
BY
Permit Issued Date
PRINT
CLEAR
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Parent category: Legal