Reset Form
ST 1D
Rev. 2/07
Page 2
Important!!!
Please read the information provided with this application concerning a delivery vendor's license before you complete the
questionnaire and application. Completion of the questionnaire will enable the Department of Taxation to determine if you
qualify as a delivery vendor. If you do not complete the questionnaire, a delivery vendor's license cannot be issued.
Please Respond to the Following Questions
1. Do you have a store, showroom or similar location where your customers can regularly purchase or select merchandise or
services, pick up merchandise, or have an item repaired or installed?
Yes
No
2. Do you make sales at temporary locations, such as county fairs, shopping malls, flea markets, motel rooms, arts and
craft shows, etc.?
Yes
No
3. Do you sell warranties, maintenance agreements or service contracts on items sold at your store or showroom?
Yes
No
4. Do you rent or lease motor vehicles, titled watercraft or titled outboard motors to others?
Yes
No
5. Do you provide landscaping or lawn care service; private investigation and security service; exterminating service; building
maintenance and janitorial service; employment service; or employment placement service?
Yes
No
6. Do you carry a stock of goods in or on a motor vehicle and make sales to customers directly from the vehicle?
Yes
No
7. Can your customer come to your business address and pick up merchandise?
Yes
No
8. Is your product always delivered by your vehicles, U.S. mail or by common carrier?
Yes
No
9. Briefly describe your business and method of operation