Form St 1 - Application For Vendor'S License To Make Taxable Sales
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1Reset Form
ST 1
Rev. 2/07
Application for Vendor's
07100100
License to Make Taxable Sales
To the County Auditor of
County
Vendor's license number
Please print.
Federal employer identification no.
Social Security no.
Ohio corporate charter no.
If you are a foreign corporation, give Ohio certificate number
If you file under cumulative return authority, what is your master number?
1. Check type of ownership: (10) Sole owner
(20) Partnership
(30) Corporation
(40) Association
(50) LLC
(60) Fiduciary
(70) LLP
(80) LTD
(100) Business trust
2. When did you or will you start making taxable sales at this location? (mm/dd/yy)
(For the most current NAICS listings,
3. Provide NAICS code and state nature of business activity
visit our Web site at tax.ohio.gov.)
4. Legal name
(Corporation, sole owner, partnership)
5. Trade name or DBA
6. Primary address
Home/office address of corporation, sole owner or partnership
City
State
ZIP code
Home/office fax no.
Business phone no.
Home/office phone no.
7. Business location
Address
City
State
ZIP code
8. Mailing address
(If different from above)
City
State
ZIP code
9. How much sales tax do you expect to collect each month? (06) Less than $200
(01) $200 or greater
10. List previous owner(s') name, address and vendor's license number(s).
Name
Street
City
State
ZIP code
Vendor's license no.
11. Will you be selling beer, wine or liquor at this location? Yes
No
If yes, list your Department of Liquor Control
permit class, number and employer withholding account number.
Liquor control permit no.
Employer withholding account no.
Liquor control permit class
12. Do you intend to make non-liquor sales prior to the issuance of your permit? Yes
No
13. If you operate as a corporation or partnership, list appropriate names, addresses and Social Security numbers below.
President/Partner
Name
Street
City
State
ZIP
Social Security no.
Vice-Pres/Partner
Name
Street
City
State
ZIP
Social Security no.
Secy/Treas/Partner
Name
Street
City
State
ZIP
Social Security no.
Note: The county auditor shall not issue a vendor's license until all questions on this application are answered. Application
and payment of the $25 fee should be forwarded to the auditor of the county in which the sales are to be made.
I hereby declare the above to be true and correct to the best of my knowledge and belief.
Date
Signature of applicant or agent
County auditor
By deputy
Ohio Department of Taxation, (888) 405-4089. Retain a copy for your records.
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Parent category: Financial