Form St-1 - Application For Sales And Use Tax Permit - 2001
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1
2x
A
ST-1
Department of Finance and Administration
RKANSAS
FORM
Sales and Use Tax Section
P. O. Box 1272, Little Rock, AR 72203-1272
(501) 682-7104
Application for Sales and Use Tax Permit
Applicants must answer all of the requested information fields in order to
receive a permit for business in Arkansas.
For Office Use
A separate application must be completed for each location.
1.
Name of Business (DBA)
2.
Corporate Name or Partnership Name
3.
Location – Street Address of Business (Not P. O. Box)
4.
Location – Street Address of Business (if additional space is needed)
5.
City
ST
Zip Code
County (if in Arkansas)
6.
-
-
Business Location Phone Number
Ext
7.
Mailing Address (if different from Location Address)
8.
Mailing Address (if additional space is needed)
9.
City
ST
Zip Code
10.
-
-
Business Location Phone Number
Ext
11.
Federal ID
12.
Name of Owner/Officer or Partner
First
MI
Last
Title
Mailing Address of Owner
Mailing Address of Owner
City
ST
Zip Code
SSN
13.
Name of Owner/Officer or Partner
First
MI
Last
Title
Mailing Address of Owner
Mailing Address of Owner
City
ST
Zip Code
SSN
Form ST -1 (R08-2001)
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