Form St 1 - Application For Vendor'S License To Make Taxable Sales
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ST 1
Rev. 12/10
Application for Vendor's
07100100
P .O. Box 182215
License to Make Taxable Sales
Columbus, OH 43218-2215
(888) 405-4089
Vendor's license no.
To the County Auditor of
County
(For department use only)
Federal employer identifi cation no.
Social Security no. / ITIN
Ohio corporate charter no. / certifi cate no.
If you fi le under cumulative return authority, what is your master number?
1. Check type of ownership: (10) Sole owner
(20) Partnership
(30) Corporation
(150) Nonprofi t
(50) LLC
(70) LLP
(80) LTD
Other (please specify)
2. When did you or will you start making taxable sales at this location? (MM/DD/YY)
(For the most current listings, search
3. Provide NAICS code and state nature of business activity
NAICS on our Web site at tax.ohio.gov.)
4. Legal name
(Corporation, sole owner, partnership, etc.)
5. Trade name or DBA
6. Primary address
Address of corporation, sole owner, partnership, etc.
City
State
ZIP code
Business phone no.
Fax no.
Secondary phone no.
7. Mailing address
(If different from above)
City
State
ZIP code
8. Business location
Address
City
State
ZIP code
9. How much sales tax do you expect to collect each month? Less than $200
$200 or greater
10. Have you applied for a liquor permit transfer? Yes
No
Vendor's license number
Liquor permit no.
11a. Have you applied for a new liquor permit? Yes
No
Date applied for
11b. Do you intend to make nonliquor sales prior to the issuance of your new liquor permit? Yes
No
Date business will or did begin
12. If you operate as a corporation or partnership, list appropriate names, addresses and identifi cation numbers below.
Title
Name
Street
City
State
ZIP code
SSN / ITIN / FEIN
Title
Name
Street
City
State
ZIP code
SSN / ITIN / FEIN
Title
Name
Street
City
State
ZIP code
SSN / ITIN / FEIN
13. Name, phone number, fax number and e-mail address of individual the department should contact regarding this account
Name
Phone no.
Fax no.
E-mail address
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 must accompany this application.
Date
Signature of applicant
County auditor
By deputy
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Parent category: Financial