Form St 1-T - Application For Transient Vendor'S License - 2000
ADVERTISEMENT
1S
O
Prescribed Sales Tax Form
TATE OF
HIO
ST 1-T (Rev. 9/00)
D
T
EPARTMENT OF
AXATION
FOR STATE USE ONLY
P.O. B
182215, C
, OH 43218-2215
OX
OLUMBUS
License Number Assigned
A
T
V
'
L
PPLICATION FOR
RANSIENT
ENDOR
S
ICENSE
Effective Date Filing Method
Section 5739.17 of the Ohio Revised Code provides for a transient vendor's license when the person who,
in the usual course of his business, transports inventory, stock of goods, or similar personal property to a temporary place of business in a
county in which he has no fixed place of business, for the purpose of making retail sales of such property.
I/we herewith make application to the Tax Commissioner of the State of Ohio for a transient vendor's license. (For sole owner, print individual's
name; for partnership, print full names of all partners; for corporation, print corporation's name and Ohio corporation charter number. If a foreign
corporation, certificate number issued by Secretary of State authorizing transaction of business in Ohio. Section 1703.01 O.R.C.)
_________________________________________________________
# ____________________________
name
corporation charter
_________________________________________________________________________________________
trade name or dba if other than above
Address shown must be vendor's residence or permanent business location
_________________________________________________________________________________________
street address
_________________________________________________________________________________________
city
state
zip code
telephone no.
Mailing address (if other than above)
_________________________________________________________________________________________
street address
_________________________________________________________________________________________
city
state
zip code
Federal Employer Identification Number or if none
Federal Identification No.
Social Security No.
assigned for reporting Federal Taxes, please enter
your Social Security Number.
q
q
q
Check type of ownership:
0.
Corporation
1.
Sole Owner
2.
Partnership
q
q
3.
Fiduciary
4.
Association
If a corporation, partnership or partners, show officers' names and addresses below.
President/Partner ______________________________________________________________________________
name
street
city/state
Vice-Pres./Partner _____________________________________________________________________________
name
street
city/state
Secy/Treas./Partner ____________________________________________________________________________
name
street
city/state
When did you or will you start transient operation _____________________________________________________
month
day
year
Type of Business or items sold __________________________________________________________________
Provide Vendor's License Number for each fixed place of Business in Ohio
_________________________________
________________________________
If additional space is required, use reverse side.
I hereby declare the above to be true and correct to the best of my knowledge and belief.
Date ________________________ , ________
__________________________________________
signature of vendor or agent
Fee for this license -- $25.00
Send original application and $25.00 fee made payable to Treasurer of State to
Ohio Department of Taxation, Registration Unit, P.O. Box 182215, Columbus, OH 43218-2215
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Financial