Retail Sales Permit Renewal Application Form

STATE OF RHODE ISLAND

DIVISION OF TAXATION

ONE CAPITOL HILL

PROVIDENCE RI 02908

RETAIL SALES PERMIT RENEWAL APPLICATION

PERMIT NO:

FISCAL YEAR

BEGINNING JULY 1, 2005

(required)

ENDING

JUNE 30, 2006

DUE ON OR BEFORE JANUARY 31, 2005

Please forward renewal fee of $10.00 as soon as possible to be guaranteed a new

permit when you receive your July sales tax booklet.

Annual sales Tax Renewal Fee: $10.00

NAME AND ADDRESS:

Check here if this is a new address

__________________________________

________________

Authorized Signature

Date

Instructions:

Do NOT mail with a tax return.

Submit a separate form for each individual permit held.

Mail this form and remittance to:

RI Division of Taxation

One Capitol Hill

Providence RI 02908

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Parent category: Financial