Form Crf-008 - Tobacco License Application - 2011
Download a blank fillable Form Crf-008 - Tobacco License Application - 2011 in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete Form Crf-008 - Tobacco License Application - 2011 with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
1
2Print
Clear
Page 1
CRF-008 (Rev. 6/11)
Georgia Department of Revenue
Alcohol & Tobacco Division
PO Box 49728
Atlanta, GA 30359
TOBACCO LICENSE APPLICATION
(Read Instructions Before Completing)
1 (877) 423-6711
1
STATE TAXPAYER IDENTIFIER:
FOR OFFICE
USE ONLY
2
LEGAL BUSINESS NAME:
3
TYPE OF LICENSE: (Check One)
WHOLESALE
RETAIL
MANUFACTURER
IMPORTER
4
WHEN DID OR WILL YOU START
SELLING TOBACCO PRODUCTS?
5
KIND OF BUSINESS ENGAGED IN
IF YOU ARE APPLYING FOR A WHOLESALE LICENSE, COMPLETE THE REMAINING QUESTIONS
6
WHAT WERE YOUR GROSS SALES OF TAXABLE
CIGARS, CIGARETTES AND LOOSE OR SMOKELESS
$
TOBACCO FOR THE PAST YEAR?
7
DO YOU NOW OR DO YOU PLAN TO AFFIX
THE CIGARETTE EXCISE STAMP?
YES
NO
8
DOES THE PERSON MAKING APPLICATION HOLD A RETAIL CIGAR, CIGARETTE OR LOOSE AND
SMOKELESS TOBACCO LICENSE?
YES
NO
(If “YES”, list name of retail business and retail license number)
9
STI NUMBER
RETAIL BUSINESS NAME
TOBACCO LICENSE NUMBER
10
LIST ALL THE EMPLOYEES OF YOUR BUSINESS AND INDICATE THEIR POSITION AND SOCIAL SECURITY NUMBER
NAME
TITLE
SOCIAL SECURITY NO.
THIS APPLICATION HAS BEEN EXAMINED BY ME, AND TO THE BEST OF MY KNOWLEDGE IS TRUE AND
CORRECT.
SIGNATURE
TITLE
DATE
(MUST BE SIGNED BY OWNER, PARTNER, OR AUTHORIZED OFFICER OF CORPORATION - STAMPED SIGNATURE ACCEPTABLE)
FOR OFFICE USE ONLY
TOTAL FEE PAID
REGISTRATION STATUS
REGISTRATION REASON
STATE LICENSE NUMBER
ISSUE DATE
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Financial