Montana Form Ma - Master Application
ADVERTISEMENT
1
2
3
4One Stop Licensing
MONTANA
MASTER APPLICATION
Form MA
PO Box 8003
Revised 9-00
Helena, MT 59604-8003
Phone: (406) 444-6900
A
PAYMENT SUMMARY
LICENSE
EGG
PETROLEUM
WEIGHING
NURSERYMAN’S
FOOD
ASSUMED
CIGARETTES
EMPLOYER
DEALER
DEALERS
DEVICES
PURVEYOR
BUSINESS NAME
REGISTRATION
AGENCY
Livestock
Commerce
Commerce
Agriculture
Health
Sect’y of State
Revenue
Revenue
SECTIONS TO
A,B,C,H
A,B,C,H
A,B,C,E,F,H
A,B,C,H
A,B,C,H
A,B,C,H
A,B,C
A,B,C,H
COMPLETE
$60.00
PA-Max Delivery<20GPM=$16
Gross annual sales
None
$20.00 time of Reg.
$50.00 sub-jobber
$5
FEES
SA-0-499 lbs=$12
>$3,000 = $120
PB-Max Delivery 20<X<130GPM=$55
$20.00 additional charge
$50.00 wholesaler
SB-500-1,999 lbs=$20
*Gross annual sales
for priority handling
PC- Max Delivery greater than 130 gal/
$ 5.00 retailer
$1,000-$2,999 =$55
SC-2,000-7,999 lbs= $40
$20.00 renewal
minute = $65
$50.00 major vendor
*Gross annual sales
SD-8,000-60,000 lbs= $100
PD-Liquefied Petro Meters = $80
$ 5.00 minor vendor
<$1,000
SE-60,001 lbs & over=$175
PE-Vapor Meters (Propane) = $10
*Must submit an
$-0- other tobacco
PF-less than or equal to 2,000 gal. = $60
Affidavit for Nursery
PG-2,001 gallons to 3,000 gallons = $72
License Exemption
INSPECTION
Yes
Yes*
Yes*
Yes*
Yes
No
No
No
REQUIRED
*Inspection conducted on a yearly basis, but licensing is not dependent upon inspection.
Column A
Column B
LICENSE
FEES
LICENSE
FEES
Petroleum Dealers
Food Purveyor
Type Number
Endorsements: (Check all that apply)
.
PA
______ X $16.00
____________________
1.
2.
3.
4.
5.
6.
7.
8.
9
____________________
PB
______ X $55.00
____________________
PC
______ X $65.00
____________________
Retail Egg Dealers
____________________
PD
______ X $80.00
____________________
PE
______ X $10.00
____________________
Cigarette
PF
______ X $60.00
____________________
PG
______ X $72.00
____________________
Retailer
Wholesaler
Subjobber
____________________
Major Vendor
Minor Vendor
Other Tobacco Products
Weighing Devices
Nurseryman’s
____________________
Type Number
SA
______ X $12.00
____________________
Unemployment Insurance
N/A
SB
______ X $20.00
____________________
SC
______ X $40.00
____________________
Withholding
N/A
SD
______ X $100.00
____________________
SE
______ X $175.00
____________________
Secretary of State assumed business name
____________________
Assumed Business Name:___________________________________
County(s) in which business will be conducted________________________________
Description of BusinessTransacted:____________________________
Day Business will commence:_____________________________________________
Credit Card Payments:
Visa
Master Card
Expiration Date
Check or Money Order Enclosed
Card #
Amount Enclosed
Check #
PLEASE DO NOT SEND CASH
ADVERTISEMENT
0 votes
Related Articles
Related forms
Montana Form Mine-cert - Application And Affidavit For Certification And Approval Of Mineral And Coal Exploration Incentive Credits - 2006
Financial
Montana Form Mine-cert - Application And Affidavit For Certification And Approval Of Mineral And Coal Exploration Incentive Credits - 2010
Financial
Montana Form Mine-cert - Application And Affidavit For Certification And Approval Of Mineral And Coal Exploration Incentive Credits - 2009
Financial
Montana Form Mine-cert - Application And Affidavit For Certification And Approval Of Mineral And Coal Exploration Incentive Credits - 2012
Financial
Related Categories
Parent category: Legal