Form St 1-T - Application For Transient Vendor'S License - Ohio Department Of Taxation

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S
O
Prescribed Sales Tax Form
TATE OF
HIO
ST 1-T (Rev 8/86)
D
T
EPARTMENT OF
AXATION
FOR STATE USE ONLY
P.O. B
530, C
, OH 43266-0030
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.
Check type of ownership:
0.
Corporation
1.
Sole Owner
2.
Partnership
3.
Fiduciary
4.
Association
If a corporation, show officers' names and addresses below.
President ___________________________________________________________________________________
name
street
city/state
Vice-Pres ___________________________________________________________________________________
name
street
city/state
Secy/Treas __________________________________________________________________________________
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 ________________________ , 19 ____
_________________________________________________
signature of vendor or agent
Fee for this license -- $100.00
Annual Renewal Fee -- $40.00
Monthly Tax Returns Required
Send original application and $100.00 fee made payable to Treasurer of State to
Ohio Department of Taxation, License Unit, P.O. Box 530, Columbus, OH 43266-0030

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