Instructions For Form Ar-1rarkansas Combined Business Registration Form Page 4
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5allowable. b) Enter the Doing Business As
SECTION U – CIGARETTE
SECTION Y – BEEF
(DBA) name. If the DBA name is exactly the
same as the legal name, leave this line
Line 71 a) Enter the start date
Line 84 a) Enter the start date
blank.
(MM/DD/YYYY) you became a Manufacturer
(MM/DD/YYYY) you became an
or Wholesaler in Arkansas. If you do not
Operator/Producer and/or First Purchaser
Line 97 Indicate the applicable
know the date, an estimated start date is
in Arkansas. If you do not know the date,
classification, Producer or Purchaser.
allowable. b) Enter the Doing Business As
an estimated start date is allowable. b)
(DBA) name. If the DBA name is exactly the
Enter the Doing Business As (DBA) name.
Line 98 a-d) Enter the mailing address if
same as the legal name, leave this line
If the DBA name is exactly the same as the
different from Section B
blank.
legal name, leave this line blank.
SECTION AD – WHEAT
Line 72 a) Indicate the applicable
Line 85 Indicate the applicable
classification, Manufacturer or Wholesaler.
classification, Producer or Purchaser.
Line 99 a) Enter the start date
Line 73 Indicate Shipping Type #1 and or #2
Line 86 a-d) Enter the mailing address if
(MM/DD/YYYY) you became a /Producer or
and Shipping Account(s) Information.
different from Section B
Purchaser in Arkansas. If you do not know
the date, an estimated start date is
Line 74 a-d) Enter the mailing address if
allowable. b) Enter the Doing Business As
SECTION Z – CATFISH
different from Section B.
(DBA) name. If the DBA name is exactly the
FEED
same as the legal name, leave this line
blank.
SECTION V – CIGARETTE
Line 87 a) Enter the start date
PAPERS
(MM/DD/YYYY) you became a Producer or
Line 100 Indicate the applicable
Purchaser in Arkansas. If you do not know
classification, Producer or Purchaser.
Line 75 a) Enter the start date
the date, an estimated start date is
allowable. b) Enter the Doing Business As
(MM/DD/YYYY) you became a Manufacturer
Line 101 a-d) Enter the mailing address if
or Wholesaler in Arkansas. If you do not
(DBA) name. If the DBA name is exactly
different from Section B
know the date, an estimated start date is
the same as the legal name, leave this line
allowable. b) Enter the Doing Business As
blank.
SECTION AE –
(DBA) name. If the DBA name is exactly the
BRUCELLOSIS/
Line 88 Indicate the applicable
same as the legal name, leave this line
blank.
classification, Producer or Purchaser.
PSEUDORABIES
Line 76 a) Indicate the applicable
Line 89 a-d) Enter the mailing address if
Line 102 a) Enter the start date
classification, Retailer, Wholesaler, or
different from Section B
(MM/DD/YYYY) you became a Producer or
Manufacturer.
Purchaser in Arkansas. If you do not know
SECTION AA –
the date, an estimated start date is
Line 77 a-d) Enter the mailing address if
allowable. b) Enter the Doing Business As
CORN/GRAIN SORGHUM
different from Section B.
(DBA) name. If the DBA name is exactly the
same as the legal name, leave this line
Line 90 a) Enter the start date
SECTION W – OTHER
blank.
(MM/DD/YYYY) you became a Producer or
TOBACCO PRODUCTS
Purchaser in Arkansas. If you do not know
Line 103 Indicate the applicable
the date, an estimated start date is
classification, Producer or Purchaser.
Line 78 a) Enter the start date
allowable. b) Enter the Doing Business As
(MM/DD/YYYY) you became a Manufacturer
(DBA) name. If the DBA name is exactly
Line 104 a-d) Enter the mailing address if
or Wholesaler in Arkansas. If you do not
the same as the legal name, leave this line
different from Section B
know the date, an estimated start date is
blank.
allowable. b) Enter the Doing Business As
SECTION AF – WASTE TIRE
(DBA) name. If the DBA name is exactly the
Line 91 Indicate the applicable
same as the legal name, leave this line
classification, Producer or Purchaser.
blank.
Line 105 a) Enter the start date
Line 92 a-d) Enter the mailing address if
(MM/DD/YYYY) you became tire retailer in
Line 79 a) Indicate the applicable
different from Section B
Arkansas. If you do not know the date, an
classification, Retailer, Wholesaler, or
estimated start date is allowable. b) Enter
Manufacturer.
the Doing Business As (DBA) name. If the
SECTION AB – RICE
DBA name is exactly the same as the legal
Line 80 a-d) Enter the mailing address if
name, leave this line blank.
Line 93 a) Enter the start date
different from Section B.
(MM/DD/YYYY) you became a Producer or
Line 106 a-d) Enter the mailing address if
Purchaser in Arkansas. If you do not know
different from Section B
SECTION X – SOFT DRINK
the date, an estimated start date is
allowable. b) Enter the Doing Business As
SECTION AG –
Line 81 a) Enter the start date
(DBA) name. If the DBA name is exactly
(MM/DD/YYYY) you became a Manufacturer
the same as the legal name, leave this line
CONSTRUCTION
or Wholesaler in Arkansas. If you do not
blank.
know the date, an estimated start date is
Line 107 a) Enter the start date
allowable. b) Enter the Doing Business As
Line 94 Indicate the applicable
(MM/DD/YYYY) your business began or will
(DBA) name. If the DBA name is exactly the
classification, Producer or Purchaser.
begin in Arkansas. If you do not know the
same as the legal name, leave this line
date, an estimated start date is allowable.
blank.
Line 95 a-d) Enter the mailing address if
b) Enter the Doing Business As (DBA)
different from Section B
name. If the DBA name is exactly the same
Line 82 a) Indicate the applicable
as the legal name, leave this line blank.
classification, Retailer, Wholesaler, or
SECTION AC – SOYBEAN
Manufacturer.
Line 108 a-d) Enter the mailing address if
Line 96 a) Enter the start date
different from Section B
Line 83 a-d) Enter the mailing address if
(MM/DD/YYYY) you became a Producer or
different from Section B.
Purchaser in Arkansas. If you do not know
the date, an estimated start date is
Revised 01/30/2013
Page 4 of 5
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