Form Tt-1 - Schedule A - Application For Cigarette Stamping Permit And Tobacco Products Tax Distributor'S License Personal Data Form Page 3

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Instructions For Form TT-1 Schedule A, Application for Cigarette Stamping
Permit And Tobacco Products Tax Distributor’s License - Personal Data Form
General Information
Schedule A Instructions
Schedule A must be completed for each offi cer,
•
Personal Data Forms may be submitted separately
director, manager, sole proprietor, partner, member,
from the application for registration.
stockholder, or any other person possessing an
•
Copy form as needed.
ownership interest of 10% or greater in the applicant,
•
Sections not specifically mentioned are self-
who exercises authority or control over the purchase,
explanatory.
storage, sale or distribution of cigarettes or other
Section A
tobacco products (“OTP”) or over the compliance
with any cigarette or tobacco products tax laws.
Enter the exact legal name and federal employer
identification number (FEIN) as listed on the
A completed Schedule A must also be fi led within 10
application for license.
days for any new person meeting this criterion after
the permit/license has been issued.
Section B
Note: The Department of Taxation (“TAX”) may
Enter your physical home address. Do not use a P. O.
require that a person submit fi ngerprints as part of
Box.
the background check.
Section E
Filing Procedure
If you answer “Yes” to this question, complete all of
A fee of $600 is required with this application. After
the required boxes for each entity.
the initial approval, there is a non-refundable $100
Attach additional sheets if necessary.
fee for each additional background check.
Make your check payable to the Department of
Taxation. Mail the completed forms and your check
to:
Department of Taxation
Tobacco Unit
P. O. Box 715
Richmond, VA 23218-0715
Change of Responsible Party
If there is a change of offi cer, director, manager,
sole proprietor, partner, member, stockholder, or
any other person possessing an ownership interest
of 10% or greater in the applicant, who exercises
authority or control over the purchase, storage, sale
or distribution of cigarettes or other tobacco products
(“OTP”) or over the compliance with any cigarette
or tobacco products tax laws, a new TT-1 will not
be required unless other information required on the
Form TT-1 has changed. However, if a new person
meets the criterion listed above, a Schedule A must
be completed for that person.
Questions
Call (804) 371-0730 or write the Virginia
Department of Taxation, Tobacco Unit, P.O.
Box 715, Richmond, VA 23218-0715. You can
obtain most Virginia tax forms from TAX’s website
or by calling the TAX’s Forms
Request Unit at (804) 440-2541.
Va. Dept. of Taxation
TT-1 W
REV 09/07
Page 3

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