Business Intake For Seller's Permit

Business Intake for Sellers Permit

Also commonly Known as wholesale License, Reseller's License, Resale Certificate Please provide all required details to register your business with us.Please Note There is no Refund once your documents have been Prepared.
Business Owner*

First NameLast Name
IF You have a business Partner please enter their name below. The Partner will need to complete his or her on form. The cost will not be extra because of the Partnership
Contact Number*
E-mail*
example@example.com
Doing Business as or DBA Name (Optional)*
What Type Of Business Is This?Individual,Soleproprietor,LLC,Corporation,Partnership,Nonprofit
Secretary of State Number(If you've Already formed an LLC, Partnership, Or Corporation. Provide your Entity number
Date of Birth
Social Security Number(numbers only)
Does this owner have a California driver license or ID?

YESNO
If you selected yes provide the driver license number or ID info.
Owner or Officer home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Is the Business Address the same as Home Address?

YESNO
If the answer is NO, What is the business Address? No PO Boxes
Type of Business*
What does your business Sell?
Does the business currently have any suppliers?

YESNO
If you selected Yes, Please provide the Vendor(s) Name ,Phone number and Address
Others*
Message
Name

First NameLast Name
Signature

Clear
Date

MonthDayYear
Date

My Products

Sellers Permit

$105.00

Total

$0.00

Credit Card

First Name

Last Name

Credit Card Number

Security Code

Expiration Month

Expiration Year

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

Business Intake for Sellers Permit