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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 Name
Last 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?
YES
NO
If you selected yes provide the driver license number or ID info.
Owner or Officer home Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Is the Business Address the same as Home Address?
YES
NO
If the answer is NO, What is the business Address? No PO Boxes
Type of Business
*
Please Select
Shop/Cafe
Lending
Store
Rentals
Others, please specify below.
What does your business Sell?
Does the business currently have any suppliers?
YES
NO
If you selected Yes, Please provide the Vendor(s) Name ,Phone number and Address
Others
*
Message
Name
First Name
Last Name
Signature
Date
-
Month
-
Day
Year
Date
My Products
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Sellers Permit
$
105.00
Submit Registration
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Payment Methods
Debit or Credit Card
Choose from one of the PayPal options to
make your payment.
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