Resale Certificate Application

1

Did KIS Consult assist you with opening your company ?

YESNO

2

Legal Company Name

3

Fictitious Name (DBA)

4

EIN (Employer Identification Number)If already assigned

5

Purpose of the Company (Main activity/operation)

6

Company Physical Address

7

Company Mailing Address

8

Have you ever had a Sales Tax Account or run Payroll for your company?

YESNO

9

Please inform the Business Partner and Certificate Number of your precious account

10

Expected date to start operations

Date

11

POS (merchant sales software) in place?

YESNO

12

Does the company operate only seasonal?

YESNO

13

Is there any facilitator involved that collects and remits the sales tax already?Example: Amazon

YESNO

14

The sales tax reports are going to be done by KIS?

YESNO

15

Have the company ever changed its name?

YESNO

16

Do you have the previous name resale certificate document?

YESNO

17

What is the Business Partner and Certificate Number?

18

Please inform on the next fields the company's bank account information for the Florida Departament of Revenue to deduct the Sales & Use Tax for each period after the sales report has been submitted monthly/quarterly.

19

Routing Number

20

Account Number

21

File Upload

Drag and drop files here

Select files to upload

Max. file size: 10.6MB

22

Member's Residential Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

23

Member's Email

example@example.com