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Get BRT-803 - State Of West Virginia - State Wv

Sion Office of Business Registration Please Type Or Print. Use Blue Or Black Ink To Complete This Form P. O. Box 2666 Charleston, West Virginia 25330-2666 Application For Transient Vendor License 1. West Virginia 3. State Tax Department USE 7. ONLY 9. Transient Vendor Certificate Number Issue Date 4. 2. Tax Identification Number Period 5. WV/Bus-App Vendor s Name 6. Surety Status 8. Tax Status Trade Name 10. Name Under Which Certificate Is To Be Issued (Trade Name, Fictitious.

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