This license is non-transferable. Motor Fuels Retail Outlet License Application License Year Ending Status New Renewal No Longer Needed Establishment Number Business Information Business Name Business Address City State County Zip Business Phone Business Fax Blank Space Business Email For Official Use Only Mailing address if different from above Street or P.
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How to fill out the On Line Outlet License Form online
Filling out the On Line Outlet License Form is an essential step for gasoline retailers to obtain a necessary license. This guide provides a step-by-step approach to ensure all required information is accurately completed.
Follow the steps to complete the On Line Outlet License Form with ease.
- Click the ‘Get Form’ button to access the form and open it for editing.
- Begin by selecting the license year ending and indicate the status of your application by choosing one of the following options: New, Renewal, or No Longer Needed.
- Provide your establishment number in the designated field.
- In the Business Information section, enter your Business Name, Business Address, City, State, County, Zip code, Business Phone, and Business Fax. Ensure each detail is complete and accurate.
- Fill in your Business Email address for correspondence. If your mailing address differs from your business address, provide the new mailing address details in the specified fields.
- Proceed to the Corporate/Owner Information section. Mark the appropriate Ownership Type and enter the Corporate Name along with the Owner's/President's/Partner's Name and Date of Birth.
- Input the Home Address of the Owner, along with the City, State, Zip code, Home Phone, and Cell Phone Number.
- Fill out your Federal/Tax ID Number and any necessary details for the MI Resident Agent or partner, if applicable. Indicate whether ownership has changed within the last year, providing necessary details if it has.
- In the License Fees section, enter the fee amount of $100.00 and specify your payment method. Ensure that payment details are accurate.
- Conclude by certifying that the information provided is complete and accurate. Add your Authorized Signature and the Date, and print your name and title in the designated areas.
- Finally, review your completed form for accuracy before saving, downloading, printing, or sharing it as required.
Complete your On Line Outlet License Form online today to ensure compliance and secure your license.
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