Get Personal Questionnaire

Filling out the Personal Questionnaire is a crucial step for individuals applying for a distributor license in Massachusetts. This guide provides detailed instructions to assist you in completing the form accurately and efficiently.

Follow the steps to complete the Personal Questionnaire with ease.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by entering your legal name and Federal Employer Identification Number in the designated fields. Ensure accuracy, as this information is essential for processing your application.
3. Provide your personal details, including your name, Social Security number, date of birth, home phone number, and address. If you have lived at your current address for less than ten years, list previous addresses.
4. Fill out your employment record for the past ten years. Include the employer's name, location, occupation, and the dates you were employed.
5. Indicate your planned involvement in the business by specifying the hours per week you intend to dedicate to it and any other occupations you may have.
6. Respond to questions regarding any past business ownership or control, including whether you've held more than 10% of voting stock in any other business.
7. If applicable, provide information on any interest you may have in businesses where tobacco products are involved, along with details regarding previous licenses or permits related to tobacco sales.
8. Complete the sections on taxes, detailing compliance with federal and Massachusetts tax return filings for the past five years.
9. Answer questions regarding any criminal convictions or pending charges that may affect your application.
10. Lastly, review the certification and signature section, ensuring all required individuals sign and date the form. Attach any necessary supporting documents as instructed.
11. Once all fields are completed, save your changes, download the completed form, or print it for submission according to the provided instructions, including mailing or emailing requirements if necessary.

Complete your Personal Questionnaire online today to ensure timely processing of your application.