(317) 234-4315 Web page: http://www.IN.gov/atc STEP 1. GENERAL INFORMATION Name of Business Entity Business telephone number ( ) E-mail address - Address of principal palce of business City County State Zip Mailing Address (if different than business) City County State Zip Name of Contact Person Check one: Renewal License number (if renewal) License Expiration (if renewal) Original application STEP 2. BACKGROUND Yes No Do you, the applicant, owe at least five hundred dolla.
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How to fill out the Electronic Cigarette Importers Email Form online
Filling out the Electronic Cigarette Importers Email Form online can be a straightforward process if approached step by step. This guide will provide you with clear instructions to help you complete the form accurately and efficiently.
Follow the steps to complete the Electronic Cigarette Importers Email Form online.
- Press the ‘Get Form’ button to access the Electronic Cigarette Importers Email Form and open it for editing.
- In the first section labeled General Information, provide your business's name, telephone number, email address, and the principal business address, including city, county, state, and zip code. If your mailing address differs from your principal address, fill that in as well.
- Next, enter the name of the contact person. Indicate whether this application is a renewal by checking the appropriate box. If renewing, include the license number and expiration date.
- Proceed to the Background section, where you will answer several questions regarding taxes owed, license revocations, compliance with Indiana law, and your understanding of legal selling practices. Make sure to answer each question truthfully.
- In the Fee and Payment Schedule section, note that there is no fee for this one-year license and that a complete list of cigarette distributors in Indiana must be attached.
- In the final Signature and Affirmation section, certify that you have completed the application by signing and dating it. Ensure all information you provided is true, as misrepresentation can lead to penalties.
- Once all sections are filled out, save your changes. You may opt to download, print, or share the completed form as needed.
Start filling out your Electronic Cigarette Importers Email Form online today!
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