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  • Tell Us About Yourself

    This lets us get to know you better. This is the name of the person filling these forms out and this will be the contact that we remain in contact throughout the licensing application process.

    * is a required field
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  • Tell Us About How You Will Sell Products

    Tell us how you sell your products, who you are selling to, what kind of products you are selling, and what states you will be selling these products. The price of your application is determined from the number of states you want to apply for.

    * is a required field
  • Select all that apply
  • Select all that apply
  • Select all that apply. Based on this answer, a fee will be calculated for the application, $50 times the number of states selected.
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  • Tell Us More About Your Business

    Tell us more about how you have set up your business and how you do business.

    * is a required field
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  • Tell us about the people that own your company

    Tell us about the people that will manage your stores, those member(s) can include you if you plan on managing one or more of the stores.

    * is a required field
  • Title/Position Name Stock or Ownership %  
         
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    There are no Owners.
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  • Tell us about other key people associated with the Company

    It is possible that fingerprints may need to be gathered for some of the partners below. This information gives us an idea of how partners interact with your business.

    * is a required field
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  • Distributor & Supplier Information

    Tell us about the distributors and suppliers that you plan on sourcing your products from.
  • Address  
     
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    There are no Distributors & Suppliers.
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  • Banking Information

    Tell us about how your business will interact with financial and banking institutions.
  • Address  
     
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    There are no Entries.
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  • Pay For Your Applications

    Pay for your applications. Once you have paid for your applications, the Tobacco Tax Refund Team will get started immediately on preparing your applications and we will let you know if we have any additional questions.
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