Company Verification Request- State Resale Permit / Sales Tax Application

Confirm your order - Electronic Signature

Upon confirming your order, an e-mail will be sent, and your registration should be active & ready for use !

Confirm State Application Registration*

Please confirm the State of Registration from the Application submitted. Typically, this is the same as the company State location. If you are seeking to do business in another State, please select the State you wish to do business.

Company Name*

Name of Company Authorized Person / Officer*

First Last

Company Contact Phone Number*

Company Contact E-Mail*

Enter Email Confirm Email

Confirm Last 4 Digits of the Credit Card*

Order Confirmation*

I am the named above, an authorized agent or officer, for the company listed above, and I am confirming the order.

Signature of Authorized Person / Officer*

Electronically signing this form will confirm your order. An e-mail confirmation will be sent upon submission of the form.