Name(Required) Prefix First Last Suffix Email(Required) Enter Email Confirm Email Contact Phone Number(Required)Business Name(Required) Name of the BusinessBusiness Entity Classification(Required)Individual / Sole ProprietorshipPublic CorporationPrivate CorporationLLC - Limited Liablity CompanyNon-ProfitOther / UnsureState(Required) Which State is the Business Physically located in?Sales Tax Number Status(Required)Active Sales Tax NumberNo Sales Tax NumberPending Sales Tax Number- Applied Through This SiteInquiring About Status of Existing Sales Tax NumberCancelled Sales Tax NumberUnsurePlease choose the Status of State Sales Tax NumberSales Tax Application Request Date MM slash DD slash YYYY If Pending Sales Tax Number, please enter the date you submitted your application.Business Website, if applicable Comments(Required) Δ
