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    Cigarette License

    Apply for a Retail Cigarette License

    This page is designed to help you apply for a Retail Cigarette Dealer's license.
    Please fill in the fields shown below and then click on the Display Completed Application Form button.

    * is Required
    If this is a renewal, enter last year's license number (if known):
    Owner's Name: *
    2nd Owner's Name:
    Business Name: *
    Business Address: *
    Business City: *
    Business State: *
    Business Zip Code: *
    Business Sales Tax Vendor's License Nbr:
    Business Phone: enter as 999-999-9999
    Business Federal Employer ID Nbr: enter as 99-99999999
    Mailing Address:
    Mailing City:
    Mailing State:
    Mailing Zip Code:
    E-mail Address:
    Owner's Phone: enter as 999-999-9999
    Social Security Nbr: enter as 999-99-9999
    Type of Ownership: *
    If you need additional help contact the Auditors Office at 937-225-4314
    Location: 451 W. Third St. PO BOX 972 Dayton,OH 45422-1031