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    Vendor License

    Apply for a Vendor License



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

    * is Required
    Federal Employer ID Nbr: enter as 99-99999999
    Social Security Nbr: enter as 999-99-9999
    Ohio Charter Nbr:
    Ohio Certificate Nbr:
    Ohio Master Nbr: enter as 99-99999999
    1. Type of Ownership: *
    2. When did, or will you start making taxable sales: * enter as mm/dd/yyyy
    3. Provide NAICS Code: *
        State nature of business activity: *
    4. Legal Name:
    5. Business, Trade or DBA Name: *
    6. Home Office Address: *
        Home Office Phone: enter as 999-999-9999
        Home Office Fax: enter as 999-999-9999
    7. Business Address: *
        Business Phone: enter as 999-999-9999
        Business Fax: enter as 999-999-9999
    8. Mailing Address:
    9. How much sales tax do you expect to collect each month?: * $200 or greater Less than $200
    10. Previous Owner's Name & Address:
         Previous Vendor's Nbr:
    11. Will you be selling beer, wine or liquor at this location?: Yes No
         If yes, list your Liquor Control Permit Class:
         If yes, list your Liquor Control Permit Number:
         Employer Withholding Nbr: enter as 99-99999999
    12. Do you intend to make non-liquor sales prior to the issuance of your permit?: Yes No
    13. If you operate as a corporation or partnership, list appropriate names, addresses and social security numbers below.:
         President/Partner Name & Address:
         President/Partner Social Security Nbr: enter as 999-99-9999
         Vice President/Partner Name & Address:
         Vice President/Partner Social Security Nbr: enter as 999-99-9999
         Treasurer/Partner Name & Address:
         Treasurer/Partner Social Security Nbr: enter as 999-99-9999
         Secretary/Partner Name & Address:
         Secretary/Partner Social Security Nbr: enter as 999-99-9999
    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