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2643A - Missouri Tax Registration Applicaiton

5. Ownership Type r Sole Proprietor r Partnership r Government r Trust All ownership types listed below, unless specifically exempted, are required to be registered with the Missouri Secretary of State s Office (register at or call (866) 223-6535). Your application will not be complete without providing the charter number issued to you by their office. r Limited Partnership - LP Number _____ r Limited Liability Partnership - LLP Number _____ r Limited Liability Company - LLC Number _____ Taxed as a r Disregarded Entity r Partnership r Corporation r Missouri Corporation - Missouri Charter No.

20. Do you make retail sales of the following items? Select all that apply. r . Alcoholic Beverages . r . Alternative Nicotine . r . Cigarettes or Other Tobacco Products . r . Domestic Utilities. r . E-Cigarettes or Vapor Products. r Food Subject to Reduced State Food Tax Rate . r Items Qualifying for Show Me Green Sales Tax Holiday r

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