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State of Rhode Island Division of Taxation

FOR OFFICE USE ONLYPERMIT #_____ BUSINESS APPLICATION and REGISTRATION if YESANDI ncludeComplete AdditionalYes NoFee:Sections:InformationDo you have employees working in RI?NoneA B C D EDo you have RI Withholding?NoneA B C EDo you lease employees in RI?NoneA B C D EDo you make sales at retail?$ A B E (A separate permit & fee is required for each location.)Sales Tax liability greater than $200 per unknown, check NO. gasoline -None Filling station or food -$ Fee is for litter permit. (Renewable on December 31st)Liquor -None License from city or town is required.$ Each cigarette vending machine requires a separate license and Vehicles -NoneIf yes, MV Dealer license # _____(required). motor Vehicles leasing -NoneIf yes, MV Lease license # _____(required).Rental of room(s)/home(s) -None** Type of Rental: Residential Dwelling Rental Room RentalPrepaid wireless phone cards -NoneProduct?

Gasoline - None Filling station license. Beverages or food - $25.00 Fee is for litter permit. (Renewable on December 31st) Liquor - None License from city or town is required. $25.00 Each cigarette vending machine requires a separate license and fee. Motor Vehicles - None If yes, MV Dealer license # _____(required).

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