MERCHANTS LICENSE APPLICATION FOR PLATTE …

1 PLATTE COUNTY COLLECTOR SHEILA L. PALMER 415 THIRD STREET, ROOM 212 PLATTE CITY, MO 64079 PHONE (816) 858-3356 FAX 1 (816) 858-3357 MERCHANTS LICENSE APPLICATION FOR PLATTE COUNTY, MISSOURI LICENSE year January 1 through December 31, 2018 Missouri State Sales Tax Number (8 Digits) __ __ __ __ __ __ __ __ (REQUIRED)Actual Location of Business in PLATTE CountyBusiness Name _____Address _____ ( MERCHANTS LICENSE and correspondence will be mailed to address of business unless listed below.)City/State/Zip _____Phone ( ) _____-_____Printed Name of Applicant _____Signature of Applicant _____ Date_____For additional Information please call 816-858-3356.

2 For first time applicants, or if there are changes to existing business, please mail form to the above address with payment. If you have more than one business location, you must have a LICENSE for a check for $ made payable to: PLATTE County CollectorSheila L. Palmer 415 Third Street, Room 212 PLATTE City, MO 64079 Please return original APPLICATION with payment. You may also pay online at or mail to address listed.**This box is only to be filled in if information is different than location of Address_____City/State/Zip_____