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Olive Branch Document
Type of Business
Sales
Service
Manufacture
Distribution
Vending
Other
Choose One
Commericial Property
Home Based
Other
Other (Text)
Describe your business
Company Name
dba
MAILING Address
City
State
ZIP
LOCATION of Business
Ownership status
Individual
Partnership
Corporation
LLC
# of Full Time Employees
Current Inventory
Account information
Email
Local Bus. Phone #
Applicant is
Owner
Representative
Other Phone
Name
Title
Ownership, if diff.
Owner or representative's contact information if different from above:
State Sales Tax Permit #
Federal Tax ID #
Original Start Date of Business
I Agree that all information above is accurate and true.
Submit
