
1. Check type of ownership: (10) Sole owner (20) Partnership (30) Corporation (150) Nonprofi t
(50) LLC (70) LLP (80) LTD Other (please specify)
2. When did you or will you begin making taxable sales in Ohio? (MM/DD/YY)
3. Are you obtaining this license to make sales at a temporary place of business in a county in which you have
no fi xed place of business? Yes No
4. Provide NAICS code and state nature of business activity
5. Legal name
6. Trade name or DBA
7. Primary address
8. Mailing address
9. How much sales tax do you expect to collect each month? Less than $200
$200 or greater
10. If you operate as a corporation or partnership, list appropriate names, addresses and identifi cation numbers below.
11. Name, phone number, fax number and e-mail address of individual the department should contact regarding this ac-
count
Date Signature of applicant
Fee for this license – $25 (made payable to Ohio Treasurer of State). Send the original application and $25 fee to
the address above.
Address of corporation, sole owner, partnership, etc. City State ZIP code
(If different from above) City State ZIP code
ST 1T
Application for
Transient Vendor's License
Rev. 12/09
Federal employer identifi cation no.
Social Security no. / ITIN
Ohio corporate charter no. / certifi cate no.
(For the most current listings, search
NAICS on our Web site at tax.ohio.gov.)
P.O. Box 182215
Columbus, OH 43218-2215
(888) 405-4089
hio
Department of
Taxation
07100100
Business phone no. Fax no. Secondary phone no.
SSN / ITIN / FEIN
SSN / ITIN / FEIN
SSN / ITIN / FEIN
Title Name Street City State ZIP code
Title Name Street City State ZIP code
Title Name Street City State ZIP code
(Corporation, sole owner, partnership, etc.)
Name Phone no. Fax no. E-mail address
Vendor's license no.
(For department use only)