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Indiana Otp 901 Sample

INDIANA DEPARTMENT OF REVENUE

OTP-901

R3/ 10-07

P.O. BOX 901

INDIANAPOLIS, IN 46206-0901

This form must be submitted 30 days prior to:

a)the expiration of your current license or,

b)the date you begin your business

You may not do business without your certificate.

FOR OFFICE ONLY

OTP

APPLICATION FOR OTHER TOBACCO PRODUCTS DISTRIBUTOR’S LICENSE

 

 

Renewal

 

 

 

 

New Certificate

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Applicant’s Name - Enter individual’s, partnership’s, or corporation’s name

 

 

 

 

 

 

Federal ID Number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Business/Trade Name (if different than above)

 

 

 

Telephone Number

 

 

 

Owner’s Social Security #

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Mailing Address (Street or P.O. Box Number)

 

 

 

City or Town

County

 

 

State

Zip Code

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Location Address of Business (if different than above)

 

 

 

City or Town

County

 

 

State

Zip Code

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Type of Ownership:

 

Sole Proprietorship

 

 

Partnership

 

Corporation

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

If Corporation: Date of Incorporation:___________________________________

If Foreign Corporation: Date of Acceptance by Indiana Secretary of State:______________________________________________

If an Indiana corporation or a foreign corporation, give name and address of Resident Agent:________________________________

Identifi cation of Partners or Corporate Officers

Name (last name fi rst)

Social Security Number

Address

City

State

Zip Code

 

 

Title

Reason License Needed (Answer Yes or No):

New Business:

Purchase of Existing Business:

Lease of Existing Business:

From Whom Was Business Purchased or Leased?

Reinstatement of Old License:

Does Applicant Presently Hold a Cigarette Tax License? ________________ License Number:___________________________

Has Applicant Previously Held a Cigarette Tax License? ________________ License Number:___________________________

Does Applicant Presently Hold an Indiana Registered Retail Merchants Certifi cate? _________ Certificate Number:_______________________________

Does Applicant Presently Hold Any Other Licenses or Permits Issued by any State Agency?

STATE AGENCY

TYPE OF LICENSE OR PERMIT

NUMBER

Audit Information:

Location Where Records Will Be Available For Audit:

Phone Number of Location Of Audit Records:

Phone Number of Business Location:

Indicate Address of Each Location In Which You Have Other Tobacco Products in Storage

Location

OTP License Number

Indicate Name, Address, Phone Number and Estimated Annual Purchases from Whom You Currently Purchase and/or Expect to Purchase Other Tobacco Products: (A Computer Generated List Which Includes All Requested Information Will Be Accepted)

Supplier’s Name

Address

Phone Number

Estimated Annual Purchases

TOTAL:

If Necessary Attach Additional List.

Does Your Company Expect to Sell Other Tobacco Products Into Another State?___________________________________________________________________

List States: _________________________________________________________________________________________________________________________

Today’s Date

I declare under penalties of perjury that the information contained in this application and any attachments is true, correct and complete to the best of my knowledge and belief.

Signature of Taxpayer or Authorized Agent, Title

Telephone Number

File Characteristics

Fact Name Details
Submission Deadline This form must be submitted 30 days prior to either the expiration of your current license or the date you begin your business.
Business Requirement You cannot conduct business without holding a valid certificate issued by the Indiana Department of Revenue.
Ownership Types The form accommodates various ownership structures, including Sole Proprietorship, Partnership, and Corporation.
Governing Law The OTP-901 form is governed by Indiana state laws regarding the distribution of other tobacco products.

Essential Points on This Form

What is the Indiana OTP-901 form used for?

The Indiana OTP-901 form is an application for a distributor's license for other tobacco products. This license is required for businesses that intend to distribute or sell tobacco products in Indiana. It ensures compliance with state regulations and allows businesses to operate legally.

When should I submit the OTP-901 form?

You must submit the OTP-901 form at least 30 days before either the expiration of your current license or the date you plan to start your business. Failing to do so may result in delays or the inability to operate legally.

What information do I need to provide on the OTP-901 form?

The form requires several details, including:

  1. Your name or the name of your business.
  2. Your Federal ID Number.
  3. Your business or trade name, if different from your legal name.
  4. Contact information, including telephone number and mailing address.
  5. Type of ownership (sole proprietorship, partnership, or corporation).
  6. Details about any partners or corporate officers.
  7. Information regarding any existing licenses or permits you may hold.

What if I am renewing my license?

If you are renewing your license, you will still need to complete the OTP-901 form and submit it according to the same timeline as a new application. Ensure that all information is updated and accurate to avoid any issues with your renewal.

Do I need to provide information about my suppliers?

Yes, you must include details about your suppliers on the form. This includes the name, address, phone number, and estimated annual purchases from each supplier. If necessary, you can attach an additional list if you have multiple suppliers.

What happens if I don’t submit the form on time?

If you do not submit the OTP-901 form on time, you may not be allowed to conduct business until your application is processed and approved. This could lead to lost revenue and potential legal issues, so it’s crucial to adhere to the submission timeline.

How do I declare the information is true?

At the end of the OTP-901 form, you will find a declaration section. By signing this section, you confirm that all the information provided is true, correct, and complete to the best of your knowledge. This declaration is made under penalties of perjury, emphasizing the importance of accuracy.

Misconceptions

Understanding the Indiana OTP 901 form can be a bit tricky, and there are several misconceptions that people often have. Here are five common misunderstandings about this form:

  • It’s only for new businesses. Many believe that the OTP 901 form is exclusively for new businesses. However, this form is also necessary for renewing existing licenses and reinstating old ones. Whether you are starting fresh or continuing operations, you need to submit this form.
  • Submission timing doesn’t matter. Some think that they can submit the form whenever they feel like it. In reality, the form must be submitted at least 30 days before your current license expires or before you begin your business. Missing this deadline could lead to delays in obtaining your license.
  • Only corporations need to fill it out. There is a misconception that only corporations are required to complete the OTP 901 form. This is not the case. Sole proprietors and partnerships must also fill out this form to operate legally.
  • All information is optional. Some applicants assume that they can skip certain sections of the form. However, all requested information is important for processing your application. Incomplete forms can lead to rejection or delays.
  • It’s not necessary if you hold other licenses. A common belief is that if you already have other licenses, you don’t need the OTP 901 form. This is incorrect. Holding other licenses does not exempt you from needing an OTP license if you are dealing with other tobacco products.

By addressing these misconceptions, you can ensure that your application process goes smoothly and that you remain compliant with Indiana’s regulations regarding tobacco products.