Licensing Department, City Of Chelsea, MA

Tobacco & Nicotine Delivery Products Sales 2020

May 06, 2020
submission #90
Petitioner Application

Application

Type of Licence ---
Business Name ---
Business Address ---
Business Telephone ---
Owner's Name ---
Owner's Address ---
Owner's Telephone ---
E-Mail Address ---
Emergency Response Person ---
Emergency Person Telephone ---
MA Dept. of Revenue Retaoler's License for Sale of Cigaretts # ---
Type of Products Sold ---
Other ---
Federal Tax ID Number ---
Type of Application ---
Petitioner Document Check

Documents

Copy of Cigarette Retailer's License, issued by Massachusetts Department of Revenue ---
Certificate of Good Standing from the Massachusetts Department of Revenue; masstaxconnect.com ---
A Certificate of Insurance showing workers compensation insurance or Certificate of Compliance , in accordance with Section 25C of Chapter 152 of Massachusetts General Laws. ---
Wage Teft Certicicate Form ( UPLOAD FILE) ---
Proof that any/all tobacco sales citiations have been paid ---
Proof that City personal property tax has been paid ( obtain at City Treasury ) ---
Certificate of Occupancy (obtained at Inspectional Services Department) ---