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2. Have you complied with Section 2A of the Retailers Occupation Tax by obtaining a Certificate of Registration and posted bond?

   1. Yes
   2. No

   Copy of Certificate of Registration must be attached.
4. Copy of Certificate of Registration
6. Name
8. Permanent Business Address
10. City
11. State
12. Zip Code
14. Permanent Residence Address
16. City
17. State
18. Zip Code
20. Intended location in Litchfield
22. Nature of Business
24. Complete inventory of goods for intended sale attached
26. Complete list of other licenses obtained in Illinois in last 12 months attached
28. Obtain and file surety bond or cash deposit of 50% of value of inventory. ($1,000 minimum,$10,000 maximum)
30. Non-refundable registration fee to City of Litchfield
32. Date paid, license issued and signed
    Date paid, license issued and signed
34. Applicant Acknowledgement
    Applicant Acknowledgement
36. A fee of $200, payable to the City of Litchfield, along with the surety bond or cash deposit of 50% of value of inventory ($1,000 minimum,$10,000 maximum) is due with application.
38. Name
    Fee
39. Price
40. Quantity
41. Shipping Cost
43. Taxable
Leave This Blank:


44. Calculate Totals Proceed to Checkout

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