Carroll County Collector
Merchant License Application
Legal Business Name
Business D/B/A Name
Nature of Business
State Tax ID
Number of Employees
Physical Address Location within Carroll County
Physical Address 1
Physical Address 2
Title of Applicant
MailTo Address 1
MailTo Address 2
Attach State Retail License
For more information on getting a State Retail License from the Missouri Department of Revenue,
Attach State No Tax Due
For more information on getting a No Tax Due Letter from the Missouri Department of Revenue,
By submitting this page you are certifying that the information presented is correct and accurate. In addition, you acknowledge the following:
License period is from January 1st through December 31st.
The company applying for license is in compliance with all requirements of RSMo Section 287 regarding Workman's Compensation Insurance.
The company applying for license has obtained a No Tax Due certificate from the Missouri Department of Revenue and it is attached.
The company applying for license has obtained a State Retail License from the Missouri Department of Revenue and it is attached.
The company applying for license is physically located within Carroll County.
That applicant is authorized to act on behalf of the company applying for license.