Form online 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering your Minnesota Tax ID Number, ensuring it matches the legal name of the licensee.
3. Fill in the License Authority and License Number fields as required.
4. Indicate how cigarettes/tobacco products will be sold by checking the appropriate box: Over Counter, Through Vending Machine, or Both.
5. Provide your Licensee’s Legal Name, Federal Employer ID Number (FEIN), Business Trade Name, and Daytime Phone number.
6. Complete the Complete Address of Business Location section with accurate details including County, City, State, and ZIP Code.
7. If applicable, enter a different Mailing Address and any additional phone numbers.
8. Select your Type of legal organization by checking one of the options provided.
9. Confirm if you are registered to do business in Minnesota by selecting Yes or No.
10. List Corporate officers or partners as necessary. Ensure all names and titles are clearly printed.
11. Read through the Statement of Understanding carefully before signing. This confirms your awareness of regulations regarding tobacco sales.
12. Sign and date the form where indicated. Ensure that all information is complete before submission.

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