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Clean Indoor Air Act Exception Renewal Sales Information Form Exception Expiration Date: Form Must Be Received By: Exception Type: Drinking Establishment Type I *** Additional guidance for completing this form can be found on the reverse 2026
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- Click ‘Get Form’ to open it in the editor.
- Begin by entering the 'Business Name' and 'Exception ID' at the top of the form. Ensure that these details match your current exception certificate.
- Fill in the 'Trade Name' and 'Sales and Use Tax ID (STLN)' fields. If you are unsure about your STLN, refer to your previous filings.
- Complete the 'License Identification (LID) #' and 'Entity ID (EIN)' sections accurately.
- Report your actual sales information for the previous 12 months in the designated fields, rounding to the nearest dollar. Follow the instructions for monthly, quarterly, or semi-annual filers as applicable.
- Indicate your method of filing sales to the Department of Revenue by checking the appropriate box for Monthly, Quarterly, or Semi-Annually.
- Sign and date the affidavit of preparer section at the bottom of the form, ensuring all information is true and correct.
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| Versions | Form popularity | Fillable & printable |
|---|---|---|
| 2012 | 4 Satisfied (27 Votes) |
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