Application For Registration As A Vendor: Next Page
Application For Registration As A Vendor: Next Page
Application For Registration As A Vendor: Next Page
for Registration
as a Vendor
Next Page
Application Requirements
Corporations, partnerships and sole proprietorships m ust register their business nam e with the Office of the Attorney General;
Consum er, Corporate and Insurance Services Division [telephone (902) 368-4550; fax (902) 368-5283].
Som e businesses m ust obtain licences before registering as a vendor. The table below provides inform ation on licences
required by type of business. (Note: This list is for convenience purposes only and m ay not be com plete.)
Business Type
Licence Required
Issuing Department
Tel (902)
368-4970
1 800 958-6400
Fax (902)
Food Sales
Health
Environmental Health
368-6468
Liquor Sales
Liquor Licence
368-5710
368-5735
368-5223
432-2714
368-5236
Accom m odations
Tourism
Quality Tourism Services
566-3501
566-3575
Security
Governm ent m ay require security, equal to six m onths estim ated tax, in the form of cash, certified cheque, insurance bond or
irrevocable letter of credit before approving an applicant for registration as a vendor.
Processing of Applications
You should allow up to five business days after you have provided all inform ation and any security requested for processing of
your application.
If a business plan has been prepared, please attach a copy to your com pleted application form .
By mail:
Deliver to:
95 Rochford Street
Shaw Building, 1 st Floor South
Charlottetown, PE C1A 3T6
By fax:
Em ail: [email protected]
W eb site: www.taxandland.pe.ca
(902) 368-6164
For m ore inform ation about the Application to Register as a Vendor, contact the Program Application Co-ordinator at
(902) 368-4148.
Next Page
Application for
Registration as a Vendor
A ccount N o.
C lass C ode
E ffective D ate
of R egistration
R eporting P eriod
R esearched
S ecurity R equested
S ecurity R eceived
A pproved
D ate Registered
Individual
Partnership
Corporation
Business Name:
Mailing Address:
Province:
Postal Code:
Civic Address (Street # / Street Name / Suite # or Apt # / City, Town or Village):
Province:
Postal Code:
Mailing Address:
Province:
Postal Code:
Civic Address (Street # / Street Name / Suite # or Apt # / City, Town or Village):
Province:
Postal Code:
Telephone Number:
Fax Number:
Email:
Title:
Telephone Number:
Fax Number:
Email:
Email:
2.
A.
Has the business or its owner(s) (in Section A or B) previously been registered as a vendor? Yes No
B.
B.
3.
B.
Fixed Assets (equipment, furnishings, etc.) from a business that does not normally retail those goods? Yes No
Date of Purchase (mm/yyyy):
4.
Business Name:
Name:
Yes No
Next Page
Previous Page
Wholesale
Manufacturing
2. Indicate in the space below the goods and/or services you will be selling (up to four).
!
Yes
No
Yes
No
Yes
No
Yes
No
Feb
Mar
Apr
May
June
July
Aug
Sept
Oct
Nov
Dec
Day
Day
Year
3. Are you interested in having someone visit your business to instruct you on how to properly collect and remit tax?
Yes
No
A pplied for
Received
Licence Number
Section I Certification
The applicant named below hereby makes application for registration under the Revenue Tax Act and/or the Environment Tax Act and agrees to accept the responsibilities as set out in the Revenue
Administration Act, collect the tax imposed, and account to the Provincial Tax Commissioner for all monies collected under the acts.
I certify that the above information is correct to the best of my knowledge and belief. I also understand that the information on this form will be used for purposes of tax administration and enforcement
pursuant to Section 20 of the Revenue Administration Act.
Name of Applicant
Title of Applicant
Signature
Date
Telephone
(Must be co-signed by parent/guardian if applicant is under 18 years of age.)
December 2011
11PT15-30576