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Application

for Registration
as a Vendor

Next Page

Application for Registration as a Vendor


General Information
Purpose
Every person who sells taxable goods in Prince Edward Island in the ordinary course of business is required to register with
Taxation and Property Records to collect and rem it revenue tax (PST).

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

Food Service Licence

Health
Environmental Health

368-6468

Liquor Sales

Liquor Licence

Liquor Control Com m ission

368-5710

368-5735

Motor Vehicle Sales

Motor Vehicle Dealers


Licence

Transportation and Public


W orks
Highway Safety

368-5223
432-2714

368-5236

Accom m odations

Tourist Establishm ent


Licence

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 .

Returning the Application Form


Return the attached application form to:

By mail:

Deliver to:

Finance, Energy and


Municipal Affairs
Taxation and Property Records
PO Box 1150
Charlottetown, PE C1A 7M8

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

or: any Access PEI Centre

(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.

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For Office Use Only

Application for
Registration as a Vendor

A ccount N o.
C lass C ode

(Pursuant to the Prince Edward Island Revenue Tax Act and


Environment Tax Act R.S.P.E.I. 1988)

E ffective D ate
of R egistration
R eporting P eriod

Freedom of Information and Protection of Privacy


Personal information on this form is collected under the
authority of Section 31(c) of the Freedom of Information and
Protection of Privacy Act and will be used for the purposes of
tax administration and enforcement. Questions on the
collection and use of this information can be directed to the
Manager, Corporate and Tax Administration Services, PO
Box 2000, Charlottetown, PE C1A 7N8 (902) 368-5137.

R esearched
S ecurity R equested
S ecurity R eceived
A pproved
D ate Registered

Section A Business Information (mailing address for tax information)


Ownership Type:

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:

Section B Owner, Partner(s), Officer or Head Office Information


Name:

Title:

Telephone Number:

Fax Number:

Email:

Section C Contact Person (for tax issues)


Name:
Telephone Number:

Email:

Section D Business History


1.

2.

A.

Has the business or its owner(s) (in Section A or B) previously been registered as a vendor? Yes No

B.

If yes, previous account number (if known) _______________________________

Is this application the result of purchasing an existing business? Yes No


A. Date of Purchase (mm/yyyy):
Previous Owners Name:

B.
3.

Did you purchase shares of the existing business? Yes No

Did you make a bulk purchase of:


A.

B.

Inventory from a business that has ceased to operate? Yes No


Date of Purchase (mm/yyyy):
Name:

Amount Paid for Inventory:

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:

Was a clearance certificate obtained?

Name:

Amount Paid for Fixed Assets:

Yes No

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Section E Nature of Business


Retail (Goods and Services)

1. What type best describes your business?

Wholesale

Manufacturing

2. Indicate in the space below the goods and/or services you will be selling (up to four).
!

3. Will you be retailing liquor?

Yes

No

4. Will you be retailing tobacco?

Yes

No

If yes, complete an application for a Tobacco Retail Vendors License


5. Will you be retailing tires?

Yes

No

6. Are there coin operated entertainment devices on your premises?

Yes

No

Section F Period of Operation


Enter an X in each box for the months that the business will be open each year.
Jan

Feb

Mar

Apr

May

June

July

Aug

Sept

Oct

Nov

Dec

Section G Accounting and Bookkeeping Information


1. Enter the effective date of registration for PST purposes:
Month

Day

Day

Year

2. Business Year End:


Month

Estimated sales tax to be remitted monthly:


$

3. Are you interested in having someone visit your business to instruct you on how to properly collect and remit tax?

Yes

No

Section H Applicable Licence Numbers


Please indicate below whether your business has applied for, or has received, the following licences and provide the licence numbers.
Type of Licence

A pplied for

Received

Provincial Corporation Number

Food Service Licence Number

Liquor Licence Number

RIN Number (Motor Vehicle Dealers Licence)

Tourist Establishment Licence Number

GST or federal business number (BN)

Tobacco Retail Vendors Licence

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

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