Specializing in Federal and State Regulatory Compliance

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KELDON CONSULTING

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SPECIALIZING IN FEDERAL AND STATE REGULATORY COMPLIANCE
TTB • STATE • U.S. CUSTOMS • FDA • RECORD KEEPING • REPORTS

CUSTOMER INFORMATION

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Billing Address:
Mailing Address:
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Do you have special tax stamp?
For any of these locations please list number and address location.
Do you hold a state permit?

- Please provide the number here
What is your federal EIN number?
Do you have a basic wholesalers permit? - Please provide the number here
Do you have a basic importers permit?

- Please provide the number here?
Do you want any state applications filed?

- Please list the states you want filed.
Customer Information:
In order to fill out state and federal applications, we will need the following information on company officers.
Officer 1
Full Name
Address
Title (pres, CEO, director)