Direct Pay Permit Application

Businesses interested in applying for a direct pay permit, or renewing an existing permit, should submit the following form.

*Indicates a required field.

Business name

UBI/Account ID

Primary business activity

A business may apply for a direct pay permit if they meet one of the following. Please check all box(es) that apply

Is reasonably expected to have a cumulative tax liability of $240,000 or more in the current calendar year.

Makes over $10 million of taxable purchases in one calendar year.

Note: Businesses applying for this permit should be familiar with the use tax accrual process and able to comply with use tax record keeping requirements.

Contact person

Contact e-mail

Phone number

Please describe how your business intends to use the Direct Pay Permit, and provide any additional information you’d like considered as part of your request

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