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Tobacco Retailer's License Application

A copy of Illinois Retail Sales Tax papers must be submitted with this application.
All applications, licenses and permits are subject to approval.

Has the applicant been cited for violations of any statute/ordinances pertaining to the sale of tobacco products within the last 12 months?
 
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Date of issue:                         

License:                                  

Cost:                                       

Effective Date:                       



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