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Retailers Registration Form

Retailers Registration/License Application
City of Olathe Kansas
100 E. Santa Fe
Box 768
Olathe, Kansas 66051-0768
913-971-6215

Fields marked with a red asterisk(*) are required.

Business Information
Legal Name of Business:
Doing Business As:
Mailing Address:
  Zip Code:
Business Street Address:
  Zip Code:
Business Phone:
FAX:
Federal Employers Identification Number / Kansas State Tax Acct. Number:
Independently Owned:
Franchise:
Is this a home based business?:
Email Address:
Website URL:
Anticipated Sales Tax Filing frequency:
If OTHER, please Explain:
TYPE OF RETAIL BUSINESS:
If Other, please describe the nature and purpose of the business:
Owner / Contact Information
Owner or Agent:
Home Address:
  Zip Code:
Home Phone:
Local Contact (if different from above):
Name:
Address:
  Zip Code:
Title:
Phone:
Emergency Information
Is the establishment protected by Fire Alarms?
If yes, who is the contracted service? (Name/Phone #)
  Phone:

The filing of this application or the granting of a retail license neither confirms nor denies the use of land as regulated under the zoning ordinance.

Information provided on this application may be forwarded to the Kansas Department of Revenue for purpose of verifying compliance with the provisions of the Kansas Retailers Sales Tax Act, K.S.A. 79-3601 et seq., as amended. Such information shall be subject to the confidentiality provisions set forth in K.S.A. 79-3614.

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