Industry Business Center (IBC) Junk Transaction

This form is to submit a junk bundle. A FO-247 will be generated for you; please promptly provide your electronic signature after submission.

You may navigate this form with the back and next buttons at the bottom or the labeled tabs at the top.

Enter your business information as it appears on your occupational license and press the validate button to verify.

Enter your business information as listed on your occupational license and press the validate button.

Use the "back" and "next" buttons or the tabs across the top to navigate through this application.

Occupational License Number

Zip Code

City Name

Occupational License Number

Zip Code

City Name

OL Validation

Validation successful, proceed with your transaction

Transaction Type Value is not selected

SG Search First

SG Search Last

SG Search Email

Business Name

First Name

Last Name

Phone

Reenter Email

LexisNexis Email Check

Email Match

CC Email 1

CC Email 2

Address Line 1

Address Line 2

City

State Value is not selected

Zip Code

Seller Permit Number

Registration Service Number

Overpayment

Credit

Refund

Transaction Comments (FO-247)

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