Palmdale, CA · Los Angeles County

No notary required

Tobacco/Smoking Product Retailer Business Permit Application

Palmdale businesses use this application to request a new tobacco or smoking product retailer permit, renew one, or reapply for a revoked permit.

What this form is

This application requests a Palmdale permit for retailing tobacco or smoking products at a fixed business location. Applicants select whether they are seeking a new permit, annual renewal, or reissuance of a revoked permit, and provide business, owner, and emergency contact details, along with information about criminal proceedings. The form also states conditions of approval and includes a signature declaration.

Who needs it

A business seeking a new Palmdale tobacco or smoking product retailer permit, renewing one, or requesting reissuance of a revoked permit needs this application.

How to submit it

The form lists Business License, 38250 Sierra Highway, Palmdale, CA 93550, and [email protected]. It does not specify a submission method.

About notarization

This document is signed without a notary; the signer declares the application true under penalty of perjury, and any mitigating-circumstances documentation is optional and not identified as notarized.

How to submit this form

  1. 1

    Download The Application

    Download the Tobacco/Smoking Product Retailer Business Permit Application.

  2. 2

    Complete The Application

    Select new permit, annual renewal, or reissuing a revoked permit, then fill in business, owner, criminal-proceeding, and emergency contact information.

  3. 3

    Gather Optional Documentation

    If answering yes to the criminal-proceedings question, you may attach documentation explaining mitigating circumstances.

  4. 4

    Submit To Business License

    Use the Business License address or email listed on the form; the document does not specify a submission method.

Frequently asked questions

Do I need a notary for the Tobacco/Smoking Product Retailer Business Permit Application?
No. The form asks the signer to declare the application true under penalty of perjury, but does not require notarization. Optional mitigating-circumstances documentation is not identified as notarized.
Who should use this Palmdale application?
A business seeking a new tobacco or smoking product retailer permit, annual renewal, or reissuance of a revoked permit should use this application.
What information does the application request?
It asks for business and owner information, business activity, seller’s permit and tobacco retailers license numbers, criminal-proceeding information, and emergency contacts.
How do I submit the application?
The form lists Business License at 38250 Sierra Highway, Palmdale, CA 93550, and [email protected]. It does not specify a submission method.

Need something notarized?

This Tobacco/Smoking Product Retailer Business Permit Application doesn’t need a notary — but if you have another Palmdale form that does, a commissioned online notary can help.