Fulton County, IL · Fulton County
Consumer Distributor Or Consumer Retailer Registration Application
Businesses use this application to register with the Fulton County Board before distributing or selling consumer fireworks in Fulton County.
At a glance
- Issued by
- City of Fulton County · Fulton County, Fulton County, Illinois
- Notarization
- Not required: file this form without a notary.
- Official source
- fultoncountyil.gov
- Blank form
- Download the PDF
- Catalogued
- Machine-readable
- JSON record · about the forms index
What this form is
This application registers a business as a consumer distributor or consumer retailer in Fulton County. It asks for business and tax identification details, State Fire Marshal registration information, and the locations where fireworks will be handled. Applicants must provide the listed supporting documents, pay $50 per location with the application, and register each location separately.
Who needs it
A business seeking to distribute, sell, transfer, or provide consumer fireworks in Fulton County must submit this registration application.
How to submit it
Send the application and payment to the Office of the Fulton County Board, Attn: Pyrotechnic Permit, 257 West Lincoln Street, Lewistown, IL 61542. The stated fee is $50 per location.
About notarization
This application is signed and dated without a notary; applicants who do not pay Illinois Department of Revenue taxes must submit a sworn affidavit as Attachment D.
How to submit this form
- 1
Download The Application
Download the consumer distributor or consumer retailer registration application.
- 2
Complete The Application
Provide the requested business, address, tax identification, and State Fire Marshal registration information, then sign and date the certification.
- 3
Gather Required Attachments
Include the required owner or officer information and identification, any assumed name certificate, location addresses, and tax payment proof or sworn affidavit.
- 4
Submit To The County
Send the completed application, attachments, and $50-per-location payment to the Office of the Fulton County Board at the address on the form.
Frequently asked questions
- Who uses the Consumer Distributor or Consumer Retailer Registration Application?
- A business seeking to distribute, sell, transfer, or provide consumer fireworks in Fulton County uses this application to register with the Fulton County Board.
- Do I need a notary for the Consumer Distributor or Consumer Retailer Registration Application?
- No. The application is signed and dated without a notary. Applicants who do not pay Illinois Department of Revenue taxes must submit a sworn affidavit as Attachment D.
- How do I submit the registration application?
- Send the application and payment to the Office of the Fulton County Board, Attn: Pyrotechnic Permit, 257 West Lincoln Street, Lewistown, IL 61542. The fee is $50 per location.