Machesney Park, IL · Winnebago County
Tobacco and Alternative Nicotine Products Retailer License Application
This application is for people seeking a Machesney Park retailer license to sell tobacco or alternative nicotine products.
What this form is
Use this application to seek a Village of Machesney Park license to sell tobacco and alternative nicotine products. It requests the applicant’s contact and identifying information, relationship to the business, business details, and a signed affidavit. The form states that the license is valid from May 1 through April 30 and lists a $150 amount due.
Who needs it
A person applying for a Machesney Park license to operate a tobacco or alternative nicotine products retail business should complete this application.
How to submit it
Return the completed application and license fee to Village Hall, 300 Roosevelt Road, Machesney Park, IL 61115; the form also identifies the Village Clerk’s Office for submission.
How to submit this form
- 1
Download The Application
Download the Tobacco and Alternative Nicotine Products Retailer License Application PDF.
- 2
Complete The Application
Enter the requested applicant and business information and complete the affidavit.
- 3
Sign And Date
Sign and date the affidavit as the applicant.
- 4
Submit To The Village
Return the completed application and license fee to Village Hall in Machesney Park.
Frequently asked questions
- Who uses the Tobacco and Alternative Nicotine Products Retailer License Application?
- People seeking a Village of Machesney Park license to operate a tobacco or alternative nicotine products retail business use this application.
- What information does the application request?
- It requests applicant contact and identifying information, the applicant’s relationship to the business, business details, and a signed affidavit.
- Do I need a notary for the Tobacco and Alternative Nicotine Products Retailer License Application?
- No notary block appears on this document. The applicant signs and dates the affidavit, which states that it is made under oath.
- How do I submit the Tobacco and Alternative Nicotine Products Retailer License Application?
- Return the completed application and license fee to Village Hall, 300 Roosevelt Road, Machesney Park, IL 61115. The form also names the Village Clerk’s Office.
Need something notarized?
This Tobacco and Alternative Nicotine Products Retailer License Application doesn’t need a notary — but Illinois residents can notarize other documents online with a commissioned online notary.