Black River Falls, WI · Jackson County
Cigarette and Tobacco Products Retail License Application
This application requests a license to sell cigarettes and tobacco products and is completed by the business applicant for submission to the municipal clerk.
- licensed online notary
- ~15 min average
- Notarized PDF emailed
What you’ll need
- Government-issued photo ID
- Webcam-enabled device (laptop or phone)
- This form, ready to upload as a PDF
What this form is
The application identifies the applicant, business, license location, and organization type, and asks the applicant to confirm understanding of tobacco sales requirements. The applicant signs a statement affirming that the answers are truthful and agreeing to operate according to law. Submit the completed application to the municipal clerk; the form covers the license period and includes a section for municipal use.
Who needs it
A business applicant seeking a license to sell cigarettes and tobacco products completes this form and submits it to the municipal clerk.
Why it needs a notary
The form has a jurat reading “Subscribed and sworn to before me”; the applicant, or an authorized business representative named in the form, signs before the notary.
How to get this notarized
- 1
Download The Application
Get the Cigarette and Tobacco Products Retail License Application.
- 2
Complete The Form
Enter the applicant, business, license location, and organization details, and answer the listed questions.
- 3
Book An Online Notary
Arrange an online notarization for the application’s sworn statement.
- 4
Sign On Video
Sign the application in the online notary session and complete the jurat.
- 5
Submit To The City
Send the completed application to the municipal clerk.
Preview the form
The blank PDF straight from Black River Falls. Look it over, then upload your filled copy to start the notary session.
You’ll need ID and a webcam.
A licensed online notary will join you on video, verify your government-issued ID, witness your signature, and apply their seal. You’ll receive the notarized PDF by email when the session ends.
Frequently asked questions
- How do I complete the cigarette and tobacco license application?
- Fill in the applicant and business details, answer the application questions, and sign the sworn statement before a notary. Submit the completed form to the municipal clerk.
- Do I need to sign this application in front of a notary?
- Yes. The application includes a “Subscribed and sworn to before me” jurat, so the applicant or named business representative must sign before a notary.
- Can I sign this application with an online notary?
- Wisconsin law authorizes remote online notarization by a commissioned online notary under Wis. Stat. §140.145. Confirm with the city or village if unsure whether it will accept the remotely notarized application.
- Where do I submit the completed application?
- The form says to submit the application to the municipal clerk. Contact the clerk if you need details about submission or the license period.