How to Fill Out Form CM-100

Form CM-100 at a glance

What it is: CM-100 is the Cigarette License Application for the Retail Over-the-Counter, Vending Machine and Manufacturer Representative License.

Where and when to file: Send the completed application to the Division of Revenue and Enterprise Services, PO Box 252, Trenton, NJ 08646-0252.

A filled-in Form CM-100 example: a sole proprietor applies for the retail license

Form CM-100 example filled out, example: a sole proprietor applies for the retail license
Pat Sample, a sole proprietor, fills out Form CM-100 for one license. Pat applies for the Retail Over-the-Counter License only, so Section C and Section D stay empty. The picture shows page 1, and every value in it is made up. The total fee equals the amount due for that one license. Pat uses one address for the shop and for mail.

How to fill out Form CM-100, box by box

Cigarette License Type

Form CM-100 example filled out, cigarette License Type

The Cigarette License Type is for the period April 1, 2026 - March 31, 2027.

For the Cigarette Retail Dealer(s) Over-the-Counter License, complete sections A & B; enter the License Fee of $50.00 under Amount Due. (checked October 22, 2026)

For the Cigarette Vending Machine License, complete sections A & C; enter the License Fee of $50.00 per machine under Amount Due. (checked October 22, 2026)

For the Cigarette Manufacturer Representative License, complete sections A & D; enter the License Fee of $5.00 per representative under Amount Due. (checked October 22, 2026)

Section A - Licensee Information

Form CM-100 example filled out, section A - Licensee Information

In Section A - Licensee Information, enter the Taxpayer Name/Business Name and the Start date for business in New Jersey.

Enter the Trade Name, the New Jersey Tax Identification Number and, for individuals, the Social Security Number.

Enter the Business Address and the Mailing Address, or check Same as Business Address.

Business Type

Form CM-100 example filled out, business Type

Check the appropriate box for Business Type: Corporation, LLC, LLP, Partnership or Sole Proprietorship. All Corporation's, LLC's and LLP's enter the State of Incorporation.

Enter the Contact Name, Phone Number and E-Mail Address.

Owners' Information

Form CM-100 example filled out, owners' Information

Under OWNERS' INFORMATION (attach list if needed), enter Name, Home Address, Social Security Number and Title.

Section B - Retail Over-the-Counter License

Form CM-100 example filled out, section B - Retail Over-the-Counter License

In Section B, provide information about those from whom you purchase cigarettes: Supplier(s) Name, Supplier(s) Address and Supplier Phone Number. Attach list if needed.

Section C - Vending Machine License

Form CM-100 example filled out, section C - Vending Machine License

In Section C, provide information about the machines you will operate: Supplier(s) Name, Address where machine is located and Supplier(s) Phone Number. Attach list if needed.

Section D - Manufacturer Representative License

Form CM-100 example filled out, section D - Manufacturer Representative License

In Section D, provide information about the company you represent: Company(s) Name, Supplier(s) Address and New Jersey Tax Identification Number. Attach list if needed.

Signing and the total fee

Form CM-100 example filled out, signing and the total fee

Enter the Total Fee Enclosed for the license(s) you are requesting. Then sign the application and print your name, title and today's date. By signing you affirm that all information is complete and accurate.

Enter the Authorized Signature, Date, Print Name and Title.

Sources

[1] Form CM-100, Cigarette License Application, State of New Jersey Division of Revenue and Enterprise Services (the Official source link on this page).

CM-100 Cigarette License Application Form PDF Details

Send the completed application to the Division of Revenue and Enterprise Services, PO Box 252, Trenton, NJ 08646-0252.

Retail license: Complete sections A & B below

Vending machine license: Complete sections A & C below

Manufacturer representative: Complete sections A & D below

Period: April 1, 2026 - March 31, 2027

Payable to: Treasurer, State of NJ

Signing: By signing you affirm that all information is complete and accurate.

QuestionAnswer
Form Name CM-100 Cigarette License Application Form
Form Length 1 page
Fillable? Yes
Fillable fields 69
Avg. time to fill out 12 min
Applicable State New Jersey (NJ)
Issuing Agency NJ Division of Taxation, Revenue Processing Center
Annual Renewal Period September 1 to September 20
Other names Form CM-100, CM-100 form, CM 100 form, CM100 form, NJ cigarette license application
EditionRevised 2026
Issuing agencyDivision of Revenue and Enterprise Services
Where to sendDivision of Revenue and Enterprise Services, PO Box 252, Trenton, NJ 08646-0252
Official sourceForm CM-100, Cigarette License Application, State of New Jersey Division of Revenue and Enterprise Services