Indiana Code Title 6. Taxation § 6-6-1.1-402

(1) The name under which the distributor will transact business in Indiana.

(2) The location, including street address, of the applicant's principal place of business.

(3) The name and complete residence address of the owner or the names and addresses of the partners, if the applicant is a partnership, the names and addresses of the managers and members, if the applicant is a limited liability company, or the names and addresses of the principal officers, if the applicant is a corporation or association.

(4) Any other information the administrator reasonably requires.