Notice Of Intent To Sell Or Change Ownership - Missouri Department Of Public Safety

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MISSOURI DEPARTMENT OF PUBLIC SAFETY
DIVISION OF ALCOHOL AND TOBACCO CONTROL
NOTICE OF INTENT TO SELL OR CHANGE OWNERSHIP
NAME OF SOLE OWNER, ALL PARTNERS, CORPORATION OR LIMITED LIABILITY COMPANY HOLDING CURRENT VALID LICENSE
License Number
DOING BUSINESS AS
ADDRESS
CITY
STATE
ZIP CODE
Licenses nontransferable--exceptions.
311.250. 1. No license issued under this chapter shall be transferable or assignable except as herein provided. In the
event of the death of the licensee, the widow or widower or the next of kin of such deceased licensee, who shall meet
the other requirements of this law may make application and the supervisor of liquor control may transfer such license
to permit the operation of the business of the deceased for the remainder of the period for which a license fee has been
paid by the deceased.
Requirements
1. Complete and sign this Intent to Sell or Change Ownership Form
2. Must attach your original Liquor License. (You will be issued a temporary 10 day special license).
3. Provide a copy of the temporary lease or the contract for sale from the new owner giving you permission to
occupy the premise.
I/We
(SOLE OWNER, ALL PARTNERS OR MANGING OFFICER OF CORPORATION OR LIMITED LIABILITY COMPANY)
Intend to sell or change ownership in the above listed business on or about
(PROPOSED DATE OF SALE)
I/ We affirm that I / we are the current owner (s) of the above named business and will remain in active ownership and
management for the licensed premise until a license is issued to the buyer or buyers of the business by the Supervisor of
Alcohol and Tobacco Control.
SIGNATURE OF OWNER, MANAGING OFFICER OR PARTNER
DATE
SIGNATURE OF PARTNER (IF MORE THAN ONE)
DATE
SIGNATURE OF PARTNER (IF MORE THAN ONE)
DATE
SIGNATURE OF PARTNER (IF MORE THAN ONE)
DATE
NOTARY INFORMATION
NOTARY PUBLIC EMBOSSER OR BLACK INK
STATE OF
COUNTY (OR CITY OF ST. LOUIS)
RUBBER STAMP
SUBSCRIBED AND SWORN BEFORE ME, THIS
DAY OF
YEAR
NOTARY PUBLIC SIGNATURE
MY COMMISSION
USE RUBBER STAMP IN CLEAR AREA BELOW.
EXPIRES
NOTARY PUBLIC NAME (TYPED OR PRINTED)
AGENT
STATE SUPERVISOR

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