Public Transportation, Wholesale, Manufacturer, Importer License Application Form
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DR 8409 (06/02)
COLORADO LIQUOR
COLORADO DEPARTMENT OF REVENUE
OR 3.2% FERMENTED MALT BEVERAGE
LIQUOR ENFORCEMENT DIVISION
PUBLIC TRANSPORTATION, WHOLESALE,
1375 SHERMAN STREET
DENVER CO 80261
MANUFACTURER, IMPORTER LICENSE APPLICATION
NEW LICENSE
LICENSE RENEWAL
TRANSFER OF OWNERSHIP
•
ALL ANSWERS MUST BE PRINTED IN BLACK INK OR TYPEWRITTEN
•
APPLICANT MUST CHECK THE APPROPRIATE BOX(ES)
•
APPLICANT SHOULD OBTAIN A COPY OF THE COLORADO LIQUOR AND BEER CODE (Call 303-321-4164)
DO NOT WRITE IN THIS SPACE
1a. Applicant is applying as a
Individual (Attach DR 8404-I)
Corporation
Limited Liability Company
Partnership (Includes Limited Liability and Husband and Wife Partnerships)
Association or Other
1b. Name of Applicant(s) If partnership, list partners' names (at least two); if corporation, name of corporation
FEIN Number
2. Trade Name of Establishment (DBA)
State Sales Tax No.
Business Telephone
3. Address of Premises (specify exact location of premises)
State
ZIP Code
City
County
State
ZIP Code
4. Mailing Address (Number and Street)
City or Town
5. If the premises currently have a liquor or beer license, you MUST answer the following questions:
Present State License No.
Present Expiration Date
Present Class of License
Present Trade Name of Establishment (DBA)
LIAB
SECTION A
SECTION D
LIQUOR LICENSE FEES
LIAB
2300
Application Fee for New License .................. $900.00
2000
Public Transportation License
2310
Application Fee for Transfer of Ownership ..... 900.00
$75.00 x
(# Units) Total Fee
2080
Manufacturer's License (brewery) ...................... 300.00
SECTION B
2100
Manufacturer's License (winery) ........................ 300.00
3.2% Beer Wholesale License ..................... 150.00
2130
Manufacturer's License (distillery or rectifier) .. 1,050.00
2090
3.2% Beer Manufacturer's License .............. 150.00
2140
2050
Wholesale Liquor License
3.2% Beer Importer's License ...................... 150.00
2160
(vinous & spirituous) ....................................... 1,050.00
2150
3.2% Nonresident Manufacturer License ..... 150.00
2060
Wholesale Beer License (malt liquor) ................ 550.00
SECTION C
1920
Importer's License (malt liquor) .......................... 300.00
2070
Importer's License (vinous & spirituous liquor) ... 300.00
2240
Sole Source Registration
1930
Limited Winery License ........................................ 70.00
$100.00 X_____ ... Total Fee_____
1910
Nonresident Manufacturer's License
2290
Product Registration
$5.00 X_____ ... Total Fee_____
(malt liquor) ........................................................ 300.00
DO NOT WRITE IN THIS SPACE - FOR DEPARTMENT OF REVENUE USE ONLY
LIABILITY INFORMATION
Liability Date
License Issued Through (Expiration Date)
License Account Number
FEE PAID FOR BEER, WINE, AND SPIRITUOUS LIQUOR
Cash Fund
Cash Fund
Sole Source
Product
State
New License
Transfer License
Registration
Registration
TOTAL
2300-100
2310-100
2240-100
2290-100
(999)
(999)
(999)
(999)
(999)
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