Public Transportation, Wholesale, Manufacturer, Importer License Application Form Page 2
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4DR 8409 (06/02) Page 2
APPLICATION CHECKLIST AND WORKSHEET
Instructions: This check list should be utilized to assist applicants with filing all documents required for licensure. All documents must
be properly signed and correspond with the name of the applicant exactly. Copies (other than application) may be accepted if signatures
are legible. All documents must be typed or legibly printed in black ink. Upon state approval, the license will be mailed to you.
ITEMS SUBMITTED DOCUMENTS
PLEASE CHECK ALL APPROPRIATE BOXES
I.
APPLICANT INFORMATION
A. Identify Applicant/Licensee.
B. Identify license type or other transaction.
C. Identify State Sales Tax License Number (Transportation applicant only).
D. Submit original application.
II.
DIAGRAM (WHOLESALERS, TRANSPORTATION AND INSTATE MANUFACTURERS)
A. 8 1/2" X 11" diagram of property to be licensed.
B. Address and diagram of premises where liquor is to be stored (Transportation and wholesale applicants only).
III.
PROOF OF PROPERTY POSSESSION (NOT REQUIRED FOR IMPORTERS AND NON RESIDENT MANUFACTURERS)
A. Deed in name of the Applicant ONLY (or)
B. Lease in the name of the Applicant ONLY and valid for at least one (1) year from the date of license issuance, or
C. Lease Assignment in the name of the Applicant ONLY with proper consent from the Landlord and acceptance by the Applicant.
D. Copy of Vehicle Registration (Transportation applicant only).
E. Copy of Vehicle Lease (Transportation applicant only).
F. Other Agreement if applicable.
IV.
BACKGROUND INFORMATION (DR 8404-I)
A. Complete for each principal (stockholder, officer, director, partner, member, etc.).
B. Complete fingerprint cards for the same persons mentioned in "A" above. Cards are to be taken to the local police
department for fingerprinting. Return the completed cards to this department with a check for $ ________________ ,
per card, made payable to COLORADO BUREAU OF INVESTIGATION.
V.
CORPORATE APPLICANT INFORMATION (If Applicable)
A. Certificate of Incorporation (and/or)
B. Certificate of Good Standing if incorporated more than two years old.
C. Certificate of Authorization if foreign corporation (instate applicant's only).
D. List of officers, directors and stockholders of any PARENT corporation (designate one person as "principal officer").
VI.
PARTNERSHIP APPLICANT INFORMATION (If Applicable)
A. Partnership Agreement (general or limited). Not needed if husband and wife.
VII.
LIMITED LIABILITY COMPANY APPLICANT INFORMATION (If Applicable)
A. Copy of articles of organization (date stamped by Colorado Secretary of State's Office).
B. Copy of operating agreement.
C. Certificate of Authority, if foreign company (instate applicant's only).
VIII.
OTHER PERMITS
A. Copies of all Federal Basic Permits.
B. Copy of Colorado PUC authority (Transportation applicants only).
IX.
PRODUCT INFORMATION
A. IMPORTERS AND NONRESIDENT MANUFACTURERS
1. See PROCESSING DOCUMENT FOR ADDITIONAL FEES.
2. Sole Source of Supply/Brand Registration (DR 8440).
3. Copy of Geographic Territory Agreement (beer importers only): a properly executed and binding agreement showing, for each
wholesaler, the designated products to be sold and territories assigned for product distribution.
4. Copies of federal brand label approvals.
5. If applicant is not the U.S. Primary Source, a letter of appointment from primary source.
B. WHOLESALERS
1. Disclose your Colorado licensed importer.
2. Copy of Geographic Territory Agreement (Beer only): a properly executed and binding agreement from the Colorado licensed
manufacturer or importer showing the designated products being sold and territories for product distribution.
C. INSTATE MANUFACTURERS
1. If not submitting labels for federal approval, submit labels for state approval.
X.
APPLICATION REVIEW
A. Complete in all sections.
B. Sign application.
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