Special Events License Form/affidavit Of Character/liquor License Application Criminal Record Check - City Of Sulphur Page 3
ADVERTISEMENT
1
2
3CITY OF SULPHUR
LIQUOR LICENSE APPLICATION
CRIMINAL RECORD CHECK
(Information MUST be provided for any persons selling or dispensing alcoholic beverages)
Business Name:__________________________________________________________________________________________
Business Address: ________________________________________________________________________________________
Name Of Business/Event: _________________________________________________________________________________
Event Location: __________________________________________________________________________________________
Date Of Application: ______________________________________________________________________________________
Please give the following information on all owners, members, and operators that are applying for this license.
Name: ___________________________________________________________ Dl#: ___________________ State: ________
D.O.B.: _____________________ Place Of Birth: ______________________________S.S.N.: __________________________
Name: ___________________________________________________________ Dl#: ___________________ State: ________
D.O.B.: _____________________ Place Of Birth: ______________________________S.S.N.: __________________________
Name: ___________________________________________________________ Dl#: ___________________ State: ________
D.O.B.: _____________________ Place Of Birth: ______________________________S.S.N.: __________________________
Name: ___________________________________________________________ Dl#: ___________________ State: ________
D.O.B.: _____________________ Place Of Birth: ______________________________S.S.N.: __________________________
Name: ___________________________________________________________ Dl#: ___________________ State: ________
D.O.B.: _____________________ Place Of Birth: ______________________________S.S.N.: __________________________
Name: ___________________________________________________________ Dl#: ___________________ State: ________
D.O.B.: _____________________ Place Of Birth: ______________________________S.S.N.: __________________________
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Business