Form Dbpr Abt-6038 - Division Of Alcoholic Beverages And Tobacco Application For Tax Exempt Wine Permit

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DBPR ABT-6038 – Division of Alcoholic Beverages and Tobacco Application for Tax Exempt Wine
Permit
STATE OF FLORIDA
DEPARTMENT OF BUSINESS AND PROFESSIONAL
REGULATION
1940 North Monroe Street
Tallahassee, FL 32399-0783
If you have any questions or need assistance in completing this application, please contact the
Department of Business and Professional Regulation, Customer Contact Center, at (850) 487-1395.
Please send your completed application and required fee(s) to:
Department of Business and Professional Regulation
1940 North Monroe Street
Tallahassee, FL 32399-0783
SECTION 1 – CHECK PERMIT CATEGORY
Religious Order
Minister
Monastery
Pastor
Church
Priest
Religious Body
Rabbi
SECTION 2 – APPLICANT INFORMATION
Full Name of Applicant
Organization Name
Mailing Address
City
State
Zip Code
Contact Person
Telephone Number
Fax Number
1. The religious purpose for this wine to be used:
2. Estimated amount of wine in total gallons to be purchased annually:
1

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