DBPR ABT-6016 – Division of Alcoholic Beverages and Tobacco Application for Vehicle 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 or your local district office. Please submit your
completed application to your local district office. This application may be submitted by mail, through
appointment, or it can be dropped off. A District Office Address and Contact Information Sheet can be
.
found on AB&T’s page of the DBPR web site at the link provided below
SECTION 1 - APPLICANT INFORMATION
Business Name
Licensee Name
Location Address
City
County
State
Zip Code
SECTION 2 - VEHICLE INFORMATION
Make of Vehicle
Model
Year
Vehicle Identification Number
Vehicle Tag Number
SECTION 3 - AFFIDAVIT OF APPLICANT
NOTARIZATION REQUIRED
I, the undersigned individual, or if a corporation for itself, its officers and directors, hereby swear or affirm
that the referenced vehicle is owned or leased by the above entity and will be used to make deliveries of
sales actually made at my licensed premises, or to transport alcoholic beverage purchases from a
distributor’s licensed place of business to my licensed premises or authorized off-premises storage facility.
Further, I understand that this permit is valid and will not expire unless the vehicle is disposed of, or my
alcoholic beverage license is transferred, cancelled, not renewed, or revoked by the Division. I further
agree that such vehicle is subject to be inspected and searched without a search warrant during business
hours or other times the vehicle is being used to transport or deliver alcoholic beverages by officers of the
Division of Alcoholic Beverages and Tobacco, the sheriff, his deputies, and police officers for the purpose
of ascertaining compliance with the beverage laws.
STATE OF___________________
_________________________________________________
APPLICANT SIGNATURE
COUNTY OF_________________
_________________________________________________
APPLICANT SIGNATURE
The foregoing was ( ) Sworn to and Subscribed OR ( ) Acknowledged Before me this __________Day
of_____________, 20______, By__________________________ who is ( ) personally known to me
OR ( ) who produced ____________________________ as identification.
__________________________________________ Commission Expires:
Notary Public
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