Dbpr Form Abt-6020 - Examination Application (Page 3 of 5) in pdf

Dbpr Form Abt-6020 - Examination Application Page 3

DBPR ABT-6020– Division of Alcoholic Beverages and Tobacco Application for Common Carrier

License

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 at (850) 488-8288. Please send your completed

application and required fee(s) to:

Department of Business and Professional Regulation

1940 North Monroe Street

Tallahassee, FL 32399-1021

SECTION 1 - CHECK TRANSACTION REQUESTED

Transaction Type:

New License for Common Carrier Series X

New License for Common Carrier Series IX

SECTION 2 - APPLICANT INFORMATION

Full Name of Applicant

Business Name

Mailing Address

City

State

Zip Code

Name of Florida Airport/Terminal/Port

City

County

Contact Person

Dept.

Phone Number

1. If you operate buses, steamships or airplanes in Florida, are they operated between fixed terminals and

upon fixed schedules?

Yes

2. Is this applicant a corporation?

Yes

If yes, please list your Florida Corporate Number:__________________________________________

Dbpr Form Abt-6020 - Examination Application Page 3