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

SECTION 4 - AFFIDAVIT OF APPLICANT

NOTARIZATION REQUIRED

Trade Name (D/B/A)

“I, the undersigned individually, or if a corporation for itself, its officers and directors, hereby swear or affirm

that I am duly authorized to make the foregoing application and agree that the steamships, buses or

airplanes in addition to the designated central location, may be inspected and searched during business

hours or at any time business is being conducted on the premises without a search warrant by officers of the

Division of Alcoholic Beverages and Tobacco, the sheriff, his deputies, and police officers for the purposes

of determining compliance with the beverage laws.”

“It is understood that any license issued pursuant to this application authorizes the operators of railroads or

sleeping cars, steamships and steamship lines, buses and bus lines, airplanes and airlines, to sell the

alcoholic beverages defined in the beverage law to bona fide passengers only and for consumption on the

licensed premises only. It is also understood that such sales are permitted while such passenger train,

steamships, buses, and airplanes are in transit; but such sales are not permitted on airplanes while they are

in airports.”

“I swear under oath or affirmation under penalty or perjury as provided for in Sections 559.791, 562.45, and

837.06, Florida Statutes, that the foregoing information is true and that all of the above listed persons or

entities meet the qualifications necessary to hold an alcoholic beverage license.”

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

Dbpr Form Abt-6020 - Examination Application Page 5