Form Dbpr Abt-6008 - Application For Importer Or Broker Sales Agent

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DBPR ABT-6008 – Division of Alcoholic Beverages and Tobacco Application for Importer or Broker
Sales Agent
STATE OF FLORIDA
DEPARTMENT OF BUSINESS AND PROFESSIONAL
REGULATION
1940 North Monroe Street
Tallahassee, FL 32399-0783
NOTE – This form must be submitted as part of an
application packet
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 and required fee(s) 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 - CHECK TRANSACTION REQUESTED
Transaction Type:
New License
Transfer of Ownership
Change of Location
Change of Business Name
Change of Officers/Stockholders
Corporate Document Number
SECTION 2 - CHECK LICENSE CATEGORY
Importer
Broker Sales Agent
SECTION 3 - LICENSE INFORMATION
Full Name of Applicant
(If this is a corporation or other legal entity, enter the name as registered with the Secretary of State)
Trade Name (D/B/A)
Florida Location Address (Street and Number)
City
County
State
Zip Code
Mailing Address (Street or P.O. Box)
City
State
Zip Code
FEIN Number
Current License Number, if applicable
1

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