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VINOUS AND DISTILLED SPIRITS APPLICANTS

If you are other than the manufacturer, a copy of your appointment as exclusive agent must be attached

for each vinous or distilled product. An exclusive agent appointment letter must be submitted each time

you are requesting licensure, even if you have previously requested licensure and received approval for

the same brand name. (Note: If you are requesting licensure for more than one label under the same

brand name, you may attach one appointment letter to cover that brand name.)

Listing of Wholesale Distributors

List the license number, business name, and city of all Florida wholesale distributors to whom shipments

will be made in Section 3 of this application. Any changes in distributors must be submitted on the DBPR

ABT-6019 Division of Alcoholic Beverages and Tobacco Notification for Change in Wholesale Distributors

form.

Primary American Source of Supply Licensure and Brand/Label Registration

Attach a legible copy of the approved federal application, "Application for and Certification/Exemption of

Label/Bottle Approval,” for each brand/label being licensed/registered. Proof, age, appellation, alcoholic

content, imported, domestic, gold, white, light, chablis, individual flavor, and difference of any product

requires separate licensure/registration. The vintage year of a wine will not require a separate registration

for each year.

MALT BEVERAGES APPLICANTS ONLY

Malt beverages packaged in individual containers containing 32 ounces or less of such malt beverage,

shall have imprinted thereon in clearly legible fashion by any permanent method, the word "Florida" or

"FL," and no other state name or abbreviation of any state name, in at least 8-point type. The word

"Florida” or "FL" shall appear first or last, if imprinted in conjunction with any manufacturer's code (Section

563.06, Florida Statutes). A facsimile of the imprinting and its location as it will appear on the individual

container should be submitted with this application for approval. Any changes must be reviewed and

approved by checking “Revised Label” in section 1 of this application. If there are no changes since the

prior approval, then check "No Changes Since Prior Approval" in section 1 of this application; therefore,

additional samples will not be required. Also, please submit a copy of your “territory agreement” with this

application.

Exemption from "FL/Florida" Imprinting

The manufacturer of malt beverages may file a request for exemption from the "FL/Florida"

imprinting if the manufacturer can establish that the manufacturer has a tracking system in place, by use

of code or otherwise, which enables the manufacturer, with at least 85% reliability by July 1, 1996, and

90% reliability by January 1, 2000, to identify the following:

1. The place where individual containers of malt beverages were produced, and

2. The state in which the individual containers of malt beverages were shipped, and

3. The individual distributors within the state which received the individual containers of malt

beverage.

The following additional information must also be submitted for approval:

A statement describing the coding process to include at least an explanation of how the code

will identify the place of production, state to which the product was shipped, the distributor

within the state who received it, manufacturing and shipping dates, and any other applicable

coding information.

An example of the code that is affixed to the individual malt beverage container and where

affixed.

A statement as to the degree of accuracy of the tracking system and an explanation how the

degree of accuracy was determined.

A statement of agreement that the division can obtain applicable information concerning malt

beverage shipments and the proper coding within 10 days of official request.

Form Dbpr Abt-6018 - Application For Primary American Source Of Supply And Brand/label Registration Page 2

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