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Form Dbpr Abt-6018 - Application For Primary American Source Of Supply And Brand/label Registration Page 4

APPLICATION CHECKLIST

Select the appropriate transaction below and comply with the corresponding application requirements.

TRANSACTION

APPLICATION REQUIREMENTS

Pay $30 fee for each brand/label of Distilled Spirits and/or pay $15

fee for each Vinous brand/label (make checks payable to the

Department of Business and Professional Regulation)

Complete DBPR ABT-6018 Division of Alcoholic Beverages and

Primary American Source

Tobacco Primary American Source of Supply and Brand/Label

(PAS) Initial License for

Registration Application

Vinous and Distilled

Submit a copy of the approved federal application "Application for

Spirits

and Certification/Exemption of Label/Bottle Approval" for each

brand/label being licensed/registered (BATF)

Submit a copy of your appointment as exclusive agent for each

Vinous or Distilled product, IF APPLICABLE

Submit an original label or legible copy

Pay $30 fee for each brand/label of Malt Beverages (make checks

payable to the Department of Business and Professional

Regulation)

Complete DBPR ABT-6018 Division of Alcoholic Beverages and

Tobacco Primary American Source of Supply and Brand/Label

Registration Application

Brand/Label Registration

Submit a copy of the approved federal application "Application for

for Malt Beverages

and Certification/Exemption of Label/Bottle Approval" for each

brand/label being licensed/registered (BATF)

Submit a facsimile of the FL/Florida imprinting and its location as it

will appear on the individual container

Submit an original label or legible copy

Submit a copy of your Territory Agreement

Complete DBPR ABT-6018 Division of Alcoholic Beverages and

Revised Label for Malt

Tobacco Primary American Source of Supply and Brand/Label

Beverages

Registration Application

Submit an original label or legible copy

Form Dbpr Abt-6018 - Application For Primary American Source Of Supply And Brand/label Registration Page 4