INSTRUCTIONS FOR PROPER FILING OF YOUR APPLICATION
PLEASE READ PRIOR TO COMPLETING THIS FORM
An application fee of $25.00, payable to the Alcoholic Beverage Control
must be returned with this completed application.
The applicant’s signature must be notarized by a licensed Notary Public.
Submit either an original application for a sales tax number (green form),
a copy of the sales tax application, or if already granted a sales tax
number, list the number in Item II of the application form.
Locate on this application form the ownership classification of the
applicant, whether a sole owner, partnership, corporation, trust or other.
Note the instructions on who must file qualifying documents (PERSONAL
RECORD, form 1001). Be sure to complete the PERMITTEE
CERTIFICATION AND OATH ending this portion of the application.
Complete the WAIVER AND AUTHORIZATION TO RELEASE
INFORMATION. This release will assist us in verifying the information on
You are required to publish notice of your application in two (2)
consecutive issues of a newspaper published in the town in which the
business will be located. If no local newspaper exists, the notice may be
published in the newspaper produced in the town located nearest your
business and within the same county. The notice must be published in its
entirety in TEN POINT BOLD FACE TYPE. An acceptable legal
format is included in this packet. Submit with this application a
PUBLISHER’S AFFIDAVIT (obtained from the newspaper) as proof
NOTICE: ALL NEW PERMITTEES DURING THEIR FIRST 90 DAYS ARE ON
"CERTIFIED FUNDS" STATUS.
ORDERS FOR ALCOHOLIC BEVERAGES
MUST BE PAID WITH A MONEY ORDER OR CERTIFIED CHECK FOR THE
AMOUNT OF PURCHASE AND ANY FEES DUE.
CHECKS NOR COMPANY CHECKS ARE ACCEPTABLE.
ACCEPTED ONLY IF DELIVERED IN PERSON.
BRING EXACT AMOUNT
DUE, CHANGE IS NOT AVAILABLE.