Form 5 - Montana Alcoholic Beverage - Gambling Operator Combined License Application Page 2
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15State of Montana
Alcoholic Beverage/Gambling Operator Combined License Application
Please check all appropriate sections below:
FOR OFFICE USE ONLY
Gambling License No.: ______________________
1. Gambling Operator License Processing Fee:
Nonprofit Organization - $300
Liquor License No:
______________________
Sole Proprietorship - $800
Partnership or Corporation - $1,000
Check Number:
______________________
2. Alcoholic Beverage License Processing Fee:
All applications - $200
Gambling Fee Paid: $ _________________
Liquor Fee Paid: $ _________________
3. Alcoholic Beverage License Fee:
On-Premises Beer - $200 if new
Fingerprint Fee Paid: $ _________________
On-Premises Beer/Wine - $400 if new
All-Beverage - $400 to $800 (if a new issue
and depending on the population)
7. Secured Party:
Secured Party Addition - $20
Secured Party Termination - $10
4. Reduced License fees for Nationally
Chartered Veterans Organizations:
On-Premises Beer - $50
8. Resort License Fee:
On-Premises Beer/Wine - $250
Annual All-Beverage license fee - $2,000
All-Beverage - $250 to $650 (depending
plus a onetime initial application license
on location and population)
fee of $20,000 = $22,000 total
5. Catering Endorsement:
9. Golf Course Beer and Wine:
Beer and Wine - $200
Annual License fee - $400 plus a onetime
All-Beverage - $250
initial application fee of $20,000 = $20,400
total
6. Restaurant Beer and Wine:
Annual license fee - $400 plus a onetime
10. Fingerprint Fee
$27.25 per individual
Seating fee for 60 or less - $5,000
Seating fee for 61 to 100 - $10,000
Seating fee for 101 or more - $20,000
Enter the amounts due from the corresponding schedules above.
1. Gambling Operator License Processing Fee: $____________
2. Alcoholic Beverage License Processing Fee: $____________
3. Alcoholic Beverage License Fee:
$____________
STAPLE PAYMENT
4. Nationally Chartered Veterans Organizations
HERE
Reduced Fee:
$____________
5. Catering Endorsement:
$____________
6. Restaurant Beer and Wine Fee:
$____________
7. Secured Party Fee:
$____________
8. Resort License Fee:
$____________
9. Golf Course Beer/Wine Fee:
$____________
10. Fingerprint Fee(s):
$____________
Total:
$____________
“Payable to “Gambling Control Division”
Based on the actual cost incurred by the Gambling Control Division in processing the license, the division will
refund any overpayment of the fee or collect an amount sufficient to reimburse the division for any underpayment
of actual costs. The Division will provide the applicant an itemized accounting of expenses.
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