Form Non-Btw - Non-Profit Arts Organization Beer And Table Wine License Application Page 3

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6. Is the building complete and ready for use?
Yes
No
Please provide expected date of completion.
7. Will there be a manager to oversee the day-to-day operations of the liquor license?
Yes
Please send a management agreement.
No
Section 5. Additional Application Materials
•
Proof of possessory interest in the premises to be licensed such as a lease, purchase agreement or tax bill;
•
Floor plan for premises, using approximate dimensional measurements, including external dimensions and
general layout – on an 8-1/2” x 11” sheet of paper. Note: On the floor plan you will need to clearly mark the areas
where alcohol will be served, sold and stored. The floor plan must contain outside dimensions, the name of the
establishment, physical address and date;
•
Bank Signature Card for the owning entity;
•
Federal Employer Identification Number (FEIN) as filed with the Internal Revenue Service (IRS). You can apply for
an FEIN on the IRS website at by clicking on the link under Online Services;
•
Management Agreement for any individual who manages the day-to-day business of the liquor operation;
•
Personal History Statement and two fingerprint cards for each officer, director and/or manager;
•
Articles of Incorporation issued by the Secretary of State’s office;
•
Copy of your tax exempt certificate issued by the Internal Revenue Service;
•
Verification of the federal tax code section under which your operation received its federal tax exemption;
•
Liquor Division Authorization to Disclose Tax Information (Form LIQ-AUTH).
Section 6. Declaration and Affidavit
This application needs to be signed by two persons:
1. Presiding officer of the board of directors and the president; or
2. Presiding officer of the board or the president, and one vice president, secretary, treasurer, or executive director.
I/We declare under penalty of false swearing that the information provided on this application, including required and
applicable documents, is true, correct, and complete.
_______________________
_____________
___________________ ____________________
Signature
Date
Printed Name
Title
_______________________
_____________
___________________ ____________________
Signature
Date
Printed Name
Title
_______________________
_____________
___________________ ____________________
Signature
Date
Printed Name
Title
Mail completed application and all required and applicable documents to:
Montana Department of Revenue
Liquor Control Division
PO Box 1712
Helena, MT 59624-1712
Questions? Call us toll free at 1-866-859-2254 (in Helena, 444-6900), or fax 406-444-0722.
Non-Profit Arts Organization Beer and Table Wine Application
Page 3

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