Liquor Licensing File/information Request - Montana Department Of Revenue

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Rev 07-09
Liquor Licensing File/Information Request
The department will provide access to and/or copying of general unprotected documents maintained
by the department. This policy will not override a right to privacy provided by confi dentiality statutes
or some other ruling which may address a privacy issue. A fee of fi fty cents ($.50) per printed material
page will be charged for each page photocopied for a customer by the department.
File/Information Requested __________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
Person Requesting ________________________________________________________________
Phone Number ___________________________________________________________________
Fax Number ______________________________________________________________________
Email Address ____________________________________________________________________
Address _________________________________________________________________________
City, State Zip ____________________________________________________________________
Signature _______________________________________________________________________
Please sign above as acknowledgement to policy stated at top of page and mail or fax back to the
department for approval and requested fi le/information. Our mailing address and fax number are as
follows:
Montana Department of Revenue
Liquor Control Division
PO Box 1712
Helena, MT 59634
FAX: (406) 444-0722
Please note: The requested fi le/information will be sent when your payment is received. If you are
unsure about the number of pages to be copied, check the box below and we will call you to advise
how many pages your request will generate.
 Please call me to advise number of pages and copying fee.
Questions? Visit our website at revenue.mt.gov or call us toll free (866) 859-2254
(in Helena, 444-6900).
Department Use Only
Number of pages ____________ x $.50/copy = $ _________________________
Approved _________________________________________________________
Date _____________________________________________________________

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