Form Montana Aablcat - Application To Add Catering Endorsement To All-Alcoholic Beverages License

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MONTANA
AABLCAT
Rev. 01 11
Application to Add Catering Endorsement
to All-Alcoholic Beverages License
You have two options for sending your request to us.
► Fill out your request online at revenue.mt.gov by registering on Taxpayer Access Point (TAP).
► Mail your request to the address listed below.
Department of Revenue
Liquor Control Division
PO Box 1712
Helena, MT 59624-1712
Section 1 – General Information
Name of Licensee(s) ___________________________________________________________________________
Doing Business As _____________________________________________________________________________
-
-
-
License Number
Section 2 – Required Fees and License Information
Annual License Fee ..................... $250
One-Time Processing Fee........... $100
Total Due .................................... $350
Total Enclosed $ ___________
Section 3 – Declaration and Affidavit
Section 16-4-402, MCA, states “[U]pon proof that an applicant made a false statement in any part of [an] application ... ,
the application for the license may be denied, and if issued, the license may be revoked.” The application must be signed
by all individuals, partners or members. In the case of a corporate applicant, it may be signed by one shareholder or
officer with authority to sign.
I/We declare under penalty of false swearing that the information provided on this application and its attachments is true,
correct and complete.
Title
Signature
Date
Printed Name
Title
Signature
Date
Printed Name
Title
Signature
Date
Printed Name
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Signature
Date
Printed Name
*11MG0101*
*11MG0101*

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