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Form Bbwl Cat - Application To Add Catering Endorsement To On-Premises Beer Or Beer/wine Licens

MONTANA

BBWL CAT

Rev 06 13

Application to Add Catering Endorsement

to On-Premises Beer or Beer/Wine 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 ..................... $200

One-Time Processing Fee........... $100

Total Due .................................... $300

Total Enclosed $ ___________

Section 3 – Declaration and Affidavit

I declare under penalty of false swearing that I am the applicant or the duly authorized representative of the entity making

this application, and that the responses provided, including any accompanying information, are true, correct and complete.

Title

Signature

Date

Printed Name

*11MH0101*

Form Bbwl Cat - Application To Add Catering Endorsement To On-Premises Beer Or Beer/wine Licens