Form Avp-2 - Montana Vendor Permit

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MONTANA
AVP-2
Rev 06 13
Montana Vendor Permit
Section 1 – General Information
Vendor Name _____________________________________________________________________________________
-
FEIN
Contact Person ____________________________________________________________________________________
Telephone __________________________________________ Fax __________________________________________
Mailing Address ____________________________________________________________________________________
________________________________________________________________________________________________
Section 2 - Type of Transaction and Fees
(This permit needs to be renewed on an annual basis by September 30.)
Check the type of transaction(s) below:
 New Vendor Permit  Registration of Representative
$100
New Permit Fee
$25
Representative Fee (For each representative)
Total Amount Enclosed
$ ______________
Vendors seeking to have their products promoted in the state of Montana are required to hold a current Montana Vendor’s
Permit. In addition, the vendor is required to employ and register at least one person, and may employ and register two
additional persons to promote the sale of the vendors’ products in Montana. Persons seeking registration to promote
products for vendors need to be a resident of the state.
Section 3 – Question
Does your organization directly, or indirectly, have a financial interest in any Montana licensed alcoholic beverage retailer
or agency liquor store either individually or as a partner, officer, director, shareholder or employee?
 Yes
If “Yes,” please explain ______________________________________________________________
 No
A manufacturer cannot have any financial ownership or operational control in an agency liquor store or any retail liquor
license.
*11LH0101*
*11LH0101*
Montana Vendor Permit

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