Form Com/att-009-1 - Application For Class C Special License - Comptroller Of Maryland Page 2
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2The applicants submit herewith a statement duly executed and acknowledged by the company on whose behalf the license
is desired, assenting to the granting of the license applied for, authorizing the Comptroller, his duly authorized deputies,
inspectors and clerks, to inspect and search, without warrant, the boat, plane or train to which such license applies, at any
and all hours, provided no such inspection or search shall be made at such time or in such manner as to delay or interfere
with movement of said boat, plane or train.
The license for which this application is made is to be for the following days(s)
and the applicant tenders herewith the sum of (
per day) $
in
payment for the license.
Signature of applicant
Signature of applicant
Signature of applicant
Statement of Company Required in Connection with Alcoholic Beverages Law of Maryland
I hereby certify that I am the owner of
(Insert name of boat, plane, or train)
named in the application made by
to the Comptroller of Maryland under the Alcoholic Beverages Law of Maryland Class C Special License for the day(s) set
forth herein; and that I assent to the granting of the license applied for, and that I hereby authorize the State Comptroller,
his duly authorized deputies, inspectors and clerks to inspect and search, without warrant, any boat, plane or train to which
such license applies, at any and all hours, provided no such inspection or search shall be made at such time or in such
manner as to delay or interfere with the movement of such boat, plane or train.
AFFIDAVIT
I do solemnly declare and affirm under the penalties of perjury that the contents of the foregoing document are true and
correct to the best of my knowledge, information, and belief.
Signature
Type or print name
Title
Date
COM/ATT-009-1
Revised 7/07
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