Limited Liability Company Authorization Form For Tobacco Permit/registration Application And Bond - Alabama Department Of Revenue Page 2

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Authorization Form Instructions
This form should only be completed for a multiple member limited liability company when less than all
members of the LLC are signing the application. Also, the person completing the form must be vested mem-
ber or manager that is authorized to sign on behalf of the company.
The following information must be included on the authorization form.
• The true legal name of the limited liability company.
• The signature of the member or manager that is authorized to execute this form.
• The signature and seal of a Notary Public. The individual notarizing the signature cannot be one of the
individuals required to be listed on the application.

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