Form 367 - Application For Manufacturer'S And Wholesaler'S Licenses
Download a blank fillable Form 367 - Application For Manufacturer'S And Wholesaler'S Licenses in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete Form 367 - Application For Manufacturer'S And Wholesaler'S Licenses with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
1
2
3
4Form
APPLICATION FOR MANUFACTURER’S
367
AND WHOLESALER’S LICENSES
For the use of: (Check one)
OFFICE USE ONLY
Check Number __________
An individual
Partnership
Corporation
Limited Liability Co.
Amount $ _____________
Deposit Date____________
Date _________________________________, 2 ________________
Approved ______________
Date _________________
License # ______________
Stub # ________________
Date Issued ____________
Check Class(es) of License(s) desired:
Manufacturer’s Licenses
Wholesaler’s Licenses
Class 1 Distillery
Annual Fee
$2,000.00
Class 1 Beer, Wine & Liquor
Annual Fee
$2,000.00
Class 2 Rectifying
Annual Fee
$600.00 *
Class 2 Wine and Liquor
Annual Fee
$1,750.00
Class 3 Winery
Annual Fee
$750.00 *
Class 3 Beer and Wine
Annual Fee
$1,500.00
Class 4 Limited Winery
Annual Fee
$200.00
Class 4 Beer
Annual Fee
$1,250.00
Class 5 Brewery
Annual Fee
$1,500.00 *
Class 5 Wine
Annual Fee
$1,250.00
Class 6 Pub-Brewery
Annual Fee
$500.00
Class 6 Limited Wine
Annual Fee
$50.00
Class 7 Micro-Brewery
Annual Fee
$500.00
Class 7 Limited Beer
Annual Fee
$50.00
Class 8 Farm Brewery
Annual Fee
$200.00
* If you desire to sell to retailers, you will also need a
Wholesaler’s License of the proper class.
• $200.00 non-refundable application fee must be submitted with any initial license application.
• Upon approval of your initial application, you will be notified of the appropriate prorated license fee to submit.
• Wholesale licensees of any class using this form to apply for wholesale licenses for additional locations need not submit the
$200.00 non-refundable application fee.
• Application is made by the undersigned under the provisions of Article 2B, as amended, title "Alcoholic Beverages", for the
Class(es) of License(s) as checked above, and the applicant(s) submit and certify to the following information required by law.
1. Applicants *
(1)
(2)
(3)
Name
Residence
Home Phone
Date of Birth
Place of Birth
Social Security Number **
Qualifying Maryland Resident? ***
Yes
No
Yes
No
Yes
No
MD Resident since
*
In the case of a corporation, the law requires three officers to apply as license applicants, unless less than three exist. (In
the latter case, submit supporting documentation.)
**
The disclosure of applicant’s Social Security Number is mandatory and will be used for background investigations, including
a criminal history records checks, pursuant to Section 10-201 of Article 2B, Annotated Code of Maryland.
*** At least one applicant must be a voter and taxpayer in Maryland presently and for the two immediately preceding years. In
case of partnership, all individuals must meet this requirement.
2. Company name and/or trade name ________________________________________________________________________
COM/RAD-007
Revised 06/13
ADVERTISEMENT
0 votes
Related Articles
Related forms
Form Et 388md - Application For Manufacturer's & Distributor's License For Bingo And/or Raffle Equipment In Arkansas - 2008
Financial
Form 50a - Nebraska Application For Manufacturers, Distributors, And Manufacturer-distributors Of Bingo Equipment, Pickle Cards, Or County/city Lottery Equipment
Financial
Related Categories
Parent category: Financial