Form Com/rad 329 - Application For Bulk Transfer Permit
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1
2For Office use only
For Office use only
Number _______________
Check No.: ____________
Stub __________________
Check Amount:_________
Deposit Date: __________
Revenue Administration Division
Motor-fuel, Alcohol and Tobacco Tax Unit
P.O. Box 2999
Annapolis, MD 21404-2999
(410) 260-7131
(410) 974-3201 (fax)
(888) 784-0145
Application For Bulk Transfer Permit
Application is made by the undersigned under the provisions of Article 2B of the Annotated Code of Maryland, as amended, title
“Alcoholic Beverages”, for a BULK TRANSFER PERMIT and the applicant submits and certifies to the following information:
1.
Fee for Bulk Transfer Permit - $200.00 (Make check payable to Comptroller of Maryland)
2.
License No. _________________
Date of discontinuance or hearing date _____________________
3. Check one: Individual
Partnership
Corporation (designate officers)
Limited Liability Company
Name of outgoing licensee(s) (seller) _________________________________________________________________________
(Copy of license) T/A _____________________________________________________________________________________
Business Address _________________________________________________________________________________________
Number and Street
City or Town
ZIP Code
County
Telephone No. ________________________
Fax No. __________________________________
E-mail address ______________________________
________________________________________
Federal Identification #
Social Security #
4.
A Bulk Transfer Permit is desired to authorize the transfer of:
cases /containers of distillers spirits
cases /containers of wine
cases of beer
kegs of beer
NOTE: All applications shall be supported by one copy of the inventory, itemized by brands and sizes.
5.
The permit applied for, if granted, will be used within 60 days after the date of the license transfer or the issue date of the
bulk transfer permit to dispose of the entire lot of alcoholic beverages to:
Individual
Partnership
Corporation (designate officers)
Limited Liability Company
Name(s) of incoming licensee (buyer): ____________________________________________________________________
T/A ________________________________________________________________________________________
who has applied for the transfer of license no. _______________ issued ________________ for the premises located at ___
___________________________________________________________________________________________________
Number and Street
City or Town
Zip Code
County
6.
To be signed by person whose name now appears on license
___________________________________
Individual, Partnership or Corporate Officer
____________________________________
Signature of Outgoing Licensee (Seller)
____________________________________
Title
See reverse side for detailed instructions
COM/RAD 329
REVISED: 05/09
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Parent category: Financial