Form At-900 - Alcohol Beverage Stock Transfer - Wisconsin Department Of Revenue (Page 2 of 2) in pdf

Form At-900 - Alcohol Beverage Stock Transfer - Wisconsin Department Of Revenue Page 2

I have sold my establishment in the

Town

Village

City

County of

and have transferred my ENTIRE sealed stock of alcohol beverages to

another retail licensee. I have listed on the reverse side of this form a complete inventory of all sealed

alcohol beverages owned by me and stored on my licensed premises.

I submit the following information:

1. Reason for discontinuing my license:

2. My license has been or will be surrendered on:

3. Name and address as shown on my license:

4. Name of licensed buyer to whom stock is to be transferred and address of licensed premises:

5. No open stock may be included in the inventory.

6. If the license is issued to a partnership, each partner must sign this certification. If the license is issued to

a corporation/LLC, an officer, member or the agent of the corporation/LLC must sign.

We certify that this inventory complies with these requirements.

Signature

(seller)

Confirmed by

(buyer)

A transfer of alcohol beverages from one retail licensee to another without completing this form

may be considered a wholesale sale and the seller thereof be required to obtain a wholesale

permit. Any merchandise so transferred is subject to confiscation by representatives of the

Alcohol and Tobacco Enforcement Section.

Form At-900 - Alcohol Beverage Stock Transfer - Wisconsin Department Of Revenue Page 2