Form Ab-163 - Application For Transfer Of An Alcohol Beverage Permit From One Premise To Another
ADVERTISEMENT
1
2APPLICATION FOR TRANSFER OF AN
Wisconsin Department of Revenue
Excise Tax Section 6-107
ALCOHOL BEVERAGE PERMIT
PO Box 8900
Madison WI 53708-8900
FROM ONE PREMISE TO ANOTHER
(608) 261-6435
Fax (608) 261-7049
Transfer Fee $10
(See instructions)
To the Secretary of Revenue:
According to sec. 125.04(12)(a), Wis. Stats., the undersigned hereby applies for a transfer of Alcohol Beverage
Permit No.
.
Name of firm
Current business address
Street
Township/Village/City
State
Zip
New business address
Street
Township/Village/City
State
Zip
Effective date
New mailing address
Street
City
State
Zip
(if different than business address)
Business telephone number
(
)
PHYSICAL DESCRIPTION OF BUILDINGS OR PREMISES
Is any other business conducted on the same premises?
(check one)
No
Yes
If yes, please describe/explain.
Signature
Title
Date
See Instructions on Reverse Side
AB-163 (R. 11-11)
ADVERTISEMENT
0 votes
Related Articles
Related forms
Form At-112 - Application For Transfer Of Licenses For Sale Of Fermented Malt Beverages And/or Intoxicating Liquor From One Premises To Another - Wisconsin Department Of Revenue
Financial
Form-6 - Application For Inclusion Of Name In Electoral Roll For First Time Voter Or On Shifting From One Constituency To Another Constituency
Legal
Related Categories
Parent category: Financial