Plcb 2196-2026

1. Click ‘Get Form’ to open the plcb 2196 application in the editor.
2. Begin by entering your name in the 'NAME OF APPLICANT' field. Ensure that it matches your official identification.
3. Fill in your complete address, including street, rural route, P.O. box number, post office, state, and ZIP code.
4. Provide your date of birth in the designated field to confirm eligibility.
5. List all other premises in Pennsylvania where the purchased ethyl alcohol will be stored and used. If necessary, attach a separate sheet.
6. Describe in detail the purposes for which you intend to use ethyl (grain) alcohol. Again, feel free to attach additional sheets if needed.
7. Indicate any licenses or permits you currently hold from the Pennsylvania Liquor Control Board by listing them in the appropriate section.
8. Answer the questions regarding understanding of usage restrictions by selecting 'YES' or 'NO'.
9. Finally, sign and date the application at the bottom. Include your title and home address as required.

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