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Click ‘Get Form’ to open it in the editor.
Begin by entering your Current License/Permit No. and the Trade Name of Location as it appears on your current license.
Fill in the Location Address, Owner of Business, and Federal Employer Identification No. (FEIN) in the initial information section.
Indicate any changes in ownership or structure of the business since your last application by selecting 'Yes' or 'No'. If 'Yes', complete the Business Packet for Reporting Changes.
Mark all applicable changes you are reporting, including new trade names or addresses, and ensure to complete all relevant sections.
Provide sales data for the last year of operation or projected annual sales at the proposed licensed premises.
Complete ownership and lease information, ensuring to attach any necessary documents like leases if applicable.
Finally, review all entries for accuracy before signing in the Warning and Signature section to confirm that all information is true and correct.

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Versions	Form popularity	Fillable & printable
2020	4.8 Satisfied (120 Votes)
2012	4 Satisfied (40 Votes)

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