Plcb1136 2026

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The document is a waiver and authorization statement for the late filing of a liquor license renewal application with the Pennsylvania Liquor Control Board. It acknowledges the late submission of the application and associated fees, waives the right to a hearing, and requests acceptance of the late filing. The document also requires the applicant to provide reasons for the delay and includes sections for signatures and contact information.

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Click ‘Get Form’ to open the plcb1136 in the editor.
Begin by filling in the 'License #' and 'LID #' fields at the top of the form. Ensure that these numbers are accurate as they are essential for processing your application.
Next, enter the Licensee's name and address in the designated fields. This information must match your official records to avoid any discrepancies.
In the section regarding the renewal application date, specify when you filed your application. Be precise, as this will impact your late filing status.
Provide a reason for the late filing in the space provided. This explanation is crucial for the Board's consideration of your application.
Finally, ensure all signatories complete their signatures, titles, home addresses, and dates signed. Double-check that all contact information is correct before submission.

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2005	4.8 Satisfied (216 Votes)

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