Arizona > Statewide > Liquor Licenses And Control
Business Data Report - Arizona
| Business Data Report Form. This is a Arizona form and can be used in Liquor Licenses And Control Statewide . |
|
||||||
 Get this form for FREE as a print-only pdf |
|||||||
|
Print Form State of Arizona Department of Liquor Licenses and Control BUSINESS DATA REPORT THIS FORM IS REQUIRED TO RENEW SERIES 11 AND 12 LICENSES WHICH HAVE BEEN IN OPERATION FOR A PERIOD OF TWELVE MONTHS OR LONGER. Licensee's Name: ________________________ D.B.A.: ________________________________ License #: ______________________________ Time period included in this report: ___/___/_____ through ___/___/_____ mo day year mo day year (please report your sales for the reporting period that include the 12 months preceding your license expiration date) Month/Year Sales Information Food Sales Total Liquor Sales Total Sales Totals Food (exclude nonfood items) Inventory Value (most recent) Beer Wine Liquor Total Dollar Amount I certify that all information presented on this report is true and accurate: Signature: Title: 800 W. Washington, 5th Floor Phoenix, Arizona 85007 Website: www.azliquor.gov INDIVIDUALS REQUIRING ADA ACCOMODATIONS CALL 602-542-9051 Date:__/__/___ Revised 6/2010 American LegalNet, Inc. www.FormsWorkFlow.com
|
|||||||
