Massachusetts > Statewide > Alcoholic Beverages Commission
Application For A Caterer Transportation Permit - Massachusetts
| Application For A Caterer Transportation Permit Form. This is a Massachusetts form and can be used in Alcoholic Beverages Commission Statewide . |
|
||||||
 Get this form for FREE as a print-only pdf |
|||||||
|
Commonwealth of Massachusetts Alcoholic Beverages Control Commission 239 Causeway Street Boston, MA 02114 www.mass.gov/abcc The Application for a Caterer Transportation Permit MONETARY TRANSMITTAL FORM [APPLICATION MUST BE COMPLETED ONLINE] ECRT CODE: TRAC $150.00 CHECK PAYABLE TO ABCC OR COMMONWEALTH OF MA: (CHECK MUST DENOTE THE NAME OF THE LICENSEE CORPORATION, LLC, PARTNERSHIP, OR INDIVIDUAL) CHECK NUMBER IF USED EPAY, CONFIRMATION NUMBER: A.B.C.C. LICENSE NUMBER (IF AN EXISTING LICENSEE): LICENSEE NAME: ADDRESS: CITY/TOWN: STATE ZIP CODE LICENSE TYPE FEE # OF PERMITS COST CATERER PERMIT $150.00 1 $150.00 YOU MUST MAIL THIS TRANSMITTAL FORM ALONG WITH YOUR CHECK AND COMPLETED APPLICATION TO: ALCOHOLIC BEVERAGES CONTROL COMMISSION P. O. BOX 3396 BOSTON, MA 02241-3396 American LegalNet, Inc. www.FormsWorkFlow.com Application for a Caterer Transportation Permit (M.G.L. Chapter 138, ยง 22) 1. Applicant Information: Applicant Name: Business Name: (d/b/a, if different) Address of Premise: Telephone: City/Town: Email State YEAR 20 Zip The Applicant is a(n): 2 Vehicle Information Please select Other Address where the vehicle(s) are principally garaged: City/Town: State Zip Number of vehicle(s) being permitted Make/Model of Vehicle Vehicle ID # *If additional space is needed, please use the next page* Pursuant to M.G.L. Ch. 62C, Sec. 49A, I certify under the penalties of perjury that, I have filed all state tax returns and paid all state taxes required under law. I further understand that each representation in this application is material to the determination of the application and state under penalty of perjury that all statements and representations therein are true. Signature Title Date American LegalNet, Inc. www.FormsWorkFlow.com Additional Space Please note which question you are using this space for. American LegalNet, Inc. www.FormsWorkFlow.com
|
|||||||
