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Application For A Certified Copy Of A License To Sell (Airline) - Massachusetts

Application For A Certified Copy Of A License To Sell (Airline) Form. This is a Massachusetts form and can be used in Alcoholic Beverages Commission Statewide .
 Fillable pdf Last Modified 10/26/2012
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Commonwealth of Massachusetts Alcoholic Beverages Control Commission 239 Causeway Street Boston, MA 02114 www.mass.gov/abcc The APPLICATION FOR A CERTIFIED COPY OF A LICENSE TO SELL ALCOHOLIC BEVERAGES ON AN AIRPLANE MONETARY TRANSMITTAL FORM [APPLICATION MUST BE COMPLETED ONLINE] ECRT CODE: AIRL $500.00 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 AIRLINE MASTER LICENSE FOR SALE OF ALCOHOLIC BEVERAGES TO PASSENGERS FEE $500.00 COST $500.00 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 License to Sell Alcoholic Beverages on an Airplane Airline (M.G.L. Chapter 138, ยง13) The undersigned being an Airline Corporation operating an airline within the Commonwealth of Massachusetts, hereby applies for a license to sell alcoholic beverages to passengers for consumption in its aircraft. License Number: Name of Airline: Address of Airline: Telephone Number (Area Code): City/Town: State Zip Number of Airplanes Being Permitted: Describe the airplane(s) to be licensed (give names, numbers or scheduled flight numbers, and type of aircraft). Name Airplane ID# Type of Airline *If additional space is needed, please use the last 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 American LegalNet, Inc. www.FormsWorkFlow.com
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