Massachusetts > Statewide > Alcoholic Beverages Commission
Application For A General Express Transportation Permit - Massachusetts
| Application For A General Express Transportation Permit Form. This is a Massachusetts form and can be used in Alcoholic Beverages Commission Statewide . |
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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 General Express Transportation Permit MONETARY TRANSMITTAL FORM [APPLICATION MUST BE COMPLETED ONLINE] ECRT CODE: EXPR $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 EXPRESS PERMIT FEE $150.00 # OF PERMITS 1 COST $150.00 Please use separate checks: one (1) check for the Master Express Permit $150.00 and one (1) check for the Certified Copies $50.00 per vehicle. 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 Commonwealth of Massachusetts Alcoholic Beverages Control Commission 239 Causeway Street Boston, MA 02114 www.mass.gov/abcc The Print Form Application for a Certified Copy of a General Express Transportation Permit MONETARY TRANSMITTAL FORM [APPLICATION MUST BE COMPLETED ONLINE] ECRT CODE: EXPA CHECK PAYABLE TO ABCC OR COMMONWEALTH OF MA: 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 EACH ADDITIONAL VEHICLE REQUIRES A CERTIFIED COPY OF THE EXPRESS PERMIT FEE $50.00 # OF PERMITS COST Total Cost Please use separate checks: one (1) check for the Master Express Permit $150.00 and one (1) check for the Certified Copies $50.00 per vehicle. YOU MUST MAIL THIS TRANSMITTAL FORM ALONG WITH YOUR CHECK AND COMPLETED APPLICATION TO: BANK OF AMERICA P. O. BOX 3396 BOSTON, MA 02241-3396 American LegalNet, Inc. www.FormsWorkFlow.com Application for a General Express 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: E-mail State (For ABCC use only) YEAR 20 Permit Number: 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 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
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