Massachusetts > Statewide > Alcoholic Beverages Commission
Application For A Salesmans Permit - Massachusetts
| Application For A Salesmans Permit Form. This is a Massachusetts form and can be used in Alcoholic Beverages Commission Statewide . |
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The Commonwealth of Massachusetts Alcoholic Beverages Control Commission 239 Causeway Street Boston, MA 02114 APPLICATION FOR A SALESMAN'S PERMIT MONETARY TRANSMITTAL FORM [APPLICATION MUST BE COMPLETED ONLINE] ECRT CODE: SALE CHECK AMOUNT 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 SALEMAN'S PERMIT PERMIT TO TRANSPORT ALCOHOLIC BEVERAGES (REQUIRED) FEE $200.00 $150.00 # OF PERMITS COST TOTAL COST 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 YEAR 20 1. Licensee Information: Name of Applicant: Name of Employer: Employer's License Type: Address of Employer: Telephone: Application for a Application for a Salesman's Permit (M.G.L. Chapter 138, §19A) SP Please select City/Town: License Number: State Email Zip 2. Vehicle Information Address where the vehicle(s) are principally garaged: City/Town: Vehicle Identification #: Vehicle Make: State Zip Number of vehicle(s) being permitted Vehicle Registration #: Vehicle Model: 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 The Commonwealth of Massachusetts Alcoholic Beverages Control Commission 239 Causeway Street Boston, MA 02114 CERTIFICATE OF EMPLOYMENT The undersigned, being a holder of a Please select the sale of beverages license number for beverages hereby certifies that is employed as a salesman, and it is agreed that immediate notice will be sent to the Alcoholic Beverages Control Commission if at any time he/she ceases to be so employed. I hereby swear under the pains and penalties of perjury that the information I have provided in this application is true and accurate. Signature Title Date American LegalNet, Inc. www.FormsWorkFlow.com The Commonwealth of Massachusetts Alcoholic Beverages Control Commission 239 Causeway Street Boston, MA 02114 Affidavit for All Applicants for a Application for a Salesman's Permit (M.G.L. Chapter 138, §19A) Name of Licensee: License Number: I, in the state of My legal residence is now was born on . in the City/Town of . (Must be a Massachusetts resident) IMPORTANT ATTACHMENT: One of the following MUST accompany the above statement: 1. 2. 3. Birth Certificate Voter's Registration Naturalization Papers I hereby swear under the pains and penalties of perjury that the information I have provided in this application is true and accurate. 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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