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Application For A Ship Cargo Permit Monetary Transmittal Form - Massachusetts
| Application For A Ship Cargo Permit Monetary Transmittal Form 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 SHIP CARGO PERMIT MONETARY TRANSMITTAL FORM [APPLICATION MUST BE COMPLETED ONLINE] ECRT CODE: TRAA $1500.00 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 SHIP CARGO PERMIT FEE $1500.00 # OF PERMITS 1 COST $1500.00 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 Ship Cargo Permit (M.G.L. Chapter 138, ยง22) YEAR 20 Name of Ship Address of Ship : Telephone (Area Code): City/Town: Number of Ships Being Permitted , State Zip The undersigned being a Shipping Company operating out of the port of Massachusetts, hereby applies for a permit to TRANSPORT alcoholic beverages not to be consumed by passengers during the calendar year 20 Type of Ship Ship ID # *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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