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Request For One-Time Transfer Of Alcoholic Liquor - Illinois

Request For One-Time Transfer Of Alcoholic Liquor Form. This is a Illinois form and can be used in Liquor Control Commission Statewide .
 Fillable pdf Last Modified 9/23/2009
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Request for One-Time Transfer of Alcoholic Liquor To: From: Fax Number: Phone Number: Date: Illinois Liquor Control Commission _______________________________ _______________________________ _______________________________ _______________________________ ____________________________________________________________ ____________________________________________________________ Pursuant to Section 100.250 of the ILCC Rules and Regulations, please consider this request to allow the one-time transfer of alcoholic liquor between the licensed premises listed below. Attached please find a detailed inventory of the alcoholic liquor products to be transferred. The transfer is scheduled to occur on ___________________. Reason for Request: ____________________________________________________________ FROM: Store: _______________________________ Address: _____________________________ _____________________________________ _____________________________________ STATE LIC. NO.: _____________________ Store: ____________________________ Address: __________________________ __________________________________ __________________________________ STATE LIC. NO.:__________________ TO: Store: _______________________________ Address: _____________________________ _____________________________________ _____________________________________ STATE LIC. NO.: ____________________ Store: ____________________________ Address: __________________________ __________________________________ __________________________________ STATE LIC. NO.:__________________ A detailed inventory must be included with this form. The inventory must include locations ("to" and "from"), the product brand name(s), container sizes, and number of containers. Fax inventory with this request to: 312-814-2241 (Attn: Mary McNulty). If more than 5 pages, send via email to mary.mcnulty@illinois.gov (or by regular mail to: ILCC, 100 West Randolph, Suite 7-801, Chicago, IL 60601). American LegalNet, Inc. www.FormsWorkFlow.com
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