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Withdraw Of Registration IL 567-0030 - Illinois

Withdraw Of Registration Form. This is a Illinois form and can be used in Liquor Control Commission Statewide .
 Fillable pdf Last Modified 11/7/2007
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ILLINOIS LIQUOR CONTROL COMMISSION WITHDRAW OF REGISTRATION , does hereby (Manufacturer, Distributor or Importing Distributor) withdraw from (Distributor) its registration dated granting the right to sell or distribute at wholesale at any location within the State of Illinois, the following alcoholic liquors which bear trademarks, brands or names owned or controlled by (Manufacturer, Distributor or Importing Distributor) License # Expires Date: Corporate Name: Address: (Street - Number) (City or Town) Signed By: (Title) IL 567-0030 (4/99) Printed on Recycled Paper American LegalNet, Inc.
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