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Notice Of Payment Of Default C-803 - Texas

Notice Of Payment Of Default Form. This is a Texas form and can be used in Alcoholic Beverage Commission Statewide .
 Fillable pdf Last Modified 9/8/2010
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FORM C-803 (07/2002) NOTICE OF PAYMENT OF DEFAULT DATE __ TO THE TEXAS ALCOHOLIC BEV ERAGE COMMISSION Please take notice that full payment has been received from the retailer hereinafter set forth for the purchase of liquor and w ho w as reported as being in default in the notice dated __. DELIV ERY PERIOD FROM TRADENA ME OWNER STREET A DDRESS DATE OF PAYMENT AMOUNT PAID NOTE: The delinquent amount paid must match the AMOUNT UNPAID reported on the Notice of Default in order to process the payment. TO PERMIT NO. CITY NAME OF WHOLESALER OR LOCAL DISTRIBUTOR PERMITTEE STREET ADDRESS CITY SIGNATURE OF REPRESENTATIVE TITLE NOTICE TO RETA ILER, MIXED BEV ERAGE OR PRIVATE CLUB PERMITTEE: This notice of pay ment does not constitute a release from the delinquent list. You may not purchase alcoholic beverages until your license number has been released from the delinquent list. The original of this notice must be mailed to the address below or faxed to (512) 206-3329. TEXAS ALCOHOLIC BEV ERAGE COMMISSION P O BOX 13127 AUSTIN TX 78711 A copy of this notice may be mailed to the retailer, Mixed Beverage or Private Club per mittee being released. American LegalNet, Inc. www.FormsWorkflow.com
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