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Affidavit of Kansas Farm Winery Regarding Compliance With Requirement to Use 60 Percent Kansas Products ABC-255 - Kansas

Affidavit of Kansas Farm Winery Regarding Compliance With Requirement to Use 60 Percent Kansas Products Form. This is a Kansas form and can be used in Liquor License Forms And Registration Alcohol Beverage Control Statewide .
 Fillable pdf Last Modified 8/7/2012
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Affidavit of Kansas Farm Winery Regarding Compliance with Requirement to Use 30% Kansas Products Pursuant to Subsection (c) of K.S.A. 41-308a Applicant for Initial License STATE OF KANSAS COUNTY OF ________________________ ) ) SS: ) The undersigned, a duly authorized representative of the Kansas Farm Winery indicated below, being of lawful age and being first duly sworn, on his/her oath states that said Kansas Farm Winery is applying for an initial license and that at least thirty percent (30%) of the agricultural products which it will be using in all of the wine it will producing during the first year of licensure will be grown in Kansas, as required by subsection (c) of K.S.A. 41-308a. Further affiant sayeth not. _______________________________________ Signature of affiant _______________________________________ Typed or printed name of affiant _______________________________________ DBA Name of Kansas Farm Winery SUBSCRIBED AND SWORN TO before me this __________________________ day of _____________________________, 20_______. _______________________________________ Notary Public ABC-255 (Rev. 7.1.12) American LegalNet, Inc. www.FormsWorkFlow.com
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