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Application For Beer Wine Permit (For Benevolent, Charitable And Public Purpose Events) - Idaho
| Application For Beer Wine Permit (For Benevolent, Charitable And Public Purpose Events) Form. This is a Idaho form and can be used in Alcohol Beverage Control State Police Statewide . |
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Idaho State Police ALCOHOL BEVERAGE CONTROL 700 S. Stratford Dr. Ste 115 Meridian, ID 83642 (208) 884-7060 APPLICATION FOR BEER/WINE PERMIT Beer Permit ($20) Wine Permit ($20) Both Beer and Wine Permit ($40) (Check one) Applicant Name: ______________________________________________________ State or Federal Tax ID #_____________________ Mailing Address: _________________________________________________________________________________________________ (Address) (City) (State) (Zip Code) Dates of event: ___________________________________________ (Not to Exceed 3 Days) Hours of Event: ______________________ (Please include a.m. or p.m.) Location of event: _________________________________________________________________________________________________ (Address) (City) (County) (Zip) Name of Event: ___________________________________________________________________________________________________ Is the location of the event inside city limits? Yes_________ No_________ Purpose: _________________________________________________________________________________________________________ Proceeds will be donated to: _________________________________________________________________________________________ PROVIDERS OF BEER BRAND OF BEER PROVIDERS OF WINE BRAND OF WINE I HEREBY CERTIFY THAT THE APPLICANT LISTED ABOVE IS NOT OTHERWISE LICENSED IN THE STATE OF IDAHO TO SELL ALCOHOLIC BEVERAGES AND THE PROCEEDS FROM THIS EVENT WILL BE DONATED FOR BENEVOLENT, CHARITABLE, OR PUBLIC PURPOSES. Applicant's Signature_______________________________ Title _____________________ Date_________________________________ Applicant's Printed Name ________________________________________ Phone Number______________________________________ Subscribed and sworn to this _______________________________________day of ________________________________, 20_________ __________________________________________________ Notary Public Residing at______________________________________________________ Commission Expires______________________________________________ EH 10.03-01 Beer/Wine Permit 7/2011 American LegalNet, Inc. www.FormsWorkFlow.com Idaho State Police ALCOHOL BEVERAGE CONTROL 700 S. Stratford Dr. Meridian, ID 83642 208-884-7060 INSTRUCTIONS FOR BEER AND WINE PERMITS Permits are for benevolent, charitable or public purpose events. Permits are issued for one to three (1-3) consecutive days. All applications must be received by the Alcohol Beverage Control Office at least two weeks prior to the event for processing time. Permits will be mailed to applicants and will not be held at the office. All first time applicants must provide a copy of their non-profit status from the IRS with ID number and detail on the application the disposition of funds. Applications will be returned if not completed. ************************************************************************************************************************ 1. 2. Mark with an "X" for which permit(s) you are applying. Applicant Name is the Non-Profit Organization or sponsor of event. Include State or Federal Tax ID Number. Location of event requires the name of place, street address and city. Proceeds will be donated to: detail who will receive the proceeds and the percentage of the profits they will receive All brands of beer and or wine to be served must be listed. Application must be signed and notarized. Certified Checks or Money orders only made out to "State of Idaho" must accompany application. Any application received without appropriate monies will be returned. NO REFUNDS ISSUED for any reason. The applicant must submit a report to the director subsequent to the benevolent, charitable or public purpose event showing the disposition of funds from the event. Ref: Title 23-1007A, Subsection 2 (f). Mail to the address at the top of this instruction sheet. If you have any questions, please contact this office. 3. 4. 5. 6. 7. 8. 9. American LegalNet, Inc. www.FormsWorkFlow.com
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