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Affidavit Of Applicant For Wholesaler Permit - Louisiana
| Affidavit Of Applicant For Wholesaler Permit Form. This is a Louisiana form and can be used in Office Of Alcohol And Tobacco Control Statewide . |
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Affidavit of Applicant for Wholesaler Permit Before me, the undersigned Notary Public, personally came and appeared the undersigned person, who, after being duly sworn did depose and state that: 1. I have read and understood each of the questions contained in this application; 2. The answers given to each question contained in this application are true and correct to the best of my knowledge and belief; 3. I meet the qualifications and conditions set out in Louisiana Revised Statutes 26:80 and 280; 4. I have no interest whatsoever in any establishment holding a retail beer or liquor permit; 5. I understand that any misstatement or suppression of fact in this application or any accompanying documents is grounds for denial of this application for a wholesale permit. ____________________________________________ Signature of Applicant Printed Name Social Security Number Title Business Subscribed before me, the undersigned Notary Public, on this the city of , parish of , State of Louisiana. day of , 20 in Notary Public ____________________________________________ Signature American LegalNet, Inc. www.FormsWorkflow.com
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