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Application For Sunday Sales LC 1161 - Michigan

Application For Sunday Sales Form. This is a Michigan form and can be used in General Licensing Liquor Control Commission Statewide .
 Fillable pdf Last Modified 7/29/2011
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Print Form Michigan Department of Licensing and Regulatory Affairs MICHIGAN LIQUOR CONTROL COMMISSION (MLCC) 7150 Harris Drive, P.O. Box 30005 Lansing, Michigan 48909-7505 FOR MLCC USE ONLY Request ID # Business ID # APPLICATION FOR SUNDAY SALES PERMIT [Authorized by MCL 436.2111, MCL 436.2113 and MCL 436.2115] · To be considered for the authorization for the Sunday Sales AM and/or Sunday Sales PM you must complete the application, sign the form and return the application to the address at the top of this form, or FAX the form to 517-322-6137. If you filled out the credit card authorization portion of this form, please fax the ENTIRE FORM to the secured fax line, 517-322-5237. MAKE A COPY OF THIS APPLICATION FOR YOUR RECORDS. 1. Applicant Identification Name of Licensee(s) Business street address Governmental Unit Type of Licenses(s) 2. Nature of Application - (Check all that apply) Sunday Sales PM Spirits and Mixed Spirit Drink (12 noon ­ 2 a.m. Monday morning) This request is for On-Premises licensees (Class C, B-Hotel, Clubs, etc.) and SDD licensees only Additional 15% of the total On-Premises or SDD license Fee · Sunday Sales PM allows the sale of spirits and mixed spirit drink unless prohibited in the county or local governmental unit where the licensed establishment is located. ON-PREMISES LICENSEES (CLASS C, TAVERN, B-HOTEL, A-HOTEL, CLUBS, ETC.): The sale of food and other goods and services must exceed or is proposed to exceed 50% of the total gross receipts. The Sunday Sale of spirits and mixed spirit drink will be invalidated if it is found that gross receipts derived from the sale of food and/or other goods and services (which can include beer and wine) do not exceed 50% of the total gross receipts (not including spirits), as required by section 1113 of the Liquor Control Code. Sunday Sales AM Beer, Wine, Spirits, and Mixed Spirit Drink (7 a.m. ­ 12 noon) This request is for all licensees, On-Premises and Off-Premises $160 fee is required · Sunday Sales AM allows the sale of beer, wine, spirits, and mixed spirit drink unless prohibited in the county and local governmental unit where the licensed establishment is located. County ARE THERE ANY COUNTY OR LOCAL GOVERNMENTAL PROHIBITIONS THAT WOULD PREVENT ISSUANCE OF THE REQUESTED PERMIT? Yes No CONTINUED American LegalNet, Inc. www.FormsWorkFlow.com WARNING TO ALL LICENSEES: MCL 436.2003 of the Liquor Control Code provides: "A person who makes a false or fraudulent statement to the Commission, orally or in writing, for the purpose of inducing the Commission to act or refrain from taking action or for the purpose of enabling or assisting a person to evade the provisions of this act is guilty of a violation of this act and is punishable in the manner provided for in section 909." By signing below, the licensee states that the foregoing statements and information submitted are true and submitted to the MLCC for the purpose of requesting that the MLCC grant permission for sale of spirits, mixed spirit drink, beer and wine from the licensed premises on Sunday, under the provisions of Section 1111, Section 1113 or Section 1115 of the Liquor Control Code. The licensee further states that Section 1003 of the Liquor Control Code is understood. This form is to be signed by individual licensees, all members of a partnership, a Limited Liability Manager, and/or member, or an Authorized officer of a corporation (indicate office held). By signing below, the licensee also understands that should the local governmental unit or county within which the business is located prohibit the Sunday Sale of spirits, mixed spirit drink, beer or wine in the future, Sunday Sales will no longer be permitted pursuant to Section 1111, Section 1113 or Section 1115 of the Liquor Control Code and the permit will be terminated accordingly. Licensee Signature Title Print Licensee Name Print Title Date Licensee Signature Title Print Licensee Name Print Title Date Credit Card Information If you fill this portion out, please fax the ENTIRE FORM to the secured fax number 517-322-5237. Name: Address: City, State, Zip MasterCard or Visa Transaction Amount: Exp. Date Credit Card Number: Payment rendered for: Signature Date NOTICE This form may be used for payment of goods and services offered by the Michigan Liquor Control Commission, with the exception of the purchase of alcoholic beverages. LC-1161 Rev. 04/2011 Authority: MCL 436.2111,436.2113, 436.2115 Completion: Mandatory Penalty: No issuance of permit LARAis an equal opportunity employer/program. Auxiliary aids, services and other reasonable accommodations are available upon request to individuals with disabilities. American LegalNet, Inc. www.FormsWorkFlow.com
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