Vermont > Statewide > Department Of Liquor Control
Keg Registration Form - Vermont
| Keg Registration Form Form. This is a Vermont form and can be used in Department Of Liquor Control Statewide . |
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VERMONT KEG REGISTRATION FORM Licensee Name_________________________________________ Doing Business As______________________________________ Address_______________________________________________ Town/City_____________________________________________ Proper proof of identification is a photo drivers license, Liquor Control photo ID, valid passport, US military ID or photo non-driver motor vehicle ID. PLEASE READ CAREFULLY! Deposit on each keg is $ 25.00. Deposit will not be returned if keg registration label has been removed or is illegible. KEG MUST BE RETURNED WITHIN 60 DAYS OF PURCHASE. Any person who, within 60 days of purchase fails to return a keg, as defined in ยง 64 of Title 7, VSA, to the second class licensee from which the keg was purchased shall be fined not more than $200.00. KEG TAG# BEER BRAND: NAME:______________________________________ ADDRESS: CITY/TOWN: PURCHASE DATE: RETURN DATE: NAME OF EMPLOYEE MAKING SALE BEER BRAND: NAME:______________________________________ ADDRESS: CITY/TOWN: PURCHASE DATE: RETURN DATE: NAME OF EMPLOYEE MAKING SALE BEER BRAND: NAME:______________________________________ ADDRESS: CITY/TOWN: PURCHASE DATE: RETURN DATE: NAME OF EMPLOYEE MAKING SALE BEER BRAND: NAME:______________________________________ ADDRESS: CITY/TOWN: PURCHASE DATE: RETURN DATE: NAME OF EMPLOYEE MAKING SALE BEER BRAND: NAME:______________________________________ ADDRESS: CITY/TOWN: PURCHASE DATE: RETURN DATE: NAME OF EMPLOYEE MAKING SALE KEG SIZE: PHONE#: DATE OF BIRTH: ID #: SIGNATURE: KEG TAG# KEG SIZE: PHONE#: DATE OF BIRTH: ID #: SIGNATURE: KEG TAG# KEG SIZE: PHONE#: DATE OF BIRTH: ID #: SIGNATURE: KEG TAG# KEG SIZE: PHONE#: DATE OF BIRTH: ID #: SIGNATURE: KEG TAG# KEG SIZE: PHONE#: DATE OF BIRTH: ID #: SIGNATURE: Any person (other than the wholesale dealer) who intentionally removes or defaces the label attached to a keg shall be imprisoned not more than two years or fined not more than $1,000.00 or both. LICENSEE MUST RETAIN THIS FORM FOR 90 DAYS AFTER RETURN OF KEG/KEGS American LegalNet, Inc. www.FormsWorkflow.com
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