Michigan > Statewide > Liquor Control Commission > General Licensing
Report Of Vehicles Used For Delivery Of Beer Or Wine LC MW 136 - Michigan
| Report Of Vehicles Used For Delivery Of Beer Or Wine Form. This is a Michigan form and can be used in General Licensing Liquor Control Commission Statewide . |
|
||||||
 Get this form for FREE as a print-only pdf |
|||||||
|
Michigan Department of Labor & Economic Growth MICHIGAN LIQUOR CONTROL COMMISSION (MLCC) 7150 Harris Drive, P.O. Box 30005 Lansing, Michigan 48909-7505 REPORT OF VEHICLES USED FOR DELIVERY OF BEER OR WINE [Authorized by MCL 436.1525 and MAC R 436.1859] _________________________________________________________________________________________________ GENERAL INSTRUCTIONS · · · This form is required from all WHOLESALERS that deliver beer and/or wine to retail licensees. Include this report with the Contract for License or the Application for Renewal. MAKE A COPY OF THIS REPORT FOR YOUR FILE. Enter the information requested for each vehicle. This information is used to determine license fees. The Wholesale license fee is $300 for the first vehicle and $50.00 for each additional vehicle. Each vehicle added, replaced, or deleted during the licensing period (May 1 through April 30) must be reported using the Amended Report of Vehicles Used for Delivery of Beer or Wine (LC-MW-136A). There is a fee of $50.00 for each additional vehicle which increases the total number of licensed vehicles. There is no license fee for replaced vehicles. There is no refund of any license fee for deleted vehicles. LICENSE FEES ARE NOT PRORATED. Decals will be issued for each vehicle to show that the license fee has been paid. · 1. Licensee Name: 2. Street Address: 3. City: 6. Type of License: Year of Vehicle Make of Vehicle 4. State: 7. License Number: Vehicle Identification No. MLCC Use Only Decal No. Assigned 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 5. Zip Code: Signature: Date: LC/MW 136 (Rev. 10/2007) Authority: MCL 436.1525 and MAC R 436.1859 Completion: Mandatory Penalty: No License The Department of Labor & Economic Growth will not discriminate against any individual or group because of race, sex, religion, age, national origin, color, marital status, disability, or political beliefs. If you need help with reading, writing, hearing, etc., under the Americans with Disabilities Act, you may make your needs known to this agency. American LegalNet, Inc. www.FormsWorkflow.com
|
|||||||
