Maine > Statewide > Liquor Licensing And Inspection Division

Off Premise Transfer Application - Maine

Off Premise Transfer Application Form. This is a Maine form and can be used in Liquor Licensing And Inspection Division Statewide .
 Fillable pdf Last Modified 12/4/2008
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STATE OF MAINE Department of Public Safety Liquor Licensing 164 State House Station Augusta, Maine 04333 OFF PREMISE TRANSFER APPLICATION The undersigned, who is the holder of an Off Premise Liquor License under the provisions of Title 28-A MRSA ยง 605, hereby respectfully requests that said license be transferred from his present location: ___________________________________________________________________________________ Street Address TO: ____________________________________________________________________________________ New Street Address Both premises being within the same municipality of: ____________________________________________________________________________________ City/Town Permanent License #:________________________ Expiration Date:__________________________ Name of Business:_____________________________________________________________________ Contact Person:_______________________________________________________________________ Telephone Number:____________________________ FAX Number:____________________________ Requested Transfer Date:_______________________ Dated at:__________________________________ On ________________________, 20___________ City /Town Date __________________________________________ __________________________________________ Signature of Individual(s) or Duly Authorized Officer(s) Of Corporation, or if Partnership by Members of Partnership OffPremTransApp/2008 Office Located at CENTRAL MAINE COMMERCE CENTER 45 Commerce Drive Suite 1, AUGUSTA, ME 04330 (207) 624-7223 and 624-7224 Licensing and Inspections (207) 624-7230 Referrals and Training American LegalNet, Inc. www.FormsWorkflow.com (207) 287-3424 FAX
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