Affidavit (Cash Law - Malt Beverages) {C-809} | Pdf Fpdf Doc Docx | Texas

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Affidavit (Cash Law - Malt Beverages) {C-809} | Pdf Fpdf Doc Docx | Texas

Affidavit (Cash Law - Malt Beverages) {C-809}

This is a Texas form that can be used for Alcoholic Beverage Commission within Statewide.

Alternate TextLast updated: 5/31/2017

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FORM C-809 (03/2017) BUSINESS RECORDS AFFIDAVIT (CASH LAW ­ MALT BEVERAGES) Page 1 of 2 STATE OF TEXAS COUNTY OF __________________________ BEFORE ME, the undersigned authority, this day personally appeared __________________________, who is a credible person, and who, after being by me duly sworn, did depose and say: My name is ___________________________________. I am of sound mind, capable of making this affidavit and personally acquainted with the facts herein stated. As a ___________________________, (Job Title) I am the custodian of records for the "Seller"_______________________________________________, (Manufacturer, Distributor, Brewpub, Local Distributor - LP) Permit/License number _________________, located at _____________________________________, (Physical Street Address) ______________________________, Texas. . (City) Attached hereto are ______ pages of records from the Seller, regarding the sale and delivery of malt beverage products to the "Retailer" ______________________________________________________, (Retailer, Mixed Beverage or Private Club Permittee) Permit/License number _______________ located at _______________________________________, (Physical Street Address) ___________________, Texas. (City) The attached said pages of records are kept by the Seller in the regular course of business, and it was the regular practice of the Seller's employee or representative with knowledge of the act, event, condition, opinion, or diagnosis, recorded to make the record or to transmit information thereof to be included in such record; and the record was made at or near the time or reasonably soon thereafter. The records attached hereto are the original or exact duplicates of the original. 1 American LegalNet, Inc. www.FormsWorkFlow.com After a diligent search of the Seller's business records, there is no record or entry of such record that the Retailer made a timely payment, within the meaning of Tex. Alco. Bev. Code § 102.31, and 16 Tex. Admin. Code § 45.131 for the following invoice number(s): Instrument Date____Instrument # Instrument Amount Instrument Date Instrument # Instrument Amount _____________ ____________ _______________ _____________ __________ ________________ _____________ ____________ _______________ _____________ __________ ________________ _____________ ____________ _______________ _____________ __________ ________________ _____________ ____________ _______________ _____________ __________ ________________ _____________ ____________ _______________ _____________ __________ ________________ _____________ ____________ _______________ _____________ __________ ________________ ________________________________________ Signature of Affiant _______________________________________ Telephone Number Fax Number ______________________________________ E-Mail Address SWORN TO & SUBSCRIBED BEFORE ME, the undersigned authority, this _____ day of ________________,__________. (Notary Seal) Notary Public in and for the State of Texas 2 American LegalNet, Inc. www.FormsWorkFlow.com

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