Application For Off-Site Farm Winery Sales

DCPLC ­ Off-Site Farm Winery Sales and Tasting INST Rev 6/14 STATE OF CONNECTICUT DEPARTMENT OF CONSUMER PROTECTION Liquor Control Division Telephone: (860) 713-6200/713-6210 Web Site: www.ct.gov/dcp INSTRUCTIONS AND INFORMATION: Off-Site Farm Winery Sales and Tasting Permit Application PLEASE READ ALL INSTRUCTIONS AND INFORMATION BEFORE COMPLETING APPLICATION. APPLICATION WILL NOT BE ACCEPTED IF INCOMPLETE OR IF ANY REQUIRED DOCUMENT IS MISSING. Fees and Form of Payment: The "Off-Site Farm Winery Sales and Tasting Permit" is included in the application package. Checks and/or money orders should be made payable to "Treasurer, State of Connecticut" in the amount of $350.00, and must accompany this application. The application filing fee of $100.00 is included in the total fees and is not refundable. The Application Process **Once we are in receipt of your complete and correctly executed application and filing fee, the application will be reviewed by the department. You must have an active manufacturer permit for a farm winery to be eligible for this permit.** Definitions Permittee ­ The permittee for the manufacturer permit for a farm winery is the applicant for this liquor permit. The permittee is a person designated as the representative of the backer for the permit premises. The permittee must be able to read and understand English. The permittee can be the owner/backer of the business that holds the permit. Backer ­ An individual or legal business entity that owns the business to which the liquor permit is issued. Authorized Backer Representative ­ An individual who is legally authorized by the nature of the position held (i.e. corporate officer) in the business, or through a power of attorney to sign documents and make decisions related to the liquor permit. Definition of Permit ­ Public Act 14-189 An off-site farm winery sales and tasting permit shall authorize the sale and offering of free samples of wine manufactured from the farm winery during a total of not more than seven events or functions per year held pursuant to a temporary liquor permit issued pursuant to section 30-35 of the general statutes, a charitable organization permit issued pursuant to section 30-37b of the general statutes or a nonprofit corporation permit issued pursuant to section 30-37h of the general statutes, at locations outside the manufacturer permit for a farm winery holder's permit premises, provided such holder: (1) Notifies the Department of Consumer Protection, on a form prescribed by the Commissioner of Consumer Protection, not less than five business days prior to the date of the event or function, of the date, hours and location of each event or function, (2) sells only wine by the bottle at the event or function, and (3) is present, or has an authorized representative present, at the time of the sale of any bottle of wine or the offering of a free sample of wine from the farm winery at the event or function. An off-site farm winery sales and tasting permit shall be valid for a period of one year from the date of issuance. The annual fee for such permit shall be two hundred fifty dollars. There shall be a one-hundred-dollar nonrefundable filing fee for any such permit. American LegalNet, Inc. www.FormsWorkFlow.com DCPLC ­ Off-Site Farm Winery Sales and Tasting INST Rev 6/14 APPLICATION INSTRUCTIONS AND DOCUMENTS REQUIRED FOR AN OFF-SITE FARM WINERY SALES AND TASTING PERMIT APPLICATION TO BE ACCEPTED APPLICATION FOR OFF-SITE FARM WINERY SALES AND TASTING PERMIT Complete the one-page application. Completing the Application Current Farm Winery Business Information Item #1 through #7 ­ Complete these items including permit number for farm winery, permittee name, trade name of business, farm winery address, and contact information. Authorized Representative of Backer Items #8 and #9 The permittee listed in #2 of the application must sign #8. The backer/owner or authorized backer representative must sign #9. OFF-SITE FARM WINERY SALES AND TASTING LOCATION REQUEST FORM The holder of an off-site farm winery sales and tasting permit may may sell the wine it manufactures and conduct tastings at up to seven (7) licensed charitable and/or non-profit events a year. For each location of an off-site sale or tasting, the holder of the farm winery permit must fill out a separate "Off-Site Farm Winery Sales and Tasting Location Request Form" (DCPLC ­ Off-Site Farm Winery Sales and Tasting Location Request form). Completing the Form Location of Off-Site Charitable/Non-Profit Event Items #1 and #2 - Please fill out your current Farm Winery license number and provide the name of your Farm Winery (Doing Business As) Items #3 and #4 - Please fill out the active temporary liquor permit number issued by this department to the charitable and/or non-profit organization where you will conduct your sales and tasting. Also, provide the name of the event and sponsor organization Items #5 and #6 ­ Please complete the name and address of the off-site chartiable and/or nonprofit event you will be attending. Items #7 and #8 ­ Please provide the date of the event and its hours of operation. Approval/Certification of Local Officials Item #9- The representative of the licensed temporary liquor permit holder must certify that the farm winery has been invited to sell its wine and provide tastings at this particular charitable/non-profit event. Items #10 and #11 ­ The local Zoning official and Town Clerk located in the jurisdiction where by the charitable/non-profit event is being held are required to sign this form before Department approval. American LegalNet, Inc. www.FormsWorkFlow.com For Official Use Only STATE OF CONNECTICUT DEPARTMENT OF CONSUMER PROTECTION Liquor Control Division Telephone: (860) 713-6210 Email: liquor.control@ct.gov Web Site: www.ct.gov/dcp APPLICATION FOR OFF-SITE FARM WINERY SALES AND TASTING PERMIT Please print clearly or type the information entered on this application. An application filing fee of $100.00 and permit fee of $250.00 is required. Please submit the total required fee of $350.00. Check and/or money order should be made payable to "Treasurer, State of Connecticut" and must accompany this application. The application filing fee of $100 is non-refundable. Return your completed application, documentation and appropriate fee to: Department of Consumer Protection, License Services Division, 165 Capitol Avenue, Hartford, CT 06106 CURRENT FARM WINERY BUSINESS INFORMATION 1. Permit Number fo