Cash Credit Law Exception Request {C-815}

Form C-815 Trade Name: Permit / License Number: Contact Name: Gentlemen: In accordance with the electronic reporting requirements contained in Rule 45.121(e) for Credit Law and/or Rule 45.131(e) for Cash Law, I am submitting an exception request under Section (e)(2)(a) for the following reason(s): Distributors, Wholesalers, & Manufacturers / Brewers that produce less than 225,000 BBL's. My business is small and I do not currently use or have access to a computer. I request permission to manually file notarized paper affidavits to report cash or credit law violations to the Commission. Wineries: My business is small and I do not currently use or have access to a computer. I request permission to manually file notarized paper affidavits to report credit law violations to the Commission I do not currently sell or plan to sell to retail outlets. Local Distributors (LP): My business is small and I do not currently use or have access to a computer. I request permission to manually file notarized paper affidavits to report cash or credit law violations to the Commission ______________________________ Requestor's Signature: ______________________________ TABC Approval ______________________________________ Date ______________________________________ Date Telephone No.: ( ) - Please mail or fax completed form to the attention of the Audit Supervisor in your respective region: Region 1 ­ 500 Chestnut Street, Ste. 1573, ABILENE, Texas 79602 ­ Fax (325) 670-9838 Region 2 ­ 2225 East Randol Mill, Ste. 200, ARLINGTON, Texas 76011 ­ Fax (817) 607-2492 Region 3 ­ 427 West 20th Street, Ste. 600, HOUSTON, Texas 77008 ­ Fax (713) 426-7979 Region 4 ­ 7700 Chevy Chase Drive, Ste. 200, AUSTIN, Texas 78752 ­ Fax (512) 451-0240 Region 5 ­ 4203 Woodcock Drive, Ste. 120, SAN ANTONIO, Texas 78228 ­ Fax (210) 731-1759 NOTE: Notifications must be received at least two business days prior to the list publication date. P.O. Box 13127 Austin, Texas 78711-3127 (512) 206-3333 www.tabc.state.tx.us An Equal Opportunity Employer American LegalNet, Inc. www.FormsWorkFlow.com