Product Registration Application For Wine {C-270w}

C - 270w ( 10 / 201 7 ) TEXAS ALCOHOLIC BEVERAGE COMMISSION APPLICATION FOR APPROVAL OF LABELS FOR WINE (512)206 - 3410 www.tabc.texas.gov label.approval@tabc.texas.gov **Please visit our website for current processing times.** TABC is now offering online label approval. INSTRUCTIONS 1.Prepare application and mail to TABC, 5806 MESA DRIVE, AUSTIN, TX 78731. Separate applications will be required for eachCOLA as required by the Department of Treasury (TTB). Incomplete applications will be returned. 2.A legible copy of the Federal COLA issued by the TTB must be stapled behind the application. If the image of the label on the Federal COLA is not legible, attach actual labels or exact color images of all the labels on the product. (attach labels to theback of this page or use an additional page) 3.Samples of wine/cider and set of labels are required if alcohol content is below 7% ABV. (If TTB COLA is not required) 4.APPROVAL OF THIS LABEL DOES NOT SIGNIFY COMPLIANCE WITH TABC222S CODE AND RULES. Beverage Commission). 6.Nonresident Seller Permittee must be the primary American source of supply (TABC Code Sec. 37.10) for the brand being registered. Proof, such as a letter of authorization, that a permittee is the primary American source of supply of the product orbrand for purposes of Section 37.10 must be accompanied with the application. (TABC Code Sec. 101.671) **A certificate of approval will be emailed when processing is complete. Product may not be shipped into the state prior to approval.** TABC requests for Date: TABC PERMIT NO.: (Nonresident Seller or TX Winery) Nonresident Seller ( S ) or TX Winery (G ) ( Label Applications will not be accepted unless applicant h olds an active TABC Nonresident Seller222s or Winery Permit ) TABC TRADE NAME : MAILING ADDRESS: CONTACT NAME: CONTACT PHONE NO.: E - MAIL ADDRESS: Description of Label: Brand Name of Wine : Fanciful Name (if any): Class (Varietal): Appellation / Vintage (if any) : Alcohol Content : Container Size(s): AFFIRMATION : I , ( name ) , am over the age of 18 years and have the authority to act on behalf of the above listed permit holder. I declare under penalty of perjury that the foregoing is true and correct. Executed in ( C ity or County ) , ( State/Country ) SIGNATURE OF APPLICANT TITLE (required) DATE American LegalNet, Inc. www.FormsWorkFlow.com