Please Reference the first two pages of your TABC application to be sure you fill out this form correctly.
ALL FIELDS REQUIRED!
Liquor Notice Application Type:
Application is filed for:
Check all that apply:
(Permit/License Type. See #1 on Sample)

B Brewer's Permit
BA Manufacturer's License
BE Beer retail dealer's on-premise license
BF Beer retail dealer's off-premise license
BG Wine and beer retailer's permit
BL Retail dealer's on-premise late hours license
BP Brewpub License
BQ Wine and beer retailer's off-premise permit
CB Caterer's permit
D Distiller's & Rectifier's Permit
DA Brewer's Self distribution permit
DB Manufacturer Self distribution permit
E Local cartage permit
ET Local cartage transfer permit
FB Food and beverage certificate
G Winery Permit
GS Winery Storage Permit
L Private storage permit
LB Mixed beverage late hours permit
LP Local distributor's permit
MB Mixed beverage permit
MI Minibar permit
N Private club registration permit
NB Private club beer and wine permit
NE Private club exemption certificate permit
NL Private club late hours permit
O Private Carrier's permit
P Package store permit
PE Beverage cartage permit
PS Package store tasting permit
Q Wine only package store permit
RM Mixed beverage restaurant permit with FB
W Wholesaler's Permit

For:
(Entity/Corp. Name -- See #2 on Sample)
DBA:
(DBA Name -- See #3 on Sample)
At:
Street
City
County
State
Zip

(Address -- See #4 on Sample)
Members/
Managers/
Officers/Etc:

(One per line)
(Full Name - Title)                (See #5 on Sample)
When do you want the legal notice published?
(write either "As Soon As Possible" or write start date.
Must be published twice for two consecutive days.)

NOTICE: By checking this box I acknowledge that I have read and understand that the Daily Commercial Record does not offer refunds for any form of subscription including email.

The fee is a flat fee of $160.00.


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