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Sole Source Of Supply Brand Registration Form. This is a Colorado form and can be use in Dept Of Revenue Statewide.
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Tags: Sole Source Of Supply Brand Registration Form, DR 8440, Colorado Statewide, Dept Of Revenue
DR 8440 (12/00)
COLORADO DEPARTMENT OF REVENUE
LIQUOR ENFORCEMENT DIVISION
1375 SHERMAN ST
DENVER CO 80261
(303) 205-2300
COLORADO LICENSED
IMPORTERS/MANUFACTURERS
Sole Source of Supply/Brand Registration Form
For Sole Source Applications:
See instructions on back page
For New Product Registrations:
See instructions on back page
DO NOT WRITE IN THIS SPACE
ALL IMPORTERS AND MANUFACTURERS FILL OUT THIS SECTION
Colorado License Number
Applicant Name
Federal Basic Permit Number
Trade Name
Telephone Number
Mailing Address (Street Number, City, State, ZIP)
Colorado Wholesaler(s) Product(s) will be shipped to
SOLE SOURCE APPLICATIONS
Name of Primary Source
Telephone Number
Federal Permit Number
Address of Primary Source (Street Number, Box Number, Rte., City, State, ZIP)
NEW PRODUCT REGISTRATION
Product Name
1.
4.
2.
5.
3.
6.
Sole Source Registration
2240-100 (999)
$100 x _____________________
Total Fee: _________________________
Product Registration
2290-100 (999)
$5.00 x _____________________
Total Fee: _________________________
DR 8440 (12/00)
COLORADO LICENSED
IMPORTERS/MANUFACTURERS
Sole Source of Supply/Brand Registration Form
Name of Importer
Colorado License Number
Sole Source Registration ............................
2240-100 (999)
$100 x _________
Product Registration ....................................
2290-100 (999)
$5.00 x _________
Period
TOTAL
▲
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Sole Source Applications
1.
Attach a letter from each person whose product line you are applying for sole source authorization
to import, stating that he is the United States' primary source of supply for his products and that he
is appointing you as the Colorado sole source of supply for his products rather than obtaining his own
Colorado importers license.
2.
Sole source applicants fill in the information in the space provided below on this form.
3.
Register all new products for which you will become the sole source, on this form.
4.
Pay appropriate fee.
New Product Registration
1 a. Attach a copy of all Federal Brand Label Approval for each new product you plan to ship into or sell
in Colorado.
b. All instate wine or spirits manufacturers who are exempt from federal label approval must submit a
copy of their label and the product Federal Certificate of Exemption from label approval to the Division
for review and registration.
2.
Register all new products on space provided on this form. Attach a separate sheet, if necessary, to
list additional products.
3.
Pay appropriate fee.
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