Sole Source Of Supply Brand Registration Form. This is a Colorado form and can be use in Dept Of Revenue Statewide.
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 ▲ American LegalNet, Inc. www.FormsWorkflow.com 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. American LegalNet, Inc. www.FormsWorkflow.com