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Alcoholic Beverage License Application Form. This is a Massachusetts form and can be use in Alcoholic Beverages Commission Statewide.
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Tags: Alcoholic Beverage License Application, Massachusetts Statewide, Alcoholic Beverages Commission
The Commonwealth of Massachusetts
Department of the State Treasurer
Alcoholic Beverages Control Commission
239 Causeway Street
Boston, MA 02114
LICENSE AND PERMIT APPLICATION PROCEDURES
PLEASE READ THE FOLLOWING INSTRUCTIONS CAREFULLY, IF YOU SHOULD
HAVE ANY QUESTIONS, CONTACT THERESA STRIANESE, AT (617) 727-3040 x 21.
OUR WEBSITE ADDRESS: WWW.MASS.GOV/ABCC
Enclosed applications are for an alcoholic beverage license. Also, if requested, are applications
for salesman and transportation permits.
PAYMENT AND MAILING PROCEDURES
All applicants must complete the enclosed MONETARY TRANSMITTAL FORM.
Attach your payment and application (s) to the TRANSMITTAL FORM and MAIL TO:
ALCOHOLIC BEVERAGES CONTROL COMMISSION
POST OFFICE BOX 3396
BOSTON, MA 02241-3396
APPLICATION PROCEDURES
LICENSE AND BOND FEES CAN BE FOUND ON PAGE 9 OF THE APPLICATION.
Please complete the ENTIRE application. If a question is not applicable, answer N/A.
DO NOT LEAVE THE LINE BLANK.
TAX ATTESTATION (M.G.L. Chapter 62C, Sec, 49A), the tax attestation on page 8
of the application must be signed and dated as indicated.
The following documentation must be submitted with your application:
1. FEDERAL BASIC PERMIT: Copy of your approved Federal Basic Permit issued
by the Department of the Treasury, Bureau of Alcohol,
Tobacco & Firearms.
2. SURETY BOND (M.G.L. CH. 138, s. 70): EXECUTED BY AN INSURANCE
COMPANY - The Surety Bond shall be signed by the licensee and shall contain a
description of the licensed premises exactly as it appears on your
application. The signature shall be witnessed and under seal.
3.
CORPORATE VOTE: If applicant is a corporation, a copy of the corporate vote
appointing the general manager.
4.
FORM A – (form enclosed) Must be completed and signed by the proposed general
manager.
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5.
ARTICLES OF ORGANIZATION: If a corporation, Certified copy of articles of
organization as issued by the Secretary of State.
IF APPLICATIONS WERE REQUESTED:
6.
SALESMAN/TRANSPORTATION APPLICATIONS
The salesman must complete and sign the front of the application. The back of the
application, must be completed and signed by an officer of the corporation. (NOTE: Proof
of Massachusetts residency is required for all new Salesmen).
ATTESTATION: Attestation to be completed and signed by the individual salesman with
his/her Social Security Number.
SALESMAN PERMIT FEE:
TRANSPORTATION PERMIT FEE:
7.
$200.00
$150.00
TRANSPORT/DELIVER APPLICATIONS (FEE: $150.00 PER VEHICLE)
Complete one transportation application signed by an officer of the corporation, indicate
the number of vehicles to be licensed for each vehicle and attach a listing of the
VEHICLE IDENTIFICATION NUMBERS.
ATTESTATION: Complete ONE attestation, signed by an Officer of the corporation to
cover all vehicles you wish licensed.
NOTE: IF A VEHICLE IS LEASED OR RENTED, A COPY OF THE LEASING OR
RENTAL AGREEMENT MUST ACCOMPANY THE TRANSPORTATION APPLICATION.
(THIS IS ALSO REQUIRED FOR LEASED/RENTED VEHICLES OF SALESMEN.)
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MONETARY TRANSMITTAL
THIS TRANSMITTAL MUST ACCOMPANY YOUR APPLICATION IN ORDER
TO ASSURE PROPER CREDIT.
PLEASE DO NOT SEND CASH.
PLEASE MAKE YOUR CHECKS PAYABLE TO COMMONWEALTH OF MASSACHUSETTS, ABCC.
MAIL THIS TRANSMITTAL ALONG WITH YOUR CHECK AND COMPLETED APPLICATION TO:
BANK OF AMERICA - ALCOHOLIC BEVERAGES CONTROL COMMISSION
POST OFFICE BOX 3396
BOSTON, MA 02241-3396
APPLICANT MUST COMPLETE THE FOLLOWING:
NAME:
ADDRESS:
CITY/TOWN:
STATE:
ZIP CODE:
DATE:
LICENSE
NAME
# OF
PERMITS,
LICENSES,
REV. CERTIFICATES
CODE REQUESTED
COMMERCIAL ALCOHOL
3008
MANUFACTURERS, ALC. BEV.
3005
FARMER WINERY
3005
FARMER BREWERY
3005
FARMER-DISTILLERY
3005
PUB BREWERS
3005
MANUFACTURERS, WINE & MALT 3005
WHOLESALERS ALL AB
3006
WHOLESALERS WM >10,000 gallons 3006
>7,500