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Railroad Or Car License Application Form. This is a Massachusetts form and can be use in Alcoholic Beverages Commission Statewide.
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Tags: Railroad Or Car 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
RAILROAD/CAR APPLICANTS PROCEDURES FOR APPLYING
FOR/OR RENEWAL OF A LICENSE
Enclosed application is to be completed when applying for a new license and renewal of
a license.
The following must be submitted with your application:
1. LICENSE FEE: MASTER LICENSE: $500.00 plus $50.00 for each
Certified Copy, (Must have a Certified Copy on each vehicle which is
transporting alcoholic beverages.) Payable to the Commonwealth of Massachusetts.
2. NEW APPLICANTS - If a corporation - approved copy of Articles of
Organization issued by the Secretary of State in Massachusetts.
(RENEWAL APPLICANTS: need only submit Articles of Organization
if there are changes/amendments in the articles currently on file.
3. Requirements of the Public Health Security and Bioterrorism Preparedness and Response Act of 2002,
Public Law 107-188 (“the Bioterrorism Act of 2002”).
Renewal applications must be submitted by November 30th of the calendar year.
IMPORTANT - payment and mailing procedures - all applicants must complete the enclosed monetary
transmittal form, attach your payment and application to the transmittal form and mail to:
BANK OF AMERICA - ALCOHOLIC BEVERAGES CONTROL COMMISSION
POST OFFICE BOX 3396
BOSTON, MA 02241-3396
OUR WEBSITE ADDRESS: www.mass.gov/abcc
If you should need assistance on applying for or renewing a license, please contact, Theresa Strianese,
(617) 727-3040 x 21.
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The Commonwealth of Massachusetts
Department of the State Treasurer
Alcoholic Beverages Control Commission
239 Causeway Street
Boston, MA 02114
2010
RAILROAD OR CAR LICENSE APPLICATION
(M.G.L. CH. 138 SEC. 13)
APPLICANT NAME:__________________________________________________________________
(TYPE OR PRINT)
ADDRESS:___________________________________________________________________________
TELEPHONE NUMBER (AREA CODE):_______________________________________________
The undersigned, being a railroad or car corporation operating a line of railroad or cars within the
Commonwealth, hereby applies for a license to sell alcoholic beverages to passengers for consumption in
its cars.
Describe the cars to be licensed (Give their names or numbers, and state whether they are dining, club,
buffet, or lounge cars.)
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
The foregoing statements made under the penalties of perjury.
Signature:_____________________________
(Title)
Date
Pursuant to M.G.L. Ch. 62C, Sec. 49A, I certify under the penalties of perjury that I, to my best
knowledge and belief, have filed all state tax returns and paid all state taxes required under law.
____________________
Social Security Number
______________________________________
Signature of Individual
Date
or Corporate Name
__________________________
Federal Identification Number
By:___________________________________
Corporate Officer
Date
(if applicable)
FEE: $500.00 plus $50.00 (certified copy for each car) Payable to the Commonwealth
of Massachusetts.
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The Commonwealth of Massachusetts
Department of the State Treasurer
Alcoholic Beverages Control Commission
239 Causeway Street
Boston, MA 02114
2010
RAILROAD TRANSPORTATION APPLICATION
(M.G.L. CH. 138, SEC. 22)
NAME OF RAILROAD:________________________________________________________
ADDRESS:___________________________________________________________________
TELEPHONE NUMBER (AREA CODE)________________________________________
The undersigned being a Railroad Company
__________________________________________, hereby applies for a permit
NAME OF RAILROAD COMPANY
to TRANSPORT alcoholic beverages not to be consumed by passengers for their Railroad
Car ___________during
the year 20_____.
Have you registered with the Food and Drug Administration?________________________
FDA Registration No. ______________ Date of Registration:________________________
The foregoing statements are made under the penalties of perjury.
Signature___________________________________
(DATE)
Title_______________________________________
IMPORTANT NOTICE PAYMENT AND MAILING PROCEDURES
All applicants must complete a monetary transmittal form. Attach your payment and application to
the transmittal form and mail to:
ALCOHOLIC BEVERAGES CONTROL COMMISSION
POST OFFICE BOX 3396
BOSTON, MA 02241-3396
FEE: $1,500.00 (check payable to the Commonwealth of Massachusetts)
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MONETARY TRANSMITTAL
FORM 1
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:
DATE:
STATE:
LICENSE
NAME
AIRLINE MASTER FOR SALE TO
PASSENGERS
AIRLINE (EACH FLIGHT)
BROKERS
BONDED WAREHOUSE
SALESMAN
TRANSP. FOR SALESMAN
RAILROAD MASTER FOR SALE TO
PASSENGERS
RAILROAD (EACH RR CAR)
STEAMSHIP
SHIP CHANDLER
TRANSPORTATION & DELIVERY
WAREHOUSEMAN
PERMIT TO TRANSPORT NOT FOR
CONSUMPTION
RR, SHIP, OR AIRLINE
ZIP CODE:
REV.
CODE
# OF
FEE
PERMITS
AMOUNT
REQUESTED
TOTAL
3094
3094
3007
3095
3011
3097
________
________
________
________
________
________
$ 500.00
$ 50.00
$ 5000.00
$ 1000.00
$ 200.00
$ 150.00
$ ________
$ ________
$ ________
$ ________
$ ________
$ ________
3009
3009
3010
3099
3097
3095
________
________
________
________
________
________
$ 500.00
$ 50.00
$ 500.00
$ 1000.00
$ 150.00
$ 500.00
$ ________
$ ________
$ ________
$ ________
$ ________
$ ________
3097
________
$ 1500.00
$ ________
CHECK TOTAL
$_________
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