plcb-318  2/12 commonwealth of pennsylvania pennsylvania liquor control board application for sunday sales/ amusement permit/extended hours food license bureau of licensing (see instructions on reverse) The undersigned hereby applies for a    SUNDAY SALES PERMIT AND/OR AN    AMUSEMENT PERMIT AND/OR AN EXTENDED HOURS FOOD LICENSE for the license expiring . 1. Name of licensee retail lic. no. 2. Trade name (if any) LID no. 3. Address of premises (street, rural route, p.o. box no.) 4. (post office) (state) (zip) RESOLUTION (CORPORATIONS AND LIMITED LIABILITY COMPANIES ONLY) At a regular or special meeting held on _____________________________________, 20________ by the applicant, it was resolved that said application be filed with the Pennsylvania Liquor Control Board, and that ___________________________________________and/or____________________________________ is/are hereby (name/title) (name/title) authorized to execute said application, and any other papers required by the Board. I swear or affirm, subject to the penalties provided by 18 Pa. C.S. §4904 and 47 P.S. §4-403(h) and/or §4-436(j), that the foregoing answers and statements provided herein are true and complete to the best of my knowledge, information, and belief. signature title name of attorney representing you in this matter, if any home address phone address phone signature title home address phone date signed e-mail address DO NOT WRITE BELOW THIS LINE American LegalNet, Inc. www.FormsWorkFlow.com INSTRUCTIONS 1. AMUSEMENT PERMIT An Amusement Permit must be obtained by all retail licensees, except clubs, when entertainment is furnished, such as dancing, floor shows, motion picture exhibitions, or theatricals. Television devices, audio/video playback devices, radio, instrumental music, games or events/tournaments/contests DO NOT require an Amusement Permit. The fee for a new permit is one-fifth the annual retail license fee; for transfer of an existing permit is $10.00. The hours for entertainment are limited to the hours during which the sale of alcoholic beverages is legal. 2. SUNDAY SALES PERMIT A fee of $300.00 is required for a Sunday Sales Permit. Licensees may sell liquor and malt or brewed beverages on Sunday between the hours of 11:00 AM and 2:00 AM. A licensee may sell on Sunday between the hours of 9:00 AM and 11:00 AM provided the licensee offers a meal beginning at 9:00 AM. 3. EXTENDED HOURS FOOD LICENSE A fee of $50.00 is required for an Extended Hours Food License. The holder of such license may serve food until 7:00 AM, of any day. If a licensee DOES NOT possess an Extended Hours Food License, all patrons are required to leave the premises habitually used for the serving of liquor or malt or brewed beverages to guests or patrons, not later than one-half hour after the time the licensee is required to cease serving alcoholic beverages. Patrons shall not be permitted to have any previously served alcoholic beverages in their possession, nor shall they be permitted to remove any previously served alcoholic beverages from that part of the premises. Fees made payable to "PLCB" or "Commonwealth of Pennsylvania." IF YOU REQUIRE ASSISTANCE IN COMPLETING THE APPLICATION PACKET, CALL THE LICENSING INFORMATION CENTER AT (717) 783-8250, OPTION #7. SEND THE APPLICATION PACKET TO: PENNSYLVANIA LIQUOR CONTROL BOARD, BUREAU OF LICENSING, P.O. BOX 8940, HARRISBURG, PA 17105-8940. American LegalNet, Inc. www.FormsWorkFlow.com