Application For Registration Of Brands-Wholesalers Of Alcoholic Liquors
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Application For Registration Of Brands-Wholesalers Of Alcoholic Liquors Form. This is a South Carolina form and can be use in Department Of Revenue Statewide.
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Tags: Application For Registration Of Brands-Wholesalers Of Alcoholic Liquors, ABL-107-A, South Carolina Statewide, Department Of Revenue
1350
STATE OF SOUTH CAROLINA
DEPARTMENT OF REVENUE
APPLICATION FOR REGISTRATION OF
BRANDS/WHOLESALERS OF ALCOHOLIC LIQUORS
ABL-107A
(Rev. 8/31/10)
4288
Mail to: SC Department of Revenue, ABL Section,
Columbia, SC 29214-0907.
In accordance with Title 61, Chapter 6 Article 7, Code of Laws for SC, 1976, as amended, the Registered Producer noted
below does hereby make application to register the following brands of alcoholic liquors for shipment into the State of
South Carolina.
Registered Producer/Importer Name:
Address:
List S.C. Alcohol License No.:
Contact person:
Telephone
(
)
INSTRUCTIONS: You must list all labels/brands you intend to ship and the wholesaler you ship to. If additional
space is needed, this form may be reproduced. Please attach copy of Federal Label approval for each
label/brand listed.
Brand Name (list full brand name)
Proof
Age
Wholesaler
FEES: There is no fee for the first five (5) initial labels/brands registered for this producer/importer. The fee for each
additional brand over five is $20.00 per brand.
Total fees submitted:
42881029
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