Alcoholic Beverage Solicitor License Application
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Alcoholic Beverage Solicitor License Application Form. This is a South Dakota form and can be use in Department Of Revenue Statewide.
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Tags: Alcoholic Beverage Solicitor License Application, South Dakota Statewide, Department Of Revenue
Date Received_________________ Date Issued___________________ License No.________________________ South Dakota Alcoholic Beverage Solicitor License Application Mail to: South Dakota Department of Revenue, Special Tax Division, 445 East Capitol Ave, Pierre, SD 57501-3100 A. Individual's Name and Address B. Company Name and Address Company Telephone #: Solicitor's license: $25.00 (Mark one) New License?____________ Re-issuance?____________ Certificate: The undersigned applicant certifies under the penalties of perjury, that all statements herein are true and correct; that the said applicant complies with all of the statutory requirements for the class of license being applied for and in additional agrees to permit agents of the Department of Revenue access to records and agrees this application shall constitute a contract between applicant and the State of South Dakota entitling the same or any peace officers to inspect books and records of the applicant for the purpose of enforcing the provisions of Title 35 SDCL, as amended. Signed this ______ day of _________________, 20_____ Signature ________________________________________ For Department of Revenue use only Amount of license fee collected: ______________ STATE LIQUOR AUTHORITY: APPROVAL ___________ REVIEW___________ Date deposited:___________________________ Deposited by:________________ American LegalNet, Inc. www.FormsWorkflow.com
