Form C-55 (06/2009) ALCOHOLIC BEVERAGE INVENTORY Instructions: Please complete this form in triplicate. One copy should be delivered to the local TABC office, one copy to the seller and one copy to the purchaser. This sale is not valid until approved and signed by a representative of the local TABC office. State of Texas County of __________________ Before me, the undersigned authority, on this day personally appeared , known to me to be a credible person and , known to me to be a credible person and who after being duly sworn, did depose and say: I certify that I am a(n) (Owner/partner/Officer of Corporation) of , permit number (Name of Establishment) located at , Texas. (Address/City) The below listed alcoholic beverages which were inventoried the close of business on , and sold to , (Month/Day/Year) (Name of Establishment) permit number or stored at (Address/City/State) Quantity Size Brand Name Type ______________ _________ __________________ _________ _____________ ______________ ______________ _________ __________________ _________ _____________ ______________ ______________ _________ __________________ _________ _____________ ______________ ______________ _________ __________________ _________ _____________ ______________ ______________ _________ __________________ _________ _____________ ______________ ______________ _________ __________________ _________ _____________ ______________ ______________ _________ __________________ _________ _____________ ______________ ________________________________________ ID Stamp _________________________________________ (Seller) (Purchaser) SWORN TO AND SUBSCRIBED BEFORE ME, this the _____________ day of __________,20_____ ________________________________________ Notary Public Signature ____________________________Date:_____________ TABC Representative (Agent, Auditor, Accounts Examiner, Supervisor) American LegalNet, Inc. www.FormsWorkFlow.com Form C-55 (06/2009) Continuation of Inventory _____________________________________________________ (Name of Establishment) Quantity Size Brand Name Type ______________ _________ __________________ _________ _____________ ID Stamp ______________ ______________ _________ __________________ _________ _____________ ______________ ______________ _________ __________________ _________ _____________ ______________ ______________ _________ __________________ _________ _____________ ______________ ______________ _________ __________________ _________ _____________ ______________ ______________ _________ __________________ _________ _____________ ______________ ______________ _________ __________________ _________ _____________ ______________ ______________ _________ __________________ _________ _____________ ______________ ______________ _________ __________________ _________ _____________ ______________ ______________ _________ __________________ _________ _____________ ______________ ______________ _________ __________________ _________ _____________ ______________ ______________ _________ __________________ _________ _____________ ______________ ______________ _________ __________________ _________ _____________ ______________ ______________ _________ __________________ _________ _____________ ______________ ______________ _________ __________________ _________ _____________ ______________ ______________ _________ __________________ _________ _____________ ______________ ______________ _________ __________________ _________ _____________ ______________ ______________ _________ __________________ _________ _____________ ______________ ______________ _________ __________________ _________ _____________ ______________ ______________ _________ __________________ _________ _____________ ______________ ______________ _________ __________________ _________ _____________ ______________ ______________ _________ __________________ _________ _____________ ______________ ______________ _________ __________________ _________ _____________ ______________ ______________ _________ __________________ _________ _____________ ______________ ______________ _________ __________________ _________ _____________ ______________ ______________ _________ __________________ _________ _____________ ______________ ______________ _________ __________________ _________ _____________ ______________ ______________ _________ __________________ _________ _____________ ______________ ______________ _________ __________________ _________ _____________ ______________ ______________ _________ __________________ _________ _____________ ______________ ______________ _________ __________________ _________ _____________ ______________ American LegalNet, Inc. www.FormsWorkFlow.com