Applicants Personal Information To Include With Liquor License Application Download Free Print-Only PDF OR Purchase Interactive PDF Version of this Form
Applicants Personal Information To Include With Liquor License Application Form. This is a Vermont form and can be use in Department Of Liquor Control Statewide.
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Tags: Applicants Personal Information To Include With Liquor License Application, Vermont Statewide, Department Of Liquor Control
Please complete and include with your liquor license application
Applicant/s Personal Information
Please fill in for Individual, Partners, or Directors
Legal Name (Please print or type)
SS#
Date of Birth
SS#
Date of Birth
Stockholder/s Personal Information
Please fill in for Stockholder
Legal Name (Please print or type)
attach additional sheet if necessary
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