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Application For Solicitor Tasting Permit Form. This is a Virginia form and can be use in Department Of Alcoholic Beverage Control Statewide.
Tags: Application For Solicitor Tasting Permit, Virginia Statewide, Department Of Alcoholic Beverage Control
SOLICITOR TASTING PERMIT INFORMATION • • A Solicitor Tasting Permit shall be required for: o ALL authorized representatives (third party representatives, not direct employees) of Alcoholic beverage manufacturers (whether or not licensed in Virginia) Wine wholesalers Beer wholesalers • The permit shall allow the authorized representative to conduct tastings of wine, beer, or spirits within hotels, restaurants, and clubs licensed for on-premises consumption. A separate permit must be obtained by the authorized representative for each manufacturer/wholesaler represented. Employees of alcoholic beverage manufacturers and wine or beer wholesalers are not required to obtain a Solicitor Tasting Permit in order to hold tastings at the direction of their employers. • QUALIFICATIONS: • SOLICITOR TASTING PERMIT QUALIFICATIONS AND INSTRUCTIONS o o o • Authorized representatives must be under contract to conduct such tastings on behalf of the alcoholic beverage manufacturer or wholesaler. The contract must grant the Solicitor Tasting Permit applicant the authority to act as the authorized representative of the manufacturer or wholesaler. The manufacturer or wholesaler named in this Solicitor Tasting Permit application may be held liable for any violation of Section 4.1-201.1 by its authorized representative. An acknowledgement to that effect must be contained in the contract between the manufacturer/wholesaler and the authorized representative. INSTRUCTIONS: o o o o 1. 2. 3. 4. 5. 6. 7. 8. 9. Type or print legibly with black ink. Answer questions completely and accurately. Have certification statement notarized. Mail or deliver the following items to this address: Completed application (page 2) ONE of the following: • A copy of any related contract(s) which include the above listed qualifications o OR • Completed Agreement Addendum for Solicitor Tasting Permit (page 3) $50.00 per application Department of Alcoholic Beverage Control License Records Management 2901 Hermitage Rd PO Box 27491 Richmond VA 23261-7491 GENERAL TASTING INFORMATION Tastings shall be conducted only by employees of manufacturers or wholesalers or authorized representatives of such manufacturers or wholesalers. In accordance with A 15 of § 4.1-212, authorized representatives must obtain a permit prior to conducting a tasting on behalf of any entity (referred to as the Solicitor Tasting Permit.) Employees or authorized representatives must be present while the tastings are being conducted. No category of alcoholic beverage products may be offered to consumers unless the retail licensee on whose premises the tasting is conducted is licensed to sell that category of alcoholic beverage product. All alcoholic beverage products used in the tasting must be served to the consumer by employees of the retail licensee. The quantity of wine, beer, or spirits provided to any one person during the tasting shall not exceed 12 ounces of beer, five ounces of wine, or one-and-one-half ounces of spirits; however, for any spirits tastings, no single sample shall exceed one-half ounce of spirits per product offered and no more than three spirits products may be offered to any one patron. All alcoholic beverage products used in the tasting must be purchased from the retail licensee on whose premises the tasting is being conducted except that no more than $100 may be expended by or on behalf of any such manufacturer or wholesaler at any retail licensed premises during any 24-hour period. The $100 limitation shall be exclusive of taxes and gratuities, which gratuities may not exceed 20% of the cost of the alcoholic beverages, including taxes, for the alcoholic beverages purchased for the tasting. Manufacturers, wholesalers, and their authorized representatives shall keep complete records of each tasting authorized by this section for a period of not less than two years, which records shall include the date and place of each tasting conducted and the dollar amount expended by the manufacturer, wholesaler, or his agent or representative in the purchase of the alcoholic beverages used in the tasting. Manufacturers and wholesalers shall be held liable for any violation of this section committed by their employees or authorized representative in connection with their employment or representation at any tasting event. A copy of the permit must be carried by the employee of the permittee and must be presented to ABC Agents and other law enforcement personnel upon request. PRIVACY STATEMENT Pursuant to Chapter 38 of Title 2.2 of the Code of Virginia, it is the policy of the Commonwealth of Virginia that personal/tax information about citizens/applicants and/or their businesses will be collected only to the extent necessary to provide the service or benefit desired; that only appropriate information will be collected; that the citizen/applicant shall understand the reason the information is collected; and be able to examine his or her personal/business record which is maintained by the Virginia Department of Alcoholic Beverage Control (ABC). Social Security Numbers, Dates of Birth and Federal and State Tax identification numbers are collected for identification purposes. The Virginia Department of Alcoholic Beverage Control (ABC) considers all personal/tax information collected as confidential information. ABC does not provide information to any entity except as authorized by the Code of Virginia § 58.1-3 or 2.2-3700 through 2.2-3714. 805-97 rev. 6/2007. This is an official state document and all information contained or submitted therein is public information. Refer to Privacy Statement on page 1 regarding personal/tax information 1 American LegalNet, Inc. www.FormsWorkflow.com APPLICATION FOR SOLICITOR TASTING PERMIT APPLICANT INFORMATION Applicant Name__________________________________________________________________________ (If Authorized Representative is a company, enter company name above. If in business as an individual, enter individual name.) Street Address___________________________________________________________________________ City________________________________________State____________________ Zip________________ Telephone No__________________Fax No________________FEIN or SSN ________________________ (Enter Federal Employer Identification or Social Security Number) Company Email_________________________________________________________________________ MAILING ADDRESS FOR PERMIT & YEARLY RENEWAL BILL Mailing Address_________________________________________________________________________ City_______________________________State____________________________Zip_________________ COST OF PERMIT Solicitor Tasting Permit (Wine, Beer and Distilled Spirits) Fee Amount Submitted__________________ There is a $50 annual fee for this permit, which will run one year from the date of issuance. A renewal bill will be sent yearly thereafter until deactivation. MANUFACTURER/WHOLESALER TO BE REPRESENTED The applicant is an authorized representative and under contract to conduct tastings for the below manufacturer or wholesaler: Company Name_________________________________________________________________________ Street Address___________________________________________________________________________ City________________________________________State____________________ Zip________________ ABC License No._____________________Telephone No__________________Fax No________________ (If manufacturer/wholesaler is licensed by the State of VA) SWORN AFFIDAVIT Being duly sworn, the undersigned states as follows: (1) I certify that a contract or agreement between the applicant and the alcoholic beverage manufacturer or wholesaler listed above grants to the applicant the authority to act as the authorized representative for the manufacturer/wholesaler. (2) I certify that the aforementioned contract contains an acknowledgment that the alcoholic beverage manufacturer or wholesaler named above shall be held liable for any violation of Section 4.1-201.1. Signature____________________________________________ Title________________________________________________ Note to Notary: You must verify the affiant’s identification through documentation and have the affiant swear or affirm that the above information is true to the best of their knowledge and belief. State of _______________________________________ County/City of ________________________________________ Subscribed and sworn to before me this ________day of ______________, 20______. Notary Expiration_________________ Notary Public _________________________________ Registration Number___________________________________ (Required by Virginia-appointed notaries public) FOR OFFICIAL USE ONLY AMOUNT PAID RECEIPT DATE RECEIPT # 805-97 rev. 6/2007. This is an official state document and all information contained or submitted therein is public information. Refer to Privacy Statement on page 1 regarding personal/tax information TASTING PERMIT # 2 American LegalNet, Inc. www.FormsWorkflow.com AGREEMENT ADDENDUM FOR SOLICITOR TASTING PERMIT WHEREAS, THIS AGREEMENT EXISTS BETWEEN : MANUFACTURER/WHOLESALER TO BE REPRESENTED (hereafter referred to as Manufacturer/Wholesaler) Company Name_________________________________________________________________________ Street Address___________________________________________________________________________ City________________________________________State____________________ Zip________________ AND AUTHORIZED REPRESENTATIVE (hereafter referred to as Authorized Representative) Company Name_________________________________________________________________________ (If Authorized Representative is a company, enter company name above. If in business as an individual, enter individual name.) Street Address___________________________________________________________________________ City________________________________________State____________________ Zip________________. WHEREAS, THIS AGREEMENT: • • • • • Serves as authority for the Authorized Representative and/or any of its employees to represent the Manufacturer/Wholesaler for the purpose of conducting on-premises tastings in the Commonwealth of Virginia Confirms that the Authorized Representative is under contract with the Manufacturer/Wholesaler to conduct such tastings Confirms that the Authorized Representative and/or any of its employees have authority to act as the authorized representative of the Manufacturer/Wholesaler Confirms that the Manufacturer/Wholesaler acknowledges that the Manufacturer/Wholesaler may be held liable for any violation of Section 4.1-201.1 of Virginia Code by the Authorized Representative Confirms that this agreement will be considered terminated in the event this permit is surrendered or revoked MANUFACTURER/WHOLESALER AUTHORIZED REPRESENTATIVE Signature____________________________________________ Signature____________________________________________ Title________________________________________________ Title________________________________________________ NOTARY NOTARY State of _____________________________________________ State of _____________________________________________ County/City of _______________________________________ County/City of _______________________________________ Subscribed and sworn to before me this Subscribed and sworn to before me this _________day of _________________________, 20______. _________day of ___________________________, 20______. Notary Expiration _____________________________ Notary Expiration ______________________________ Notary Public_________________________________ Notary Public_________________________________ Registration Number__________________________________ Registration Number__________________________________ (Required by Virginia-appointed notaries public) (Required by Virginia-appointed notaries public) *NOTE Only an owner of the business; a partner, if the business is a partnership; a member of a limited liability company; or an officer of a corporation, if the business is a corporation, is authorized to sign this application. 805-97 rev. 6/2007. This is an official state document and all information contained or submitted therein is public information. Refer to Privacy Statement on page 1 regarding personal/tax information 3 American LegalNet, Inc. www.FormsWorkflow.com