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60 Day Temporary Liquor License Application Form. This is a Washington form and can be use in Liquor Control Board Statewide.
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Tags: 60 Day Temporary Liquor License Application, LIQ 390-50, Washington Statewide, Liquor Control Board
For Office Use Only
UBI
Liquor Control Board
Licensing and Regulation
3000 Pacific Ave SE
PO Box 43098
Olympia WA 98504-3098
www.liq.wa.gov
For Validation Only
01P-400-925-0003
60 Day Temporary Liquor License Application
$50 Fee
• You may apply for a temporary liquor license if you are assuming a business that has an existing liquor license.
You must be applying for the same type of license held by the current licensee.
•
This license allows you to operate under the current licensee’s privilege for up to 60 days. (If the current license
expires within 60 days, a temporary license can only be issued for the period remaining on the current license.)
• To qualify for the temporary liquor license:
- All applicants must clear through a criminal history check.
- All required documents for a liquor license must be turned in and reviewed (please see the publication “How to
Apply for a Liquor License” for more information.
- You must have a briefing on liquor laws and regulations from your local Liquor Control Agent.
Current Licensee Information
Trade Name
Type of Liquor License
Liquor License No.
Expiration Date
Address of Licensed Premises
Street Address
City
State
Zip + 4
On approval of the Washington State Liquor Control Board, I hereby allow and acknowledge that the applicant(s) are allowed
to operate on my license and I remain responsible for any violations incurred.
Date
Signature of Current Licensee
Name of Current Licensee (please print)
Title
Contact Phone Number of Current Licensee
Applicant Information
I understand that a misrepresentation of fact shall be deemed a lack of good faith and shall be sufficient cause for
disapproval or revocation of the temporary liquor license. I further understand that issuance of this temporary
liquor license does not guarantee approval of the annual license. If I have not received the annual liquor
license within 60 days, I will not be eligible to sell liquor, and the current licensee will either resume the business
or I will discontinue liquor sales (under certain circumstances a second 60 day temporary liquor license may be
applied for).
As the applicant, it is my responsibility to fully disclose all entities involved and provide appropriate documentation
for issuance of an annual license. Changes to the current business will not be made while a temporary license is
in effect.
Date
LIQ 390-50-6/03
Signature of Applicant (sole proprietor, partner, corporate,
officer, or LLC member)
Name of Applicant (please print)
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