ࡱ> y bjbj V{{S-& & $PDlT"2 3 3 3g4C8/:jjjjjjj$zn,qjqX@E4"g4X@X@j 3 39HlVVVX@ 8 3 3jVX@jVVbOd 3å@Jcj^l0lc|qK q OdOdqd';Ho<VY=>C';';';jjU';';';lX@X@X@X@q';';';';';';';';';& F:  DBPR ABT -6011 Division of Alcoholic Beverages and Tobacco Application for Caterers License STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION NOTE This form must be submitted as part of an application packetDBPR Form ABT- 6011 Revised 09/2012 If you have any questions or need assistance in completing this application, please contact the Department of Business and Professional Regulation or your local district office. Please submit your completed application to your local district office. This application may be submitted by mail, through appointment, or it can be dropped off. A District Office Address and Contact Information Sheet can be found on AB&Ts page of the DBPR web site at the link provided below.  HYPERLINK "http://www.myfloridalicense.com/dbpr/abt/district_offices/licensing.html" http://www.myfloridalicense.com/dbpr/abt/district_offices/licensing.html SECTION 1 - CHECK TRANSACTION REQUESTED Transaction Type: FORMCHECKBOX  Initial Permanent License  FORMCHECKBOX  Transfer of Ownership  FORMCHECKBOX  Change of Location  FORMCHECKBOX  Correction Do you wish to purchase a Temporary License?  FORMCHECKBOX  Yes  FORMCHECKBOX  No Is this application for the transfer of a license?  FORMCHECKBOX  Yes  FORMCHECKBOX  No Current Business Name (D/B/A)  FORMTEXT      Current License Number  FORMTEXT      If this application is for the transfer of this license, is the transfer due to revocation proceedings?  FORMCHECKBOX  Yes  FORMCHECKBOX  No If yes, is there any personal relationship to the transferor?  FORMCHECKBOX  Yes  FORMCHECKBOX  No If yes, explain the relationship:  FORMTEXT       FORMTEXT      SECTION 2 - LICENSE INFORMATION If the applicant is a corporation or other legal entity, enter the name and the document number as registered with the Florida Department of State Division of Corporations on the line below.Full Name of Applicant: (This is the name the license will be issued in)  FORMTEXT      Department of State Document #  FORMTEXT      FEIN Number  FORMTEXT      Business Name (D/B/A)  FORMTEXT      Location Address (Street and Number)  FORMTEXT      City  FORMTEXT      County  FORMTEXT      State FLZip Code  FORMTEXT      Business Telephone Number  FORMTEXT      E-mail Address  FORMTEXT      Business Mailing Address  FORMTEXT      State  FORMTEXT   Zip Code  FORMTEXT      The section below is optional and only to be completed if you wish to specify an individual to whom all communication about your application will be sent.Contact Person  FORMTEXT      Telephone Number  FORMTEXT      E-Mail Address  FORMTEXT      Mailing Address (Street or P.O. Box)  FORMTEXT      State  FORMTEXT   Zip Code  FORMTEXT       SECTION 3  RELATED PARTY PERSONAL INFORMATIONThis section must be completed for each person directly connected with the business, unless they are a current licensee.1.Business Name (D/B/A)  REF Text1 \h \* MERGEFORMAT  2.Full Name of Individual  FORMTEXT      Social Security Number*  FORMTEXT      FORMTEXT     FORMTEXT     Home Telephone Number  FORMTEXT      FORMTEXT      FORMTEXT     Date of Birth  FORMTEXT     FORMTEXT     FORMTEXT     Race  FORMDROPDOWN Sex  FORMDROPDOWN Height  FORMTEXT     Weight  FORMTEXT     Eye Color  FORMTEXT      Hair Color  FORMTEXT      3.Are you a U.S. citizen?  FORMCHECKBOX  Yes  FORMCHECKBOX  No If no, immigration card number or passport number:  FORMTEXT      4.Home Address (Street and Number)  FORMTEXT      City  FORMTEXT      State  FORMTEXT   Zip Code  FORMTEXT      5.Do you currently own or have an interest in any business selling alcoholic beverages, wholesale cigarette or tobacco products, or a bottle club?  FORMCHECKBOX  Yes  FORMCHECKBOX  No If yes, provide the information requested below. The location address should include the city and state.Business Name (D/B/A)  FORMTEXT      License Number  FORMTEXT      Location Address  FORMTEXT      6.Have you had any type of alcoholic beverage, or bottle club license, or cigarette, or tobacco permit refused, revoked or suspended anywhere in the past 15 years?  FORMCHECKBOX  Yes  FORMCHECKBOX  No If yes, provide the information requested below. The location address should include the city and state.Business Name (D/B/A)  FORMTEXT      Date  FORMTEXT      Location Address  FORMTEXT      7.Have you been convicted of a felony within the past 15 years?  FORMCHECKBOX  Yes  FORMCHECKBOX  No If yes, provide the information requested below and provide a Copy of the Arrest Disposition, as requested in the Application Requirements checklist.Date  FORMTEXT      Location  FORMTEXT      Type of Offense  FORMTEXT      8.Have you been convicted of an offense involving alcoholic beverages anywhere within the past 5 years?  FORMCHECKBOX  Yes  FORMCHECKBOX  No If yes, provide the information requested below and provide a Copy of the Arrest Disposition, as requested in the Application Requirements checklist.Date  FORMTEXT      Location  FORMTEXT      Type of Offense  FORMTEXT       9.Have you been arrested or issued a notice to appear in any state of the United States or its territories within the past 15 years?  FORMCHECKBOX  Yes  FORMCHECKBOX  No If yes, provide the information requested below and a Copy of the Arrest Disposition. Attach additional sheet if necessary.Date  FORMTEXT      Location  FORMTEXT      Type of Offense  FORMTEXT      10.Are you an official with State police powers granted by the Florida Legislature?  FORMCHECKBOX  Yes  FORMCHECKBOX  NoNOTARIZATION STATEMENT  I swear under oath or affirmation under penalty of perjury as provided for in Sections 559.791, 562.45 and 837.06, Florida Statutes, that I have fully disclosed any and all parties financially and or contractually interested in this business and that the parties are disclosed in the Disclosure of Interested Parties of this application. I further swear or affirm that the foregoing information is true and correct. STATE OF____________________ COUNTY OF___________________ _________________________________________________ APPLICANT SIGNATURE The foregoing was ( ) Sworn to and Subscribed OR ( ) Acknowledged Before me this ___________Day of_______________, 20_____, By _______________________________________who is ( ) personally (print name of person making statement) known to me OR ( ) who produced ___________________________________________as identification. _______________________________________________ Commission Expires: ___________________ Notary Public (ATTACH ADDITIONAL COPIES AS NECESSARY) *Social Security Number Under the Federal Privacy Act, disclosure of Social Security numbers is voluntary unless a Federal statute specifically requires it or allows states to collect the number. In this instance, disclosure of social security numbers is mandatory pursuant to Title 42 United States Code, Sections 653 and 654; and sections 409.2577, 409.2598, and 559.79, Florida Statutes. Social Security numbers are used to allow efficient screening of applicants and licensees by a Title IV-D child support agency to assure compliance with child support obligations. Social Security numbers must also be recorded on all professional and occupational license applications and are used for licensee identification pursuant to the Personal Responsibility and Work Opportunity Reconciliation Act of 1996 (Welfare Reform Act), 104 Pub.L.193, Sec. 317. The State of Florida is authorized to collect the social security number of licensees pursuant to the Social Security Act, 42 U.S.C. 405(c)(2)(C)(I). This information is used to identify licensees for tax administration purposes. SECTION 4 SALES TAX TO BE COMPLETED BY THE DEPARTMENT OF REVENUEBusiness Name (D/B/A)  REF Text1 \h  \* MERGEFORMAT  The named applicant for a license/permit has complied with the Florida Statutes concerning registration for Sales and Use Tax. This is to verify that the current owner as named in this application has filed all returns and that all outstanding billings and returns appear to have been paid through the period ending or the liability has been acknowledged and agreed to be paid by the applicant. This verification does not constitute a certificate as contained in Section 212.10 (1), F.S. (Not applicable if no transfer involved). Furthermore, the named applicant for an Alcoholic Beverage License has complied with Florida Statutes concerning registration for Sales and Use Tax, and has paid any applicable taxes due. Signed____________________________________________________Date_____________________ Title______________________________________________________ Department of Revenue Stamp:  SECTION 5 DIVISION OF HOTELS AND RESTAURANTS Full Name of Applicant  REF Text169 \h  \* MERGEFORMAT  The named applicant for a license has complied with the requirements of Chapter 509, Florida Statutes, and is currently licensed by the Division of Hotels and Restaurants to provide catering services and complies with the requirements of the Florida Sanitary Code. Signed_______________________________________________________Date____________________ Title________________________________________________  SECTION 6 CONTRACTS OR AGREEMENTSBusiness Name (D/B/A)  REF Text1 \h  \* MERGEFORMAT  These questions must be answered about this business for every person or entity listed as the applicant and copies of agreements must be submitted with this application. If the management, service, or other contractual agreement gives a person or entity control of the licensed premises or the sale of alcoholic beverages, disclosure of those persons must be made in the section labeled DIRECT INTEREST in the DISCLOSURE OF INTERESTED PARTIES section. They must also submit fingerprints and a related party personal information sheet.1.Yes  FORMCHECKBOX  No  FORMCHECKBOX Is there a management contract, franchise agreement, or service agreement in connection with this business? 2.Yes  FORMCHECKBOX  No  FORMCHECKBOX Are there any agreements which require a payment of a percentage of gross or net receipts from the business operation?3.Yes  FORMCHECKBOX  No  FORMCHECKBOX Have you or anyone listed on this application, accepted money, equipment or anything of value in connection with this business from a manufacturer or wholesaler of alcoholic beverages? SECTION 7 APPLICANT ENTITY FELONY CONVICTION Has the applicant entity been convicted of a felony in this state, any other state, or by the United States in the last 15 years?  FORMCHECKBOX  Yes  FORMCHECKBOX  No If the answer is  Yes, please list all details including the date of conviction, the crime for which the entity was convicted, and the city, county, state and court where the conviction took place.   FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT      (Attach additional sheets if necessary) SECTION 8  DISCLOSURE OF INTERESTED PARTIESNote: Failure to disclose an interest, direct or indirect, could result in denial, suspension and/or revocation of your license.Business Name (D/B/A)  REF Text1 \h \* MERGEFORMAT  When applicable, please complete the appropriate section below. Attach extra sheets if necessary. Title/PositionNameStock %CORPORATION (CORP/INC)President FORMTEXT       FORMTEXT    Vice President FORMTEXT       FORMTEXT    Secretary FORMTEXT       FORMTEXT    Treasurer FORMTEXT       FORMTEXT    Director(s) FORMTEXT       FORMTEXT     FORMTEXT       FORMTEXT    Stockholder(s) FORMTEXT       FORMTEXT     FORMTEXT       FORMTEXT    LIMITED LIABILITY COMPANY (LLC/LC)Managing Member(s) and/or Managers FORMTEXT       FORMTEXT     FORMTEXT       FORMTEXT    Members (must be printed if there are no managing members or managers)  FORMTEXT       FORMTEXT     FORMTEXT       FORMTEXT     FORMTEXT       FORMTEXT     FORMTEXT       FORMTEXT    LIMITED PARTNERSHIP (LTD/LP/LTDLLP)General Partner(s) FORMTEXT       FORMTEXT     FORMTEXT       FORMTEXT    Limited Partner(s) FORMTEXT       FORMTEXT     FORMTEXT       FORMTEXT     FORMTEXT       FORMTEXT    DIRECT INTERESTName of Individual or Entity (If a legal entity, list name under which the entity does business and its principles)  FORMTEXT      Title/PositionNameStock % FORMTEXT       FORMTEXT       FORMTEXT     FORMTEXT       FORMTEXT       FORMTEXT     FORMTEXT       FORMTEXT       FORMTEXT     FORMTEXT       FORMTEXT       FORMTEXT    3. 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FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMTEXT     SECTION 9 - AFFIDAVIT OF APPLICANT NOTARIZATION REQUIREDBusiness Name (D/B/A)  REF Text1 \h  \* MERGEFORMAT  "I, the undersigned individually, or if a registered legal entity for itself, its officers and directors, hereby swear or affirm that I am duly authorized to make the above and foregoing application, and agree that the place where business is being conducted may be inspected and searched during business hours or at any time business is being conducted on the premises without a search warrant by officers of the Division of Alcoholic Beverages and Tobacco, agents of the Division of Hotels and Restaurants, the Sheriff, his Deputies, and Police Officers for the purposes of determining compliance with the beverage law. It is understood that we must maintain for a period of three (3) years all records required by the division by statute to demonstrate compliance with the requirements of the purchase of alcoholic beverages and records identifying each customer and the location and date of each catered event.  I, the undersigned individually, or if a corporation for itself, its officers and directors, acknowledge the requirement that a caterer must derive at least 51 percent of its gross revenue from the sale of food and nonalcoholic beverages, and be licensed by the Division of Hotels and Restaurants under chapter 509. If the alcoholic beverage caterer is licensed under s. 565.02(1) and is not providing food, there must also be a licensed food caterer at the event. Alcoholic beverages may only be sold or served for consumption on the premises of the catered event. Alcoholic beverages may only be purchased from a vendor licensed under s. 563.02(1), s. 564.02(1), or s. 565.02(1). Any unused alcoholic beverages for a catered event must remain with the customer; unless the vendor from which the beverages were purchased accepts unopened alcoholic beverages for a credit or reimbursement. I swear under oath or affirmation under penalty of perjury as provided for in Sections 559.791, 562.45, and 837.06, Florida Statutes, that the foregoing information is true and that no other person or entity except as indicated herein has an interest in the license and that all of the above listed persons or entities meet the qualifications necessary to hold an interest in the alcoholic beverage license." STATE OF____________________ COUNTY OF__________________ _________________________________________________ APPLICANT SIGNATURE _________________________________________________ APPLICANT SIGNATURE The foregoing was ( ) Sworn to and Subscribed OR ( ) Acknowledged Before me this ___________Day of_______________, 20_____, By _______________________________________who is ( ) personally (print name(s) of person(s) making statement) known to me OR ( ) who produced ___________________________________________as identification. ________________________________________________ Commission Expires: ___________________ Notary Public  SECTION 10 - AFFIDAVIT OF TRANSFEROR NOTARIZATION REQUIREDBusiness Name (D/B/A)  REF Text1 \h  \* MERGEFORMAT  I, the undersigned, hereby swear or affirm that I am duly authorized to make this affidavit and do hereby consent, on my behalf or on behalf of the transferor, to the above transfer, and represent to the Division of Alcoholic Beverages and Tobacco that the license which is being transferred is as shown in the application and that a bona fide sale in good faith has been made to the within applicant of the business for which the foregoing transfer of license is sought. STATE OF________________ COUNTY OF______________ _________________________________________________ APPLICANT SIGNATURE _________________________________________________ APPLICANT SIGNATURE The foregoing was ( ) Sworn to and Subscribed OR ( ) Acknowledged Before me this ___________Day of_______________, 20_____, By _______________________________________who is ( ) personally (print name(s) of person(s) making statement) known to me OR ( ) who produced ___________________________________________as identification. ________________________________________________ Commission Expires: ___________________ Notary Public  SECTION 11 - CURRENT LICENSEE UPDATE DATA SHEETThis section is to be completed for all current alcoholic beverage and/or tobacco license holders listed on the application to ensure the most up to date information is captured.Business Name (D/B/A)  REF Text1 \h \* MERGEFORMAT  Last Name  FORMTEXT      First  FORMTEXT      M.I.  FORMTEXT  Current Alcohol Beverage and/or Tobacco License Permit/Number(s)  FORMTEXT      Date of Birth  FORMTEXT     FORMTEXT     FORMTEXT     Social Security Number*  FORMTEXT      FORMTEXT     FORMTEXT     Street Address  FORMTEXT      City  FORMTEXT      State  FORMTEXT   Zip Code  FORMTEXT      Last Name  FORMTEXT      First  FORMTEXT      M.I.  FORMTEXT  Current Alcohol Beverage and/or Tobacco License Permit/Number(s)  FORMTEXT      Date of Birth  FORMTEXT     FORMTEXT     FORMTEXT     Social Security Number*  FORMTEXT      FORMTEXT     FORMTEXT     Street Address  FORMTEXT      City  FORMTEXT      State  FORMTEXT   Zip Code  FORMTEXT      Last Name  FORMTEXT      First  FORMTEXT      M.I.  FORMTEXT  Current Alcohol Beverage and/or Tobacco License Permit/Number(s)  FORMTEXT      Date of Birth  FORMTEXT     FORMTEXT     FORMTEXT     Social Security Number*  FORMTEXT      FORMTEXT     FORMTEXT     Street Address  FORMTEXT      City  FORMTEXT      State  FORMTEXT   Zip Code  FORMTEXT      Last Name  FORMTEXT      First  FORMTEXT      M.I.  FORMTEXT  Current Alcohol Beverage and/or Tobacco License Permit/Number(s)  FORMTEXT      Date of Birth  FORMTEXT     FORMTEXT     FORMTEXT     Social Security Number*  FORMTEXT      FORMTEXT     FORMTEXT     Street Address  FORMTEXT      City  FORMTEXT      State  FORMTEXT   Zip Code  FORMTEXT      Last Name  FORMTEXT      First  FORMTEXT      M.I.  FORMTEXT  Current Alcohol Beverage and/or Tobacco License Permit/Number(s)  FORMTEXT      Date of Birth  FORMTEXT     FORMTEXT     FORMTEXT     Social Security Number*  FORMTEXT      FORMTEXT     FORMTEXT     Street Address  FORMTEXT      City  FORMTEXT      State  FORMTEXT   Zip Code  FORMTEXT           Auth. 61A- 3.056, FAC  PAGE 9 Eff. 11/16/2010 ABT District Office Received / Date Stamp "$&(*>@BHJNPdfhrtvxܜDZ֛Dž֛oY+jhtAwhMCJOJQJU^J+jhtAwhMCJOJQJU^J+jhtAwhMCJOJQJU^J*jh7.CJOJQJU^JmHnHu+j]htAwhMCJOJQJU^JhtAwhMCJOJQJ^J%jhtAwhMCJOJQJU^J+jQhtAwhMCJOJQJU^J(LN(kdI$$Ifl4    r0$0    `'4 laf4yte $$Ifa$gde$ `$If^`a$gdeNv $$Ifa$gde$ `$If^`a$gde $Ifgdeܜޜ   T̝DZ֛ǔyrdWF9htAwh2fCJOJQJ!jhtAwh2fCJOJQJUhtAwhYECJOJQJhtAwh U5CJOJQJ htAwh U htAwh. htAwh UCJOJQJ htAwhX htAwhM*jh7.CJOJQJU^JmHnHu+j$htAwhMCJOJQJU^JhtAwhMCJOJQJ^J%jhtAwhMCJOJQJU^J+jhtAwhMCJOJQJU^J  TLJE@:$If$a$gdIxkd$$Ifl4    r0$0    `'4 laf4yteTzz$Ifvkd$$Ifl4   0$`'    0   `'4 laf4p yt> $$Ifa$̝ΝTŸ(,(*<FR ͼͯ}vohohvovaZSL htAwhG0 htAwheR 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"Lender", and press {Tab}DAAEnter the Trade Name or "Doing Business As" Name, and press {Tab}$$If!vh#v#v#v#v:V l40    `',,55554af4yteDA(AEnter the Trade Name or "Doing Business As" Name, and press {Tab}DeCheck44NClick or use the {Space bar} to select / deselect "Guarantor", and press {Tab}DeCheck48NClick or use the {Space bar} to select / deselect "Co-signer", and press {Tab} DeCheck52KClick or use the {Space bar} to select / deselect "Lender", and press {Tab}DAAEnter the Trade Name or "Doing Business As" Name, and press {Tab}$$If!vh#v#v#v#v:V l40    `',,55554af4yteDA(AEnter the Trade Name or "Doing Business As" Name, and press {Tab}DeCheck45NClick or use the {Space bar} to select / deselect "Guarantor", and press {Tab}DeCheck49NClick or use the {Space bar} to select / deselect "Co-signer", and press {Tab} DeCheck53KClick or use the {Space bar} to select / deselect "Lender", and press {Tab}DAAEnter the Trade Name or "Doing Business As" Name, and press {Tab}$$If!vh#v#v#v#v:V l40    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applicant's social security number, and press {Tab}$$If!vh#v:V l%0    ',54yt{,D-Text1435Enter the applicant's street address, and press {Tab}$$If!vh#v':V l%0    ',5'4yt{,D(Text147+Enter the applicant's city, and press {Tab}DText151 UPPERCASE;Enter the two-character state abbreviation, and press {Tab}D Text155/Enter the applicant's zip code, and press {Tab}$$If!vh#v#v#v:V l%0    ',555/ 4yt{,D Enter last name, and press {Tab}D!Enter first name, and press {Tab}D Enter last name, and press {Tab}$$If!vh#v#v #v:V l%0    ',55 5/  / / / / 4yt{,8DPgEnter the beverage and tobacco license numbers for this applicant, separated by commas, and press {Tab}$$If!vh#v':V l%0    ',5'/ 4yt{,DAAEnter the Trade Name or "Doing Business As" Name, and press {Tab}DAAEnter the Trade Name or "Doing Business As" Name, and press {Tab}DAAEnter the Trade Name or "Doing Business As" Name, and press {Tab}DText1309Enter applicant's social security number, and press {Tab}D9Enter applicant's social security number, and press {Tab}D9Enter applicant's social security number, and press {Tab}$$If!vh#v:V l%0    ',54yt{,D-Text1435Enter the applicant's street address, and press {Tab}$$If!vh#v':V l%0    ',5'4yt{,D(Text147+Enter the applicant's city, and press {Tab}DText151 UPPERCASE;Enter the two-character state abbreviation, and press {Tab}D Text155/Enter the applicant's zip code, and press {Tab}$$If!vh#v#v#v:V l%0    ',555/ 4yt{,D Enter last name, and press {Tab}D!Enter first name, and press {Tab}D Enter last name, and press {Tab}$$If!vh#v#v #v:V l%0    ',55 5/  / / / / 4yt{,8DPgEnter the beverage and tobacco license numbers for this applicant, separated by commas, and press {Tab}$$If!vh#v':V l%0    ',5'4yt{,DAAEnter the Trade Name or "Doing Business As" Name, and press {Tab}DAAEnter the Trade Name or "Doing Business As" Name, and press {Tab}DAAEnter the Trade Name or "Doing Business As" Name, and press {Tab}DText1309Enter applicant's social security number, and press {Tab}D9Enter applicant's social security number, and press {Tab}D9Enter applicant's social security number, and press {Tab}$$If!vh#vh#v:V l%0    ',5h54yt{,D-Text1435Enter the applicant's street address, and press {Tab}$$If!vh#v':V l%0    ',5'4yt{,D(Text147+Enter the applicant's city, and press {Tab}DText151 UPPERCASE;Enter the two-character state abbreviation, and press {Tab}D Text155/Enter the applicant's zip code, and press {Tab}$$If!vh#v#v#v:V l%0    ',555/ 4yt{,D Enter last name, and press {Tab}D!Enter first name, and press {Tab}D Enter last name, and press {Tab}$$If!vh#v#v #v:V l%0    ',55 5/  / / / / 4yt{,8DPgEnter the beverage and tobacco license numbers for this applicant, separated by commas, and press {Tab}$$If!vh#v':V l%0    ',5'4yt{,DAAEnter the Trade Name or "Doing Business As" Name, and press {Tab}DAAEnter the Trade Name or "Doing Business As" Name, and press {Tab}DAAEnter the Trade Name or "Doing Business As" Name, and press {Tab}DText1309Enter applicant's social security number, and press {Tab}D9Enter applicant's social security number, and press {Tab}D9Enter applicant's social security number, and press {Tab}$$If!vh#vh#v:V l%0    ',5h54yt{,D-Text1435Enter the applicant's street address, and press {Tab}$$If!vh#v':V l%0    ',5'4yt{,D(Text147+Enter the applicant's city, and press {Tab}DText151 UPPERCASE;Enter the two-character state abbreviation, and press {Tab}D Text155/Enter the applicant's zip code, and press {Tab}$$If!vh#v#v#v:V l%0    ',555/ 4yt{,D Enter last name, and press {Tab}D!Enter first name, and press {Tab}D Enter last name, and press {Tab}$$If!vh#v#v #v:V l%0    ',55 5/  / / / / 4yt{,8DPgEnter the beverage and tobacco license numbers for this applicant, separated by commas, and press {Tab}$$If!vh#v':V l%0    ',5'4yt{,DAAEnter the Trade Name or "Doing Business As" Name, and press {Tab}DAAEnter the Trade Name or "Doing Business As" Name, and press {Tab}DAAEnter the Trade Name or "Doing Business As" Name, and press {Tab}DText1309Enter applicant's social security number, and 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