7. Annual Number of Days in Operation (365, 313 or *):
*If the business has not been open a full year, please enter number of days the premises has been open along with an affidavit.
Seven (7) Day Annual Operation = 365
Six (6) Day Annual Operation = 313
All others (Special Licenses/Seasonal Licenses)Enter actual days of operation during the year preceding the violation date(Line 9b.).
8. Daily Gross Alcoholic Beverage Profit: $
9. Enter 50% of Amount Indicated on Item 8: $
(Item 6 divided by Item 7)
10. Daily Fine (If Item 9 is less than $40.00, enter $40.00): $
11. Enter the Number of Days the License is Suspended:
(From Item 1b.)
12. Offer in Compromise Amount: $
(Multiply Item 10 by Item 11)
Signed Under the Penalties of Perjury,
Signature of Licensee (If Licensee is a Corporation, Manager of Record signs)
Accountant Certification:
I swear under the pains and penalties of perjury that the figures contained in the petition are correct based on the books and
records of the above referenced licensee.
MA License Number(Licensed Public Accountant):
Print Name Clearly(Licensed Public Accountant):
Print Address Clearly (Licensed Public Accountant):
Signature of MA Licensed Accountant
*Offer MUST be received by the ABCC within twenty (20) calendar days after Licensee's receipt of Commission's
Decision, no offer will be accepted if it is late.
*Offer MUST be examined and certified by a Massachusetts Licensed Accountant. If the Accountant is not licensed
in MA, it will not be accepted.
*Offer will be returned if any of the fields/amounts are calculated incorrectly.
*You will be notified if Offer is accepted. If Accepted, you MUST submit a Bank or Certified check for the full amount
on Line 12 made payable to the Commonwealth of Massachusetts, ABCC.
IF THIS OFFER IS ACCEPTED, THE LICENSEE WAIVES ALL RIGHTS TO APPEAL
AND WAIVES JUDICIAL REVIEW OF THE COMMISSION'S DECISION.
Revised: 02/14/2017
Important Information:
