Fillable Form 328: PERMIT APPLICATION Maryland Form Oce Use (Comptroller of Maryland)

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Form 328: PERMIT APPLICATION Maryland Form Oce Use (Comptroller of Maryland)

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Maryland
Form
328
PERMIT APPLICATION
COM-FED/RLS-328 Rev. 08/19
Section 1 - All Applicants Must Complete This Section New Permit Renewal (permit no.) ________________
A. Permit is to be issued in the name of ________________________________________________________________________
Corporate name for corporation; all partners if partnership; individual name and trade name
B. Whose telephone number is __________________________ or __________________________ FA X __________________________
Toll Free Number
E-mail address _______________________________________________________
C. Whose mailing address is
Street and Number
City County State Nine - digit ZIP Code
D. Provide physical location address if the mailing address is a P.O. Box _______________________________________________
E. Applicant is a Corporation
ListFederalIdenticationNumber
-
Limited Liability Co.
Partnership List Social Security Number*
- -
Individual
(Required for Resident Dealers)
*The disclosure of applicant’s Social Security Number is mandatory and will be used for background investigations pursuant to the Annotated Code of Maryland,
Alcoholic Beverages Article.
F. The applicant is presently the holder of the following Alcoholic Beverages Permits or Licenses issued by any other state, the
state of Maryland, or the United States Government (if additional space is needed, attach separate paper). If NONE, so state.
Issuing authority Type Expiration date Number
Oce use only
Oce Use Only
Permit # _______________
VID ________ Year ______
Permit Year _____________
Stub # ________________
VID ___________________
VID ___________________
Approved ______________
Date __________________
Check # _______________
Check Amount __________
Deposit Date ___________
Note: • Read instructions carefully. Incomplete or incorrect application will be returned.
• File a separate application for each type of permit desired.
• All applicants must complete Sections 1 and 10.
• All renewal applications received after October 31 will be considered new applications.
Check the type of permit you are applying for: (See last page for explanation)
ND-Non-resident Dealer $200.00 IT-Individual Transportation $10.00 CH-Change of Domicile $ 5.00
NS-Non-resident Storage $500.00 IS-Individual Storage $50.00 NC-Non-beverage “C” $50.00
IE-Import-Export $75.00 PS-Public Storage $75.00 NE-Non-beverage “E” Gratis
PT-Public Transportation $75.00 ST-Storage & Transportation $200.00 VehicleIdenticationCard(each) $10.00
NW-Non-resident Winery $50.00 FP-Family Beer and Wine Facility $400.00 RD-Resident Dealer $ 200.00
NB-Non-Resident Brewery $50.00 NL-Non-Resident Distillery $100.00
Comptroller of Maryland
Field Enforcement Division
Regulatory & Licensing Section
P.O. Box 2999
Annapolis, Maryland 21404-2999
410-260-7314 or
800-MD-TAXES
ATT@
marylandtaxes.gov
www.marylandtaxes.gov
Maryland
Form
328
PERMIT APPLICATION
COM-FED/RLS-328 Rev. 08/19
Section 2 - Non-beverage Applicants Complete This Section in Addition to Sections 1, 4, & 10
A. Alcohol purchased under this permit is to be used for ___________________________________________________________
B. Iftheapplicantisahospital,educationalorcharitableorganizationqualiedforNon-Beverage“E”gratispermit,setforththe
nature of the organization and operation.
______________________________________________________________________________________________________
Section 3 - Change of Domicile Permit Applicants Complete This Section in Addition to Sections 1 & 10
A. Iamchangingmydomicileandmovingmyhouseholdeectsfrom
Street and Number City County State Nine - digit ZIP Code
to Street and Number City County State Nine - digit ZIP Code
B. Attach an inventory of the alcoholic beverages you wish to bring into this state showing container size, brand name, type and
proof or alcoholic content. Maryland tax at the following rates should accompany this application: Wine 40 cents per gallon,
Beer 9 cents per gallon, Distilled Spirits (alcoholic beverages other than wine or beer) $1.50 per gallon up to 100 proof plus
.015 cents per 1 proof over 100 proof.
Section 4 - Public Storage, Individual Storage and Family Beer and Wine Facility Applicants Complete This Section in
Addition to Section 1 & 10. Non-beverage Applicants Complete This Section in Addition to Section 1, 2, &
10. Public Storage and Transportation Applicants Complete This Section in Addition to Section 1, 5, & 10.
G. Has the applicant ever been convicted of a felony by any state or federal court? .......................
Yes No
H. Does the applicant agree to conform to all the laws, rules, and regulations of the state of Maryland relating to
the business proposed under this permit? ..................................................
Yes No
I. Does the applicant authorize the Comptroller of Maryland and the his duly authorized personnel to search
without warrant any vehicle, railroad cars, vessel, aircraft or premises used in the business to be conducted
under this permit at any and all hours agreeable to the laws of the state of Maryland? ...................
Yes No
J. Has the applicant ever been convicted of a violation of the laws of the United States, Maryland or any other
state concerning alcoholic beverages, gaming, or gambling? (If yes, explain in detail on separate paper - list
oense,court,date,etc.) .............................................................
Yes No
K. Does the applicant have an interest in a Maryland alcoholic beverage wholesale or retail license, either issued or
applied for? Provide particulars on separate attachment.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Yes No
L. The Annotated Code of Maryland, Alcoholic Beverages Article, Section 1-404 titled “Compliance with Workers’
CompensationAct”,requirestheevidenceofsuchcompliancepriortotheissuanceofanypermitbythisoce.
Theapplicantherebyarms(completeone):
a. Applicant is not an employer required to provide coverage by the Maryland Workers’ Compensation Law; or
b. Applicant is an employer required to provide employee coverage by the Maryland Workers’
Compensation Law and has secured such coverage. As evidence of such coverage, the following is submitted:
1. Name of insurance company ___________________________________________________________
2. Policy or binder number _______________________________________________________________
A. If premises is in Maryland give exact site location (do not give P.O. address).
Street and Number City County State Rear, Front, 2nd Floor, etc.
Other site locations
B. Physical description of premises applied for (give distance to nearest prominent landmark and specify which portion of the
building is to be covered by the permit if all of structure is not covered)
C. The premises is owned by _________________________________________________________________________________
D. Whose mailing address is _________________________________________________________________________________
Maryland
Form
328
PERMIT APPLICATION
COM-FED/RLS-328 Rev. 08/19
F. (I, We) certify that (I am, we are) the owner(s) of the above described premises, and (I, we) hereby consent to the use of the
premises in the conduct of the business to be engaged in under the permit applied for and (I, we) authorize the Comptroller of
Maryland and his duly authorized inspectors to inspect and search without warrant, the premises so described at any and all
hours.
Your signature below indicates explicit consent to warrantless searches of the property in compliance with the Annotated Code
of Maryland, Alcoholic Beverages Article, for as long as the regulated activity is authorized under this permit at this location
andsaidconsentshallremainineectuntilthepermitisinvalidatedoruntilthepropertyundergoesachangeofownership.
WITNESS (My, Our) hand(s) and seal(s) this _____________ day of __________________________________ 20 _________
WITNESS ________________________________________ ___________________________________________________
Owner’s signature
WITNESS ________________________________________ ___________________________________________________
Owner’s signature
Section 5 - Public Transportation, Public Storage & Transportation, Individual Transportation Applicants Complete
This Section in Addition to Section 1 & 10.
A. Will you operate as a common or contract carrier transporting for other persons? ......................
Yes No
B. If your answer to question A above is “Yes,” are you presently committed to transport for another person? ....
Yes No
C. Will you be the owner of the alcoholic beverages to be transported? ...............................
Yes No
D. If your answer to question C above is “Yes,” state the source and destination of the alcoholic beverages hauled.
______________________________________________________________________________________________________
E. Eachvehicleoperatingunderapermitmustcarryidentication.Afeeof$10.00pervehiclemustaccompanythisapplicationin
addition to the permit fee.
F. Numberofvehiclesrequiringavehicleidenticationcardat$10.00each:Total______________________
Section 6 - Non-resident Winery Applicants Complete This Section in addition to Sections 1 & 10.
A. Do you produce less than 27,500 gallons of your own wine annually? ............................... Yes No
Section 7 - Non-resident Brewery Applicants Complete This Section in addition to Sections 1 & 10.
A. Do you produce less than 22,500 barrels of your own beer annually? ............................... Yes No
Section 8 - Resident Dealer Applicants Complete This Section in addition to Sections 1 & 10.
A. Has the applicant been a resident of Maryland for at least 2 years prior to making application? .............
Yes No
Section 9 - Non-Resident Distillery Applicants Complete This Section in addition to Sections 1 & 10.
A. Do you produce less than 100,000 gallons of your own liquor annually? .............................
Yes No
Section 10 - All Applicants Must Complete This Section
YoursignaturebelowindicatesyouragreementtothetermsofthisAdavitincompliancewiththeAnnotatedCodeofMaryland,
Alcoholic Beverages Article for as long as the regulated activity is authorized under this permit at this location, and these terms
shallremainineectuntilthepermitisinvalidatedoruntilthepropertyundergoesachangeofownership.
Adavit
Idosolemnlydeclareandarmunderthepenaltiesofperjurythatthecontentsofthisforegoingdocumentaretrueandcorrect
to the best of my knowledge, information, and belief.
_________________________________________________ __________________________________________________
Signatureofowner,partnerorcorporateocer Typeorprintnameofowner,partnerorcorporateocer
_________________________________________________ __________________________________________________
Title Date
Page 3
MD Resident Since ______________________
E. If authorized by a manufacturer’s license, will you be manufacturing at this location? . . . . . . . . . . . . . . . . . . Yes No
Maryland
Form
328
PERMIT APPLICATION
EXPLANATION OF PERMITS AND FEES
Permit Type Purpose Fee Renewal
Non-Resident
Dealer
Authorizes out-of-state dealers to sell and deliver alcoholic beverages ONLY to persons in Maryland
who are authorized under Maryland law to receive them.
$200
annually
Oct. 31
Non-Resident
Storage
May only be issued to the holder of a Non-resident Dealer Permit (both permits may be applied for at
the same time). It authorizes the holder to store alcoholic beverages in a licensed Maryland Public
Storage warehouse for subsequent delivery to qualied Maryland licensees and persons outside
Maryland. Invoices issued by Non-Resident Dealers from out-of-state addresses must be made
with any delivery to a Maryland licensee. A monthly report of activities will be required. Attach to
your application a letter fully outlining your proposed activities, including source, storage location in
Maryland and ultimate destination (both in and out of Maryland) of alcoholic beverages.
$500
annually
Oct. 31
Import-Export
Authorizes importation of alcoholic beverages into Maryland for storage in a licensed public warehouse
for subsequent reshipment outside the state of Maryland. Alcoholic beverages imported under this
permit may not be sold, consigned or delivered to any person within the state of Maryland. A
monthly report of activities will be required. Attach it to your application a letter fully outlining your
proposed activities, including sources, storage location in Maryland and out-of-state destinations of
alcoholic beverages.
$75
annually
Oct. 31
Public
Transportation
Authorizes only transportation of alcoholic beverages for the accounts of other persons, into, within,
out of or through the state of Maryland. This permit does not allow selling, storing, or warehousing
in Maryland.
$75
annually
Oct. 31
Individual
Transportation
Authorizes the transportation from or en route through the state of Maryland of alcoholic beverages
which are not for sale or delivery within this state. Title to such alcoholic beverages shall be vested
in the person to whom the permit is issued.
$10
annually
Oct. 31
Individual
Storage
Authorizes only the storage of alcoholic beverages which are the property of the permit holder at
premises not otherwise licensed. The beverages so stored may only be delivered to the premises of
the license holder.
$50
annually
Oct. 31
Public Storage
Authorizes the operation of a warehouse for the storing of alcoholic beverages in Maryland for the
accounts of other persons. Monthly reports will be required.
$75
annually
Oct. 31
Public
Storage and
Transportation
Authorizes the operation of a warehouse for the storing of alcoholic beverages in Maryland for the
accounts of other persons, and transportation of alcoholic beverages into, within, through and out of
the state of Maryland. Monthly reports will be required.
$200
annually
Oct. 31
Change of
Domicile
Authorizes holders to transport into Maryland their private stock of alcoholic beverages for personal
consumption only upon the payment of the Maryland tax on alcoholic beverages when the permit
holder is changing domicile into the state of Maryland.
$5
Valid for
specic
transaction
Non-Beverage
“C”
Authorizes the holder for commercial purposes to purchase alcohol and alcoholic beverages for use in
compoundingormanufacturingavoringextracts;medicinal,antisepticortoiletpreparations,orfor
othersimilarpurposes;forscienticorlaboratorypurposes;foravoringfoodproducts;orforsale
bydruggistsorapothecariesuponthewrittenprescriptionofaqualiedphysician.
$50
Valid until
cancelled or
revoked
Non-Beverage
“E”
This permit is the same as the Non-Beverage “C” permit, except that it is for non-commercial
purposes and will be issued gratis to any publicly supported hospital, governmental or municipal
institution, educational institution or charitable organization.
No fee
Valid until
cancelled or
revoked
Vehicle
Identication
Card
Each tractor unit or straight truck hauling alcoholic beverages under the authority of a Public
Transportation Permit, Individual Transportation Permit, or a Public Storage and Transportation
Permit must carry a Vehicle Identication Card at all times when alcoholic beverages are being
transported. The permit holder shall enter the vehicle make, serial number and state of registration
and license number on the card assigned to the vehicle. The cards are non-transferable once
assigned by the permit holder and may be used only to identify vehicles owned or leased by the
permit holder under such terms that the permit holder has absolute and exclusive use and control
of the vehicle and operator.
$10
annually
for each
tractor
unit or
straight
truck
Oct. 31
Family Beer and
Wine Facility
Authorized to establish a facility for the production of family beer or wine by nonlicensed Maryland
state consumers who are of legal drinking age. The permit holder may provide equipment, raw
materials and instructions to the consumer. Except for beer or wine produced for testing the
equipment and recipes or sample to consumers who have entered into contract, the permit holder
may not engage in actual production or manufacture of beer or wine. All family beer and wine
produced at the Family Beer and Wine Facility shall be removed from the premises by the consumer
for home consumption and personal use.
$400
annually
Oct. 31
Resident Dealer
Authorizes in-state dealers to sell alcoholic beverages only to persons in Maryland who are authorized
under MD law to receive them.
$200
annually
Oct. 31
Non-Resident
Brewery
Authorizes out of state breweries who produce not more than 22,500 barrels of their own beer annu
-
ally to sell and deliver not more than 3,000 barrels of its own beer annually to retail license holders
in Maryland who are authorized under Maryland Law to receive them.
$50
annually
Oct. 31
Non-Resident
Winery
Authorizes out-of-state wineries who produce less than 27,500 gallons of their own wine per year
to sell and deliver wine to retailers in Maryland who are authorized under Maryland Law to receive
them.
$50
annually
Oct. 31
Non-Resident
Distillery
Authorizes out-of-state distilleries who produce not more than 100,000 gallons of their own liquor
annually to sell and deliver their own liquor to retail license holders in Maryland who are authorized
under Maryland Law to receive them.
$100
annually
Oct. 31
COM-FED/RLS-328 Rev. 08/19
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Form 328: PERMIT APPLICATION Maryland Form Oce Use (Comptroller of Maryland)

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Completed 14 August 2020

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