Fillable Form 368: APPLICATION FOR RENEWAL OF ALCOHOLIC BEVERAGES (Comptroller of Maryland)

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Form 368: APPLICATION FOR RENEWAL OF ALCOHOLIC BEVERAGES (Comptroller of Maryland)

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Maryland
Form
368
APPLICATION FOR RENEWAL OF
ALCOHOLIC BEVERAGES LICENSE
ISSUED BY THE COMPTROLLER OF MARYLAND
Note: This application must be filed on or before March 31 with the Comptroller of Maryland,
Annapolis, Maryland; otherwise a new application and an application fee will be required. Licenses
will be issued beginning April 15. Licenses must be displayed on or before May 1.
For the use of: (Check one)
An individual Partnership Corporation Limited Liability Co.
Number and class of license now held:
(Copy from current license)
To the Comptroller of Maryland:
Application is made by the undersigned under the provision of the Annotated Code of Maryland,
Alcoholic Beverages Article, for a renewal of (my, our) license, and the applicant(s) submit(s)
and certify(ies) to the following information:
1. All the facts and information contained in the original application as submitted are true and unchanged to this time.
2. (I)(We), or anyone connected with the business conducted under the license for which a renewal is herein applied for, have not
furnished and will not furnish to any retail licensee: (1) any sign, display, or other form of advertisement of any value in excess
of the limitation provided under the Annotated Code of Maryland, Alcoholic Beverages Article, or (2) any money or other thing of
value, (3) make any gift, or (4) offer any gratuity, or (5) any personal service (other than stipulated in official bulletins issued
and published by the Comptroller).
*3.
*4.
(I)(We) produced not more than 27,500 gallons of (my)(our) own wine during the most recent license year ending April 30:
*
Class 6 Limited Winery wholesale licensee only.
(I)(We) produced not more than 100,000 gallons of (my)(our) own liquor during the most recent license year ending April 30:
*Class 8 Liquor wholesale licensee only.
5. List any offense, or offenses, against the laws of the state or of the United States, have you been convicted of during the present
license year ending April 30:
6. Applicant’s company name is:
Applicant’s trade name is:
Location of license premises is:
Describe premises:
Telephone Number: Fax Number:
E-mail address:
Other Location(s):
7. Applicant(s): Give name(s) and residence(s) - if corporation, list all officers on separate sheet
a.
Name Title Residence
b.
Name Title Residence
c.
Name Title Residence
d.
Name
COM-FED/RLS-368
Rev. 01/20
Title Residence
OFFICE USE ONLY
Check Number
Amount $
Deposit Date
Approved
Date
License #
Stub #
Date Issued
COM-FED/RLS-368
Rev. 01/20
Maryland
Form
368
APPLICATION FOR RENEWAL OF
ALCOHOLIC BEVERAGES LICENSE
ISSUED BY THE COMPTROLLER OF MARYLAND
Page 2
LICENSEE AFFIDAVIT
I do solemnly declare and affirm under the penalties of perjury that the contents of the foregoing document are true and correct to
the best of my knowledge, information and belief. *Note: If signer is one of the applicants, he/she must also sign as an applicant.
*a.
Signature of President or Vice President
b.
Signature of Applicant
(Corporation Seal)
c.
Signature of Applicant
d.
Signature of Applicant
8. Statement of owner of premises required in connection with the Annotated Code of Maryland, Alcoholic Beverages Article. (I,
We) HEREBY CERTIFY, that (I am,we are) the owner(s) of property known as:
named in the foregoing application made to the Comptroller of Maryland under the Annotated Code of Maryland, Alcoholic
Beverages Article; that (I, we) assent to the granting of the license applied for, and that (I, we) hereby authorize the
Comptroller of Maryland, his duly authorized deputies, inspectors and clerks, the Board of License Commissioners of the
county in which the place of business is located, its duly authorized agents and employees, and any peace officer of such county
to inspect and search, without warrant, the premises upon which the business is to be conducted, and any and all parts of
building in which said business is to be conducted, at any and all hours.
OWNER OF PREMISES AFFIDAVIT
I do solemnly declare and affirm under the penalties of perjury that the content of the foregoing document are true and correct
to the best of my knowledge, information and belief.
Signature Type or Print Name
Company Name and Title Date
The license for which this application is made is to be for the year beginning May 1, 20 . Fee for license applied for above is
$ In addition to $30.00 renewal fee. Please remit fee with your renewal application.
LICENSES AND FEES
Class
1
Manufacturer’s License
Distillery Annual Fee
$2,000.00
Wholesaler’s License
Class 1 Beer, Wine & Liquor Annual Fee
Class 2 Wine and Liquor Annual Fee
Class 3 Beer and Wine Annual Fee
Class 4 Beer Annual Fee
Class 5 Wine Annual Fee
Class 6 Limited Wine Annual Fee
Class 7 Limited Beer Annual Fee
Class 8 Liquor
Annual Fee
Renewal for all licenses is $30.00
$2,000.00
$1,750.00
$1,500.00
$1,250.00
$1,250.00
$50.00
$50.00
$100.00
Class
2
Annual Fee
$600.00
Class
3
Annual Fee
$750.00
Class
4
Annual Fee
$200.00
Class
5
Annual Fee
$1,500.00
Class
6
Annual Fee
$500.00
Class
7
Annual Fee
$500.00
Class
8
Annual Fee
$200.00
Class
9
Annual Fee
$500.00
COM-FED/RLS-368
Rev. 01/20
Maryland
Form
368
Page 3
Third Party Checks
Affidavit
I do solemnly declare and affirm under the penalties of perjury that the contents below are true and correct to the best of my
knowledge, and that I am authorized and empowered to issue a check and make payment for the license/permit fee on behalf of
the applicant.
Name of Corporation; Partners of Partnership; or Individual (include Trade Name)
Complete Mailing Address
Signature of Owner, Partner or Corporate Officer Title
Federal Identification Number and/or Social Security Number Date
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
APPLICATION FOR RENEWAL OF
ALCOHOLIC BEVERAGES LICENSE
ISSUED BY THE COMPTROLLER OF MARYLAND
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Form 368: APPLICATION FOR RENEWAL OF ALCOHOLIC BEVERAGES (Comptroller of Maryland)

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Completed 14 August 2020

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