Fillable Retail Licence Renewal (Town of Douglas)

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Retail Licence Renewal (Town of Douglas)

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Country of origin: US
File type: PDF

U.S.A. forms for Town of Douglas

BROWSE TOWN OF DOUGLAS (MA) FORMS

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License Number
License Name
DBA
Premises Address
Municipality
License Class
License Type
License Category
Renewal For (Year)
Retail Licence Renewal
I hereby certify and under penalties of perjury that:
1. I am authorized to sign this renewal pursuant to M.G.L. Chapter 138;
2. The renewed license is of the same class, type and category as listed above;
3. The licensee has complied with all laws of the Commonwealth relating to taxes; and
4. The premises are now open for business (if not, explain below).
Signature of Authorized Party Date
Printed Name of Signer
Email Address
Additional Information / Corrections
THE COMMONWEALTH OF MASSACHUSETTS
ALCOHOLIC BEVERAGES CONTROL COMMISSION
95 Fourth Street, Suite 3, Chelsea, MA 02150-2358
Manager Name
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Retail Licence Renewal (Town of Douglas)

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Completed 22 January 2021

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