RETAIL ALCOHOLIC BEVERAGES LICENSE APPLICATION
MONETARY TRANSMITTAL FORM
APPLICATION SHOULD BE COMPLETED ON-LINE, PRINTED, SIGNED, AND SUBMITTED TO THE LOCAL
LICENSING AUTHORITY.
ECRT CODE: RETA
IF USED EPAY, CONFIRMATION NUMBER
A.B.C.C. LICENSE NUMBER (IF AN EXISTING LICENSEE, CAN BE OBTAINED FROM THE CITY)
LICENSEE NAME
ADDRESS
CITY/TOWN STATE ZIP CODE
The Commonwealth of Massachusetts
Alcoholic Beverages Control Commission
239 Causeway Street
Boston, MA 02114
www.mass.gov/abcc
CHECK PAYABLE TO ABCC OR COMMONWEALTH OF MA: $200.00
TRANSACTION TYPE (Please check all relevant transactions):
Cordials/Liqueurs Permit
6-Day to 7-Day License
Management/Operating Agreement Wine & Malt to All Alcohol
New License
Transfer of License
New Stockholder
Alteration of Licensed Premises
Change of Location
Issuance of Stock
Change of Manager
New Officer/Director
Change Corporate Name
Change of License Type
Seasonal to Annual
Pledge of License
Pledge of Stock
Transfer of Stock
THE LOCAL LICENSING AUTHORITY MUST MAIL THIS TRANSMITTAL FORM ALONG WITH THE
CHECK, COMPLETED APPLICATION, AND SUPPORTING DOCUMENTS TO:
ALCOHOLIC BEVERAGES CONTROL COMMISSION
239 CAUSEWAY STREET
BOSTON, MA 02241-3396
CHECK NUMBER
(CHECK MUST DENOTE THE NAME OF THE LICENSEE CORPORATION, LLC, PARTNERSHIP, OR INDIVIDUAL)
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