Business And License Information FormPersonal Information FormLicensing Information Check ListWireTransfer Instruction FormBusiness And License Information FormBusiness And License InformationBusiness NameNameDBA Name Address Suite/Apt Number City State AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Phone Number & EmailBusiness PhoneCell PhoneBusiness FaxEmail Address Tax InformationEIN #Sales Tax Certificate #Existing Beverage LicenseExisting Food Service LicenseThank You for working with us for your licensing and business needs. In completing this form and providing the requested information if there are any questions or if additional clarification is needed feel free to call (321) 274-7104 or email info@liquorlicenseprofessional.com directly at any time. Cheers.Disclaimer: Information contained in this BUSINESS INFORMATION FORM is privileged and confidential information intended only for the use specified for the acquisition, transferring, financing required for and or applying for alcoholic beverage and/or food service licensing in the State of Florida being transferred by a secure system. If you are not an authorized agent, owner, officer, member, manager, authorized representative, or a legal representative responsible for delivering this information to Liquor License Professionals, LLC the intended recipient, you are hereby notified that any disclosure, dissemination, distribution, or copying of this information is strictly prohibited. You are to immediately notify us by telephone at (321) 274-7104 and if instructed by us delete or destroy all copies of this information and any attachments hereto. Thank You. Personal Information FormPersonal InformationName First Middle Last Address Suite/Apt Number City State AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Phone Number & EmailHomeCellFaxEmail Driver's License InformationDrivers License NumberState AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State Date of Birth MM slash DD slash YYYY Place Of BirthHeightWeightEye ColorHair ColorSocial Security NumberU.S. Citizen Yes NoHave You Ever Been Arrested Yes NoFelony Yes NoMisdemeanor Yes NoOther Yes NoExisting Beverage LicenseBeverage License NumberPlease submit a clear copy(front only) of your active drivers license.If you are not a U.S. Citizen, please submit a copy of your green card and/or a copy of your current passport.UploadMax. file size: 10 MB.Thank You for working with us for your licensing and business needs. In completing this form and providing the requested information if there are any questions or if additional clarification is needed feel free to call (321) 274-7104 or email info@liquorlicenseprofessional.com directly at any time. Cheers.Disclaimer: Information contained in this PERSONAL INFORMATION FORM is privileged and confidential information intended only for the use specified for the acquisition, transferring, financing required for and or applying for alcoholic beverage and / or food service licensing in the State of Florida being transferred by a secure system. If you are not an authorized agent, owner, officer, member, manager, authorized representative or a legal representative responsible for delivering this information to Liquor License Professionals, LLC the intended recipient, you are hereby notified that any disclosure, dissemination, distribution, or copying of this information is strictly prohibited. You are to immediately notify us by telephone at (321) 274-7104 and if instructed by us delete or destroy all copies of this information and any attachments hereto. Thank You.Licensing Information Check ListLicensing Information Check ListSection OneCheck List For DBPR - Division of Alcoholic Beverages & Tobacco Information Copy of a Fully Executed Lease Copy of IRS Letter for EIN# Copy of Resale Sales Tax Certificate for Location Copy of all Owners Current Driver’s License Copy of Green Card and Passport if not U.S. Citizen Floor Plan with shelves, seating, equipment details Completed Business Information Form as provided Completed Personal Information Form as providedSection Two - Hotels & Restaurants – Food Service Scaled Floor Plan with seating, equipment, finishes detailed Copy of a current Sewer & Water Bill for the Location (If included in Lease a letter from the Landlord will be needed) Copy of Certificate of Occupancy (if available) Copy of proposed menu for the Location (prices not required) Completed Business Information Form as providedSection Three – Department of Environmental Health Scaled Floor Plan with seating, equipment, finishes detailed Copy of Sewer & Water Bill for the Location (If included in Lease a letter from the Landlord will be needed) Copy of Certificate of Occupancy (if available) Grease Trap Inspection report (if available) Septic Inspection Report if not connected to Sewer Well Certification Report if not connected to Public Water Completed Business Information Form as ProvidedUploadMax. file size: 10 MB. Verify all items have been provided.Upon review of all information provided if additional details or documents are required, we will advise accordingly. In completing this form and providing the requested information if there are any questions or if additional clarification is needed feel free to call (321) 274-7104 or email info@liquorlicenseprofessional.com directly at any time. Thank You for working with us for your licensing and business needs. Cheers.WireTransfer Instruction FormWire Transfer InstructionsLiquor License Number; BEVBusiness NameBeneficiary NameProceeds from Sale LoanFunds to be Bank Wire Transferred upon receipt of all required executed documents and completion of Closing as scheduled.Address Suite/Apt Number City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code PhoneEmail Account NumberBank NameAddress Branch Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Bank PhoneBank FaxABA Routing Number:Special comment to noteDisclaimer: Information contained in this WIRE TRANSFER FORM is privileged and confidential information intended only for the use specified for the acquisition, sale, financing and / or re-financing required for an alcoholic beverage license in the State of Florida being transferred by a secure system. If you are not an authorized agent, owner, officer, member, manager, authorized representative or a legal representative responsible for delivering this information to Liquor License Professionals, LLC the intended recipient, you are hereby notified that any disclosure, dissemination, distribution, or copying of this information is strictly prohibited. You are to immediately notify us by telephone at (321) 274-7104 and if instructed by us delete or destroy all copies of this information and any attachments hereto. Thank You.
