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BAKER LAW, P.A.
About the Firm
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Questionnaire - Alcoholic Beverage License
Please answer all questions as completely as possible to avoid processing delays.
Business Anticipated Opening Date
Section 1 - License Information
Applicant Entity Name
Applicant Entity Organization Type
Choose an option
Have you registered the DBA with the FL Div. of Corporations and published it pursuant to F.S. 865.09?
N/A - Not using DBA
Have you obtained the Federal Employer Identification Number (EIN) for the Applicant Entity?
Please provide the EIN
Have you obtained the FL Dept. of Revenue Sales Tax Certificate for the Applicant Entity?
Please provide the Sales Tax Certificate Number
License Location Address
Mailing Address (if different)
Has the applicant entity been convicted of a felony in this state, any other state, or by the United States in the last 15 years?
IF YES, please list all details, including the date of conviction, the crime for which the entity was convicted, and the city, county, state and court where the conviction took place.
Will the business sell tobacco products?
Over the Counter
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