Form Dbpr Abt-6005 - Application For Tobacco Products Wholesale Dealer printable pdf download

INSTRUCTIONS FOR COMPLETING

DBPR ABT– 6005

DIVISION OF ALCOHOLIC BEVERAGES AND TOBACCO

APPLICATION FOR TOBACCO PRODUCTS WHOLESALE DEALER

Application begins on page 3

If you have any questions or need assistance in completing this application, please contact the

Department of Business and Professional Regulation or your local district office. Please submit your

completed application and required fee(s) to your local district office. This application may be submitted

by mail, through appointment, or it can be dropped off. A District Office Address and Contact Information

Sheet can be found on AB&T’s page of the DBPR web site at the link provided below.

GENERAL INSTRUCTIONS

Submitting Your Application

Applications for Tobacco Products Wholesale Dealer permits are filed with the Division of Alcoholic

Beverages and Tobacco. Please complete all information. Incomplete applications will be returned. All

questions are applicable and must be answered fully and truthfully.

You must provide an original and a copy of the application and duplicate copies of all supporting

documentation. All signatures must be original.

A separate application must be filed for each place of business at which a tobacco products wholesale

dealer proposes to engage in business.

APPLICATION REQUIREMENTS

Affidavit of Applicant

Read and sign in the presence of a notary. The affidavit must be signed by the individual applicant, all

partners of a general partnership, all general partners of a limited partnership, all managing members of a

limited liability company, or one of the officers of a corporate applicant.

Surety Bond

Surety bonds are required on all new applications for manufacturers, wholesale distributors of alcoholic

beverages, wholesale distributors of cigarettes, and other tobacco products. A surety bond or a rider to

the original bond must be submitted on any change of business name, change of location or change of

ownership name application by the aforementioned. Contact the division's Auditing Office for further

information. You may wish to have Auditing review your surety bond prior to submitting this application.

Corporate and Limited Partnership Registration

All corporations, domestic or foreign; general partnerships; limited liability corporations; and limited

partnerships are required to be registered with the Florida Secretary of State, Division of Corporations. If

you have not already registered, you will need to contact the Department of State at (850) 488-9000 for

further information. Your application cannot be accepted by this division without this registration.

Federal Employer's Identification Number (FEIN)

All licensees who pay wages to one or more employees must have a Federal Employer's Identification

Number. Contact the Internal Revenue Service (IRS) at 1-800-829-3676 and request Form #SS4.

Form Dbpr Abt-6005 - Application For Tobacco Products Wholesale Dealer