Form Airport - Public Airport All-Beverages License Application (Page 4 of 4) in pdf

Section 5. Additional Application Materials

Special Instructions. If personal history statements and fingerprint cards are included with your application, you are

required to enclose them in the “Confidential” envelope provided. These are confidential documents and must be kept

separate from your other application documents.

•

Copies of all airline schedules serving the airport;

•

Documentation verifying the airport facility has a minimum of 20,000 passengers enplaning and deplaning annually;

•

Copy of the floor plan of the area to be licensed, using approximate dimensional measurements, including external

dimensions and general layout – on an 8-1/2” x 11” sheet of paper. Note: On the floor plan you will need to clearly

mark the areas where alcohol will be served, sold and stored. The floor plan must contain outside dimensions, the

name of the establishment, physical address and date;

•

Bank signature card for the entity owning and operating the airport;

•

Federal Employer Identification Number (FEIN) as filed with the Internal Revenue Service (IRS). You can apply for a

FEIN on the IRS website at by clicking on the link under Online Services;

•

Documents verifying the applicant has possessory interest in the building where the business is operated; this can

include items such as a lease, rental agreement, purchase option or finance agreement;

•

Management Agreement for any individual who manages the day-to-day business of the liquor operation;

•

Personal history statement and two fingerprint cards for each individual involved in the ownership (including officers

and directors), lease or management of the license (See Special Instructions above);

•

Liquor Division Authorization to Disclose Tax Information (Form LIQ-AUTH).

Section 6. Declaration and Affidavit

This application needs to be signed by the chief executive officer of the agency.

I/We declare under penalty of false swearing that the information provided on this application, including required and

applicable documents, is true, correct, and complete.

____________________________

________________ ________________________ _________________________

Signature

Date

Printed Name

Title

Mail completed application and all necessary documents to:

Montana Department of Revenue

Liquor Control Division

PO Box 1712

Helena, MT 59624-1712

Questions? Call us toll free at 1-866-859-2254 (in Helena, 444-6900), or fax 406-444-0722.

Public Airport All-Beverages License Application

Page 4

Form Airport - Public Airport All-Beverages License Application Page 4

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