Form Rv-F1321301 - Notice Of Wholesaler Change Or Beer Wholesaler Territorial Designation Change
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1
2TENNESSEE DEPARTMENT OF REVENUE
NOTICE OF WHOLESALER CHANGE
OR
BEER WHOLESALER TERRITORIAL DESIGNATION CHANGE
TO BE FILED NOT LESS THAN NINETY (90) DAYS PRIOR TO EFFECTIVE DATE OF CHANGE.
*The ninety (90) days waiting period shall be waived if the proposed change is agreeable to all parties involved.
In accordance with Section 57-6-104, Tennessee Code Annotated -
FILE (in duplicate) WITH:
DATE FILED
(a)
Commissioner,
Tennessee Department of Revenue
Andrew Jackson State Office Building
Nashville, Tennessee 37242
(b) Wholesaler currently distributing brand in assigned territory
(c) Proposed new wholesaler
1. Name and address of manufacturer or importer:
2. Name, title and address of manufacturer or importer agent:
3. Brand(s) of beer affected by proposed change:
4. Name and address of current wholesaler:
5. Name and address of proposed wholesaler:
6. Name and address of all persons or firms having a financial interest in the proposed wholesale business:
RV-F1321301
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