Form Tob: Llc-Auth - Limited Liability Company Authorization Form For Tobacco Permit/registration Application And Bond

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TOB: LLC-AUTH
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LABAMA
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USINESS
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OBACCO
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P.O. Box 327555 • Montgomery, AL 36132-7555 • (334) 242-9627
Limited Liability Company Authorization Form
for
Tobacco Permit/Registration Application and Bond
I am signing as a member of the LLC for which a tobacco permit/registration application and/or bond is sub-
mitted, I hereby certify, under penalty of perjury, as follows: (1) I am vested with full authority to execute this
Application and/or Bond on behalf of the LLC; and (2) the Articles of Organization or any operating agree-
ments of the LLC DO NOT provide that management is vested in a manager or managers.
_________________________________________________________________________, LLC
A Limited Liability Company
By: ___________________________________________________________________________
Its Member
I am signing as manager of the LLC for which a tobacco permit/registration application and/or bond is sub-
mitted, I hereby certify under penalty of perjury, as follows: (1) I am vested with full authority to execute this
Application and/or Bond on behalf of the LLC; and (2) the Articles of Organization or any operating agree-
ments specifically vest management authority in me.
_________________________________________________________________________, LLC
A Limited Liability Company
By: ___________________________________________________________________________
Its Manager
STATE OF ______________________________________
COUNTY OF ____________________________________
I, the undersigned, a Notary Public in and for said County, in said State, hereby certify that _______________
_________________________________________ whose name as ________________________________________,
of _____________________________________________, LLC, is signed to the foregoing instrument and who is
known to me, acknowledged before me on this day that, being informed of the contents of said instrument,
(s)he, as such member or manager, and with full authority, executed the same voluntarily on the day the same
bears date for and as the act of said Limited Liability Company.
Given under my hand and seal this _________ day of _________________, _________.
________________________________________________
NOTARY PUBLIC
(Instructions on Back)

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