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AUXILIARY QUESTIONNAIRE ALCOHOL BEVERAGE LICENSE APPLICATION Submit to municipal clerk. Individual s Full Name please print last name Home Address street/route first name Post Office middle name City Home Phone Number Date of Birth Age State Zip Code Place of Birth The above named individual provides the following information as a person who is check one Applying for an alcohol beverage license as an individual. A member of a partnership which is.

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How to use or fill out the At 103a Wisconsin Fillable online

Filling out the At 103a Wisconsin Fillable form is an essential step for individuals applying for an alcohol beverage license. This guide provides clear, step-by-step instructions to help users navigate the form efficiently and accurately.

Follow the steps to complete the At 103a Wisconsin Fillable form online.

  1. Click 'Get Form' button to access the At 103a Wisconsin Fillable form and open it in your document editor.
  2. Begin by filling in the individual's full name, including the last name, first name, and middle name, as requested.
  3. Input the home address, which includes the street or route, city, state, and zip code. Ensure that the details are accurate.
  4. Provide the home phone number, age, date of birth, and place of birth as specified in the relevant fields.
  5. Indicate your role in applying for the alcohol beverage license by checking the appropriate box: as an individual, a member of a partnership, or as part of a corporation or organization.
  6. Respond to the questions regarding residency, previous convictions, and current charges. Provide details as needed, and use the reverse side of the form if more space is required.
  7. List any other alcohol beverage licenses or permits held or applied for as requested. Include the name, location, and type of license.
  8. Identify any involvement with wholesale beer or liquor permits, and provide the name and address of the wholesale licensee if applicable.
  9. Chronologically list your last two employers, including their names, addresses, and the dates of employment.
  10. Review all the information you have entered for accuracy, and ensure that you understand the legal implications of the statements provided.
  11. Sign and date the form as required, and if necessary, have it notarized or witnessed.
  12. Once completed, you can save changes, download the form, print it, or share it as needed.

Complete your At 103a Wisconsin Fillable form online today to expedite your alcohol beverage license application.

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Related content

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Wisconsin Department of Revenue: Retail Alcohol Beverage License ... Auxiliary...
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