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Get CT Age Statement Form 2022-2024

, a permittee of the Connecticut Department of Consumer Protection, that I am over the age of 21 years, having been born on , 20 , at . This statement is made to induce said permittee to sell or otherwise furnish alcoholic beverages to the undersigned. I understand that Title 30 of the General Statutes prohibits the sale of alcoholic liquor to any person who is not twenty-one years of age. I understand that I am subject to a fine of one.

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  • Statutes
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