Direct Wine Shipper Permit Application {DLC-019} | Pdf Fpdf Doc Docx | Hawaii

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Direct Wine Shipper Permit Application {DLC-019} | Pdf Fpdf Doc Docx | Hawaii

Last updated: 9/15/2023

Direct Wine Shipper Permit Application {DLC-019}

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Description

DIRECT WINE SHIPPER PERMIT APPLICATION Mail this form to the Department. Include with application: Copy of State of Hawaii General Excise License Copy of Home State Valid Wine Manufacturer's License Copy of TTB Manufacturer's Basic Permit Copy Letter of Authorization (for 3rd party compliance agency/agent) Payment of $48.00 permit fee by check or money order payable to: Department of Liquor Control County of Maui Department of Liquor Control 2145 Kaohu Street, Room 105 Wailuku, Hawaii 96793 Tel: 808.243.7753 Fax: 808.243.7558 Permit Year (January to December) APPLICANT INFORMATION 1. Name of Licensee 2. Business Name (dba) 3. Premises Location Address City State Zip code 4. Mailing Address City State Zip code Phone Phone Ext Fax Email 5. Name of Contact Person & Title (if applicable) Phone Phone Ext Fax Email 6. PRINT NAME OF AUTHORIZED AGENT SIGNATURE OF AUTHORIZED AGENT COMPLIANCE AGENCY INFORMATION (IF APPLICABLE) 7. Name of Compliance Agency 8. Mailing Address 9. Compliance Agent Phone Phone Ext Fax Email RULES OF THE LIQUOR COMMISSION MAUI COUNTY §08-101-45 Direct shipment of wine by wineries. (a) A manufacturer of wine who desires to ship wine to persons twenty-one years of age or older in the county shall obtain a direct shipment of wine permit. The term of the permit shall be for one calendar year. The applicant shall submit: (2) Require that the carrier of the shipment obtain the signature of a person twenty-one years of age or older before delivering the shipment; Report no later than January 31st of each year to the department the total amount of wine shipped to persons in the county during the preceding calendar year. The report shall include: (i) (ii) (iii) Winery name and address; Direct shipment of wine permit number; Name, address, telephone number, email address and facsimile number of the person submitting the report for the winery; Name, address, and date of birth of the purchaser(s) of wine; Name and address of the receiver(s) of wine; Product name(s), quantity (bottles/liters), and price(s); and Date of shipment(s); (3) (1) (2) (3) Application form prescribed by the commission; Copy of the state department of taxation general excise tax license; Copy of the class 1 or class 16 license to manufacture wine, or the license to manufacture wine issued by another state; Copy of the basic permit issued by U.S. Alcohol and Tobacco Tax and Trade Bureau; Letter of authorization (if using a compliance agent/agency); and Payment of applicable fees. (4) (5) (6) (iv) (v) (vi) (vii) (4) (b) The holder of a direct shipment of wine permit may sell and annually ship to any person twenty-one years of age or older in the county not more than six, nine-liter cases of wine per household for personal use only and not for resale, and shall: (1) Ship wine directly to the person only in containers that are conspicuously labeled with the words: "CONTAINS ALCOHOL; SIGNATURE OF PERSON AGE 21 YEARS OR OLDER REQUIRED FOR DELIVERY."; The holder of a direct shipment of wine permit may annually re-apply for a permit to continue with shipments into the county; The sale and shipment of wine directly to a person in the county by a person that does not possess a valid direct shipment of wine permit is prohibited. (5) FOR OFFICE USE ONLY PERMIT NO.: Approved by: EFFECTIVE: PAYMENT AMOUNT: DLC-019 [rev 11/12] American LegalNet, Inc. www.FormsWorkFlow.com

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