Alcohol Beverages Stock Transfer {AT-900}

ALCOHOL BEVERAGE STOCK TRANSFER This inventory must be compiled and signed in DUPLICATE. One copy is to be retained by the seller, the other copy must be retained by the buyer on the licensed premises and available for inspection at all times by representatives of the Department of Revenue. List below only sealed liquor, wine and beer stock. Quantities Cases Bottles Wisconsin Department of Revenue Alcohol & Tobacco Enforcement Post Office Box 8933 Madison, WI 53708-8933 Date: Quantities Bottle Cases Bottles Size , 20 Bottle Size Brand Name Kind Brand Name Kind We hereby transfer the above-listed inventory of alcohol beverages from (seller) to (buyer ­ licensee name) , thereby providing a proper invoice to be retained by the buyer on the licensed premises and available at all times to representatives of the DEPARTMENT OF REVENUE. This transfer is contingent upon a proper retail license being issued to (buyer ­ licensee name) AT-900 (R. 1-05) American LegalNet, Inc. www.FormsWorkflow.com by the licensing authorities. I have sold my establishment in the County of Town Village City of and have transferred my ENTIRE sealed stock of alcohol beverages to another retail licensee. I have listed on the reverse side of this form a complete inventory of all sealed alcohol beverages owned by me and stored on my licensed premises. I submit the following information: 1. Reason for discontinuing my license: 2. My license has been or will be surrendered on: 3. Name and address as shown on my license: 4. Name of licensed buyer to whom stock is to be transferred and address of licensed premises: 5. No open stock may be included in the inventory. 6. If the license is issued to a partnership, each partner must sign this certification. If the license is issued to a corporation/LLC, an officer, member or the agent of the corporation/LLC must sign. We certify that this inventory complies with these requirements. Signature (seller) Confirmed by (buyer) A transfer of alcohol beverages from one retail licensee to another without completing this form may be considered a wholesale sale and the seller thereof be required to obtain a wholesale permit. Any merchandise so transferred is subject to confiscation by representatives of the Alcohol and Tobacco Enforcement Section. American LegalNet, Inc. www.FormsWorkflow.com