Knowledgebase-Certificate of Compliance for Wine in Grocery Stores


Information Product

Title:Certificate of Compliance for Wine in Grocery Stores
Summary:MTAS was asked to supply a certificate of compliance for selling wine in grocery stores.
Original Author:Hardy, Pat
Co-Author:
Product Create Date:01/11/2016
Last Reviewed on::03/24/2017
Subject:Alcoholic beverages--Forms; Alcoholic beverages--Laws and regulations
Type:Form
Original Document: Cert of Compliance-Wine in grocery stores.pdfCert of Compliance-Wine in grocery stores.pdf

Reference Documents: Cert of Compliance-Wine in grocery stores.docxCert of Compliance-Wine in grocery stores.docx

Text of Document: CITY OF ( ______________) CERTIFICATE OF COMPLIANCE

RETAIL FOOD STORE WINE
(store name) – (address)


This is to certify that:

Name of Applicant: ____________________________________________________
Corporation Name: ____________________________________________________
Business Address: ____________________________________________________
____________________________________________________

Mailing Address: ______________________________________________________
______________________________________________________
______________________________________________________

Date of Birth ____________________

Had made application for a Certificate of Compliance to sell retail food store wine in the County of (______), State of Tennessee, City of (______) at (store address).

And that an investigation has been undertaken of the applicant’s felony criminal record and of the location of said business, and from said investigation the undersigned certify:
      1. That the applicant or applicants who are to be in actual charge of the business have not been convicted of a felony within a ten-year period immediately preceding the date of application and, if a corporation, that the executive officers or those in control have not been convicted of a felony within a ten-year period immediately preceding the date of the application; and

      2. That the applicant or applicants have secured a location which lies within the city limits of the City of (_______) and which complies with all applicable zoning laws adopted therein by the City.

Signed this ________ day of _________________________, _________


_____________________________________
Mayor, City of (_______)



ATTEST: ___________________________________________
City Clerk or Recorder