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Certificate of Compliance for Wine in Grocery Stores

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Reviewed Date: March 24, 2017

Original Author: 
Hardy, Pat
Date Created: 
Jan 11, 2016


Subjects:
Alcoholic beverages--Forms
Alcoholic beverages--Laws and regulations

Certificate of Compliance for Wine in Grocery Stores

Summary: 
MTAS was asked to supply a certificate of compliance for selling wine in grocery stores.

Knowledgebase-Certificate of Compliance for Wine in Grocery Stores

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


Attachment(s):

About Our Knowledgebase

MTAS letters and publications were written based upon the law at the time and/or a specific sets of facts. The laws referenced in the letters and publications may have changed and/or the technical advice provided may not be applicable to your city or circumstances. Always consult with your city attorney or an MTAS consultant before taking any action based on information contained in this database.