Original Author: Hardy, Pat
Date of Material: 01/11/2016
Alcoholic beverages--Laws and regulations
Reviewed Date: 07/15/2021
MTAS was asked to supply a certificate of compliance for selling 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 (_______)
City Clerk or Recorder
Cert of Compliance-Wine in grocery stores.docx
Cert of Compliance-Wine in grocery stores.pdf