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Retailer_s_Class_A_license_fermented_malt_beverages 125.25: Retailer’s Class “A” license, fermented malt beverages

The following statutes affect this form: s. 125.25, Wis. stats.

STATE OF WISCONSIN
Town of ________
________ County

________ ________, of the Town of ________, ________ County, Wisconsin, having filed with the undersigned town clerk an application for a retailer’s Class “A” license to sell fermented malt beverages, that has been published as required by s. 125.04 (3), Wis. stats., and having produced a receipt showing the payment of $________ to the treasurer of the town, and the application having been granted by the town board on ________ ___, 20__;

A retailer’s Class “A” license is granted to ________ ________ to sell fermented malt beverages under s. 125.25, Wis. stats., on the following premises in the town only for consumption off the premises where sold and in the original packages, containers, and bottles: [describe them].

This license will expire on June 30, 20__, unless sooner revoked.

Dated this ______ day of ________, 20__.

[Signatures of town board]

Attest: [Signature of town clerk]

Notes: See ss. 125.04 (5) and (6) and 125.25 (2) (b), Wis. stats., for provisions regarding applications and qualifications for licenses. See s. 125.32, Wis. stats., for general license restrictions and requirements.

Licenses for months or fractions of months may be granted, with prorated fees under s. 125.25 (4).