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Application for the Sale of Alcohol Application Type: New Renewal Applicant’s Full Name: Telephone: Email: Address: Birth Date: Social Security Business Name: Business Address: Federal Tax Alcohol to be Sold: Distilled Spirits Beer Wine (Check all that apply) License Desired: Retail Sale Sale & Consumption on Premises ---PAGE BREAK--- STATE OF GEORGIA WASHINGTON COUNTY personally appeared, who after being duly sworn, deposes that they are of good character, financially responsible, that the information above in this application are true and correct, and that in submitting this application they agree to abide by all State and County laws, rules, and regulations relating to the sale of malt beverages, wines, and distilled spirits, in Washington County, Georgia. Signed, sealed and delivered in the presence of (Applicant Signature) Witness Notary Public