Please Reference the first two pages of your TABC application to be sure you fill out this form correctly.
Application has been made with the Texas Alcoholic Beverage Commission for a:
License/Permit Types:
Check all that apply:
(Permit/License Type. See #1 on Sample)

Bonded Warehouse Permit (J/JD)
Branch Distributor's License (BC)
Brewer's License (BW)
Brewer's Self-Distribution License (SD)
Brewpub License (BP)
Carrier's Permit (C)
Consumer Delivery Permit (CD)
Distiller's and Rectifier's Permit (D)
Food and Beverage Certificate (FB)
Forwarding Center Authority (FC)
General Class B Wholesaler's Permit (X)
General Distributor's License (BB)
Late Hours Certificate (LH)
Local Cartage Permit (E)
Local Distributor's Permit (LP)
Manufacturer's Agent's Warehousing Permit (AW)
Mixed Beverage Permit (MB)
Mixed Beverage Permit with Food and Beverage Certificate Required
Nonprofit Entity Temporary Event Permit (NT)
Nonresident Brewer's License (BN)
Nonresident Seller's Permit (S)
Out-of-State Winery Direct Shipper's Permit (DS)
Package Store Permit (P)
Passenger Transportation Permit (TR)
Private Club Exemption Certificate (NE)
Private Club Malt Beverage and Wine Permit (NB)
Private Club Registration Permit (N)
Promotional Permit (PR)
Retail Dealer's Off-Premise License (BF) (Malt Beverage)
Retail Dealer's On-Premise License (BE) (Malt Beverage)
Third-Party Local Cartage Permit (ET)
Water Park Permit (WP)
Wholesaler's Permit (W)
Wine and Malt Beverage Retailer's Off-Premise Permit (BQ)
Wine and Malt Beverage Retailer's Permit (BG) (Wine and Malt Beverage Retailer's Permit On-Premise Permit)
Wine-Only Package Store Permit (Q)
Winery Permit (G)

Name of Inc., LLC or Name of Applicant/Member:
(Entity/Corp. Name -- See #2 on Sample)
Business Name or DBA (Doing Business As):
(DBA Name -- See #3 on Sample)
Address of Business: FORMAT: Street Address, City, Collin County, Texas Zip Code
Do not forget to list the name of the COUNTY where the business resides.

(Address -- See #4 on Sample)
(Full Name - Title)                (See #5 on Sample)
When do you want the legal notice published?
(write either "As Soon As Possible" or write start date.
Must be published twice for two consecutive days.)

NOTICE: By checking this box I acknowledge that I have read and understand that the Collin County Commercial Record does not offer refunds for any form of subscription including email.

The fee is a flat fee of $150.00

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