1513-0005 Screenshot 2

1513-0005 Screenshot 2.pdf

Letterhead applications and notices filed by brewers TTB REC 5130/2 and Brewer's Notice TTB F 5130.10

1513-0005 Screenshot 2

OMB: 1513-0005

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Application for New Brewery, Micro Brewery, or Brewpub
&
1 Contacts
Location

2 Application
Information

3 Business
Information

and
4 Review
Submit

5 Record Submittal

Step 1 : Contacts & Location > Business Location
* indicates a required field.

Premise Address
This section pertains to the physical location and address where your approved operations will take place.
All address fields refer to the physical address of the location where your operations will be conducted.  Use http://zip4.usps.com/zip4/ to 
verify your address and enter each portion of the address exactly as it is shown by the USPS.
 
Premise Contact Name & Phone Number: In this section, you will supply information on the primary person within the applicant company 
with whom TTB will conduct a phone interview about the proposed operations, if necessary.  You will be requested to submit a photocopy of 
the driver's license or other official State ID card for this person as an attachment if this is an original application or a change of 
proprietorship.   This person must have signing authority on behalf of the applicant entity. 
 
Historical Building: If your proposed premises are included in or eligible for inclusion in the National Register of Historic Places, you must 
answer "Yes".  You will be required to provide documentation from your State Historic Preservation Office showing permission to conduct 
the proposed operations in that building.  This information may already be on file with TTB.
Street #:

Fraction:

Direction:

* Street Name:

--Select--

Unit Type:

Type:

Suffix:

--Select--

--Select

Unit No.:

--Select--

Rural Address:

Other Address:

* City:

* State:

* Zip:

County:

--Select--

* Premise Contact Name:

* Premise Phone Number:

* Is your Building a Historical Building?:
Yes

No

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File Titlehttps://test.ttbonline.gov/permitsonline/Cap/CapEdit.aspx?stepN
Authorcbdudley
File Modified2013-10-25
File Created2013-10-25

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