District alcohol-licensed retailers are required to obtain a permit in order to import and transport alcoholic beverages into the District of Columbia. The import-transport permit may only be provided for alcoholic beverages that cannot be obtained in sufficient quantity from any licensed manufacturer or wholesaler in the District of Columbia.
Complete the form below to obtain an import-transport permit. The permit must be signed by the licensee or the licensee’s authorized designee. Submit two copies of the form in person to the Alcoholic Beverage Regulation Administration's (ABRA) office, which is located at:
The fee is $5 per permit. Payment is due at the time of application. Payment can be made in the form of a cashier’s check, certified check, business check, attorney’s check, personal check, or money order. A check or money order must be payable to the D.C. Treasurer. Payment may also be made by Visa or MasterCard. If a check is not honored by your bank for the payment of an obligation due to the District of Columbia, a penalty of $65 will be imposed by the Office of Tax and Revenue. An additional penalty of $100 will be imposed by ABRA.
FEDERAL EMPLOYER IDENTIFICATION NUMBER
55-5555555
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DATE OF APPLICATION
04/05/2019
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RETAILER'S LICENSE NUMBER AND CLASS
23456-A
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PERMIT ISSUED TO
ABC Permitee Company
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ADDRESS OF PERMITEE
1 Paved Road, Arlington, VA 55555
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NAME OF SUPPLIER
123 Supplier Company
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ADDRESS OF SUPPLIER
123 Paved Road, Fairfax, VA 55555
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NAME OF SOLICITOR
DRM Solicitor Company
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ADDRESS OF SOLICITOR
1 Way Rd, College Park, MD 55555
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SOLICITOR'S LICENSE NUMBER
23456-A
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CASES OR BBLS |
CONTAINER SIZE |
BRAND OR TRADE NAME |
QUANTITY BBLS OR GALLONS |
*TAX CLASS A-E |
TAX RATE |
TAX QUANTITY (X) RATE |
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---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
BBLS | 1 | BUDWEISER | 10 | E | 2.79 | 20.79 | ||||||||||||
For additional entries, table is continued on the following page. If using the next page, please indicate the total tax quantity rate on this page in the box on the right. | TOTAL TAX | $83.16 | ||||||||||||||||
AFFIDAVIT: THE UNDERSIGNED CERTIFIES THAT THE ABOVE BEVERAGES ARE NOT OBTAINABLE AT ALL OR IN SUCH QUANTITY AS REQUIRED FROM ANY MANUFACTURER OR WHOLESALER LICENSED IN THE DISTRICT OF COLUMBIA; THAT IF UPON DELIVERY OF THE ABOVE BEVERAGES THE LICENSEE IS DELINQUENT IN THE PAYMENT OF ANY ACCOUNTS UNDER THE PROVISION OF THE D.C. OFFICIAL CODE §25-731(c), THEN PAYMENT FOR SAID BEVERAGES SHALL BE CASH ON DELIVERY OR IMMEDIATELY UPON RECEIPT OF THE INVOICE THEREOF; AND THAT THE FOREGOING IS A TRUE STATEMENT TO THE BEST OF MY KNOWLEDGE AND BELIEF. |
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SIGNATURE OF LICENSEE
John Smith
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DATE
04/05/2019
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TITLE
Sales Manager
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