Sla Form 1041 PDF Details

Are you a trust or estate holder responsible for filing Form 1041? If so, you’re probably looking for a simple guide to help understand the process and make it easier. Whether this is your first time dealing with an income tax return in the format of Form 1041 or if you just need a refresher on the necessities before filing, then this blog post is here to provide assistance. We will cover everything from eligibility requirements to due dates while giving an overview on how best to tackle completing this form. Read on as we break down all aspects related to filing Sla Form 1041!

QuestionAnswer
Form NameSla Form 1041
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesSLA, CityTown, PERTINENT, REFERRAL

Form Preview Example

 

STATE OF NEW YORK

 

ENFORCEMENT OFFICES

 

EXECUTIVE DEPARTMENT

 

 

 

 

 

DIVISION OF ALCOHOL BEVERAGE CONTROL

Albany

518-474-0385

 

Buffalo

716-847-3039

 

 

 

 

POLICE REFERRAL FORM

New York City 212-961-8376

 

 

 

 

IN OR D ER FOR TH E

S TATE LIQU OR AU TH OR ITY TO P R OP ER LY

EVALU ATE

AN D

D ETER M IN E TH E

AP P R OP R IATE COU R S E

OF ACTION ON TH IS R EFER RAL IT IS N ECES S AR Y

TH AT

TH E R EP OR TIN G

OFFICER / AGEN CY S U B M IT COP IES OF ALL AR R ES T R EP OR T/ S ; IN CID EN T R EP OR TS ; S U P P LEM EN TAL R EP OR TS ; W R ITTEN S TATEM EN TS AN D AFFID AVITS ; VER B AL AD M IS S ION FOR M S ; D R U G B U Y S H EETS ; LAB / FIELD TES T R EP OR TS ; N AM ES AD D R ES S ES AN D P H ON E N U M B ER S OF W ITN ES S ES ; AN D AN Y OTH ER P ER TIN EN T D OCU M EN T/ S OR IN FORM ATION W ITH TH E R EFER R AL

TO:

DIVISION OF ALCOHOLIC BEVERAGE CONTROL

 

 

 

ATTN: COUNSEL’S OFFICE

 

 

 

 

 

 

 

80 SOUTH SWAN, SUITE 900

 

Date:

 

 

 

ALBANY, NY 12210

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

INFORMATION FROM LICENSE CERTIFICATE

 

 

 

 

 

 

 

 

 

License Serial#

 

 

 

 

 

 

(Upper left corner)

 

 

 

 

 

 

Name of Licensee

 

DBA (Trade Name)

 

 

 

 

 

 

 

 

Address of Premises

 

 

Certificate #

 

 

 

 

 

 

(Lower Right corner)

 

 

 

 

 

 

 

Date and Time of Violation

Name of Person in Charge and Title

 

 

 

 

(Licensee, Manager, Bartender, Etc)

 

 

 

 

 

 

 

 

 

Status of Investigation:

Open

Closed

 

Supporting Documents Attached?

Yes

No

 

 

 

 

If no, explain why and date of approximate availability.

 

 

 

 

 

 

 

 

Department:

 

 

 

Officers directly involved:

 

 

 

 

 

 

 

 

 

Address:

 

 

 

 

 

 

 

 

 

 

 

 

 

City,Town or Village

 

 

 

Phone #

Fax #

 

 

 

 

 

 

 

 

(SLA FORM #1041 11/03)