In the heart of Washington's regulatory framework for the sale of beer, wine, and spirituous liquor lies the pivotal Washington Liquor Control Board's LIQ 365 form. This essential document streamlines the process for securing an agent's license, obligatory for representing any entity in the liquor sales domain. Nestled within the procedural maze at the Licensing and Regulation office in Olympia, WA, the LIQ 365 form embodies a straightforward yet rigorous path to compliance, asking for comprehensive details from both the agent and the entity they represent. It includes specifics such as the company's full legal name, address, and the agent’s personal information, charting a clear-cut course for verifying the legitimacy of the agent's role. With a nominal fee of $25 and a renewal cycle that culminates every June 30th, the necessity for accurate and transparent disclosure stands at the forefront of the process. This includes declarations regarding other employments and potential financial interests in businesses within the retail alcohol sector, ensuring that agents align with the high ethical standards set by Washington State's liquor laws and regulations. The form acts as a binding agreement to uphold these laws, emphasizing the gravity of truthful representation and the severe consequences of any misrepresentation. As a cornerstone in the vast mechanism of liquor regulation, the LIQ 365 form plays an indispensable role in maintaining the integrity and safety of Washington's alcohol industry.
| Question | Answer |
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| Form Name | Washington Form Liq 365 |
| Form Length | 1 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 15 sec |
| Other names | revocation, Washington, spirituous, 30th |
Licensing and Regulation PO Box 43098 Olympia WA
For Office Use Only
Date:
Check No.
Amount Rec’d
Rec’d By
Application for Agent’s License
$25 Fee
Agent’s Licenses Expire June 30th
To Be Completed by Applicant Company
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Full Legal Name of Company or Corporation Represented by Agent |
License No. of Company |
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Address (City, State, Zip Code) |
Telephone No. |
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To Be Completed by Agent
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Agent’s Name (First, Middle, Last) Please print |
Date of Birth |
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Agent’s Business Address (if different from applicant company) |
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Telephone No. |
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Do you hold any other job or engage in any other employment with or without pay?
If yes, please explain:
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no
Do you have any financial interest of any nature whatsoever in any business involved in the retail sale of beer, wine, or spirituous liquor (including lessor or landlord interests in building; or being a holder of a note,
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mortgage contract, or other forms of obligations or credit arrangements)? |
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no |
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If yes, please explain. |
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To Be Completed by Applicant Company and Agent
In making this application we agree, if application is approved, to abide by the provisions of the Washington State liquor laws and regulations, with particular reference to RCW 66.24.310, WAC
Agent’s Signature |
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Company Authorized Signature |
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If you have any questions or need assistance, please call (360)
LIQ 365 8/11
