IN THE DISTRICT COURT OF OKLAHOMA COUNTY, OKLAHOMA
STATE OF OKLAHOMA }
OKLAHOMA COUNTY }ss. CASE NO:
IN THE MATTER OF THE OF THE APPLICATION OF
For a Low-Point Beer Permit
APPLICATION OF CORPORATE APPLICANT TO SELL LOW POINT BEER
TO THE COURT CLERK OF SAID COUNTY:
I being first duly sworn upon oath state that
I am the of the Corporation of
doing business as
doing business at hereby
make application for a license at the location described above to sell low-point beer containing more than one-half of one percent (1/2
of 1%) alcohol measured by volume, and not more than three and two-tenths percent (3.2%) of alcohol measured by weight, for
consumption or use in accordance with the provisions of 37 O.S. §§163.1-163.11.
I hereby certify that I am a person of good moral character; I have /have not been convicted of a felony in Oklahoma or
any other state. If convicted, I certify that I have /have not been pardoned, OR it has /has not been more that
ten (10) years since the completion of the sentence imposed for the felony; I further certify that I have /have not violated
any laws any laws pertaining to the use, possession, or sale of drugs and narcotics or the violation of narcotics laws of the State of
Oklahoma or the United States.
I hereby certify that I have /have not been convicted of violating any of the laws prohibiting the traffic in any
spirituous, vinous, fermented or malt liquors, or any of the gambling laws in Oklahoma or any other state of the United States, within
three (3) years immediately proceeding the date of this application. I further certify that I have /have not been convicted
of violating any of the laws commonly called “prohibition laws”, or had any permit or license to sell low-point beer revoked in any
county of this state within the last twelve (12) months.
I hereby certify that such corporation is duly authorized to transact business in the State of Oklahoma and that the agent or employees
managing or in charge of the place of business for which the permit is sought is maintaining and residing in Oklahoma County or in
county an adjoining county. And that such corporation consents that any and all notices required to be
served under the provision of 37 O.S. §163.1 et seq may be served on such resident agent or employees.
I further certify that I shall keep accurate records of all sale of beverages to consumers and users, and of all purchases of such
beverages from wholesalers or otherwise; and such records shall be preserved for a period of not less than three (3) years from and
after the date of the permit or license to be issued under this application, which shall be open to inspection at all times by the
Oklahoma Tax Commission or any of its employees.
I certify that the above and foregoing is true and correct to the best of my knowledge.
Name: Date of Birth:
Home Address: Social Security Number:
Dated this day of , 2006.
Subscribed and sworn to before me this day of , 2006
COURT CLERK OR NOTARY
AFFIDAVIT OF CORPORATE APPLICANT TO SELL LOW-POINT BEER
I, being first duly sworn upon oath state that I am the
of doing business as
doing business at
and that said location of the building in which low-point beer
is to be sold is not prohibited by the provisions of 37 O.S. § 163.27. That said organization is a corporation organized and
existing by virtue of the laws of the State of , and has been duly authorized to
transact business in the State of Oklahoma. That its agent or employee managing the place of business for
which license is herein applied is whose
that said Manager is a resident of
Oklahoma County, or in County, an adjoining county and that said corporation
consents and agrees that any and all notice required to be served under the provision of 37 O.S. §163,1 et seq.
may be served on such resident agent or employees.
Dated this day of , 2006.
Subscribed and sworn to before me this day of , 2006.
Patricia Presley Court Clerk
Oklahoma County, Oklahoma Notary
My Commission Expires