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Page Z PLEASE TYPE OR PRINT ALL INFORMATION <br /> 0252 44 005 003 <br /> STATE ASSIGNED LICENSE NUMBER _- - - <br /> Application is made on behalf of: 2 <br /> 1 =An Individual 2=Business Corporation 7=Limited Liability Company <br /> 3=A Partnership 4=Unincorporated Club <br /> 5=Incorporated Club 6=Limited Partnership <br /> 2.1 NAME(S)AS IT DOES OR WILL APPEAR ON THE LICENSE CERTIFICATE(NOT"TRADE"NAME): <br /> License may be held by Individual(Last Name,First Name,Middle Initial),Partnership or Corporation. <br /> E.G. Holding Corporation Inc. <br /> (Last Name, First Name,Middle Initial or Corporate Name) <br /> 2.2 ACTUAL ADDRESS WHERE THE LICENSE IS TO BE USED(SITED PREMISES): <br /> Street Address 135 Kinderkamack Rd. <br /> Number Street Name 07661 <br /> Municipality River Edge Zip <br /> Telephone number of business ( 201 ) 968 - 1777 <br /> Area Exchange Number <br /> 2.3 If no licensed premises exists or if a mailing address is different than the"actual address"given above,provide the mailing addres <br /> (insert N/A if not applicable): <br /> N/A, <br /> Street Address <br /> Number Street Name <br /> P.O. Box# Municipality, State <br /> Zip - Telephone( ) - <br /> 2.4 New Jersey Sales Tax Certificate of Authority No. 223358650000 <br /> 2.5 TRADE NAME(S) UNDER WHICH BUSINESS IS TO BE CONDUCTED. ALL TRADE NAMES MUST BE LISTED AND <br /> REGISTERED WITH THE N.J.SECRETARY OF STATE[if a corporation]OR COUNTY CLERK[if a partnership or sole proprietor]: <br /> Total Wine & More <br /> 2.6 THE FOLLOWING QUESTIONS ARE TO BE ANSWERED BY ALL APPLICANTS OTHER THAN APPLICANTS FOR A NEW <br /> LICENSE: <br /> A. IS THE LICENSE ACTIVELY USED AT AN OPERATING PLACE OF BUSINESS? <br /> XX . Yes No <br /> B. IF NO, GIVE THE DATE THE BUSINESS STOPPED OPERATING (OR THE DATE THE LICENSE WAS ORIGINALLY <br /> ISSUED IF NEVER SITED AT AN OPERATING BUSINESS): <br /> 1 / <br /> C. IF THE LICENSE IS INACTIVE AND THE APPLICATION IS FOR A TRANSFER,WILL THE LICENSE BE USED AT AN <br /> OPERATING PLACE OF BUSINESS AFTER APPROVAL? <br /> Yes No <br /> 2.7 THE FOLLOWING QUESTIONS ARE TO BE ANSWERED BY AN APPLICANT FOR A NEW LICENSE: <br /> A. WILL THE LICENSE BE USED AT AN OPERATING PLACE OF BUSINESS IMMEDIATELY UPON ISSUANCE? <br /> Yes No <br /> B. IF NO,PROVIDE ANTICIPATED DATE OF LICENSE ACTIVATION: <br /> / / <br />