Liquor License Renewal

In the space provided enter your liquor license number. The number is comprised of 2 digits, a dash, a letter, a dash, and 2 digits. Example: 12-L-12, Dashes are required when entering the number.

In the space provided enter business name.

In the space provided enter address of business.

In the space provided enter first and last name of contact person/owner.

In the space provided enter amount you are submitting for payment.

Subtotal Amount
Service Fee
Payment Amount