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General Licensing Forms

• Application for On-Premises Promotion to Award Prizes or Conduct Giveaway in Excess of $250.00 PDF icon
Now fillable online!

• LC-2099 Instructions - Change of Status PDF icon

• Inventory List PDF icon
LC-131 (Rev. 3/07)

• Internet Renewal Authorization PDF icon
LC-17 (Rev. 08/06)

• After Hours Permit Application PDF icon
(LC-1112 Rev. 10/2006)

• Temporary Authorization Instructions and Form PDF icon
LC-146 (Rev. 10/07) NOTE! On-Premises phone 517-636-4634; FAX 517-322-6137.

• Instructions for Transfer Applicants PDF icon
LC-669 (Rev. 05/00)

• Transfer of Sunday Sales Permit Application PDF icon
LC-1164 (Rev. 01/04)

• Change of Name Statement PDF icon
LC-46 (Rev. 01/04)

• Real Estate Ownership PDF icon
LC-0016 (Rev.12/01)

• Participating Agreements PDF icon
LC-1154 (Rev.08/85)

• City, County, State, or Federal Licensing Requirements PDF icon
LC 173 (Rev. 12/03)

• Application for Special License PDF icon
LC 510 (Rev. 09/07) Fillable Online

• Proof of Financial Responsibility - Instructions and Form PDF icon
LC-95, Instructions and Form (Rev.08/06)

• Application for New Licenses, or Application of Buyers for Transfer of Ownership or Interest in License PDF icon
LC-687 (Rev. 05/2008) Fillable Online

• Initial Application PDF icon
LC-1135 (Rev. 08/01)

• Sunday Sales Application PDF icon
LC-1161 (Rev. 02/04)

• Required Documents: Individual or Partnership request for application PDF icon
LC-2096 (Rev. 01/04)

• Request for license to be placed in Escrow PDF icon
LC-3103 (Rev. 01/07)

• Information as to Stock Issuance / Membership Interest or Change of Interest in a Limited Partnership PDF icon
LC-50-2 (Rev.06/06)

• Club Resolution PDF icon
LC-107 (Rev. 02/07)

• Request for Waiver of Statute or Licensing Qualifications PDF icon
LC-92, new number LC-1865 (Rev. 01/04)

• Affidavit Relative to Racial Discrimination PDF icon
LC-1178 (Rev. 01/04)

• Report of Corporate Officers, Board of Directors & Stockholders PDF icon
LC-52 (Rev. 01/03)

• Report of Limited Liability Company Members, Managers and Assignees PDF icon
LC-52a (Rev. 01/04)

• Money Lender's Statement PDF icon
LC-3008 (Rev. 06/04)

• Required Documents: Corporation/ LLC request for application PDF icon
LC-2097 (Rev. 01/04)

• Individual Stockholder or Corporate Stockholder Questionnaire PDF icon
LC-621 (Rev. 10/07)

• Change of Status: Request to form private corporation PDF icon
LC-2099a (Rev. 01/04)

• Limited Partners, Stockholders or Members Statement PDF icon
LC-38 (Rev. 01/04)

• Applicant Questionnaire: New On-premises Banquet Facility Permit PDF icon
LC-618bf (Rev. 01/04)

• Questionnaire: New On-premises Resort Licenses PDF icon
LC-618 (Rev. 04/2006)

• Authorization Resolution PDF icon
LC-4031 (Rev. 01/04)

• Appointment of Vendor's Designated Agent PDF icon
LC-133 (Rev. 01/04)

• Fast Track Initial Application PDF icon
LC-1135a (Rev. 02/04)

• Participation Permit Application PDF icon
LC-1124 (Rev. 08/06)

• Summary of Finances Statement PDF icon
LC-1125 (Rev. 08/06)

• Affidavit of Source of Funds PDF icon
LC-1126 (Rev. 08/06)

• Statement of Money Lender For Participation Permit PDF icon
LC-1127 (Rev. 08/06)


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