Liquor Licence Form 3 Application for Transfer of a Liquor Licence

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Section 16 Mandatory training Has the proposed licensee (if an individual/s) completed a two day Responsible Management of Licensed Venues (RMVL) course? No – this application cannot be considered until the RMLV course is completed. Please advise when, where and with whom the training will be completed? Please provide a copy of the certificate once this training has been completed. ................................................................................................................................................. ................................................................................................................................................. Yes – please provide a copy of the certificate of completion for each proposed individual licensee Section 17 Tenure details Please state the proposed licensee's financial interest in the premises. lessee owner of freehold other – please specify Will you have any management sub-letting or franchise arrangement for any part of the premises? No Yes – please give full details .................................................................................................... ................................................................................................................................................. ................................................................................................................................................. ................................................................................................................................................. ................................................................................................................................................. ................................................................................................................................................. ................................................................................................................................................. ................................................................................................................................................. ................................................................................................................................................. ................................................................................................................................................. ................................................................................................................................................. ................................................................................................................................................. Section 18 Postal address upon transfer of licence What will the postal address for the premises be upon transfer of the liquor licence? ......................... ......................................................................................................................................................... Locality/suburb ..............................................................State .Postcode Liquor Act 1992 • Section 105 • Form 3 V.04 June 2013 Page 6 of 9
Section 19 Landlord's consent (If the owner is not the outgoing or proposed licensee at settlement) If signing under power of attorney, please provide copy of appointment. (Not required for low risk premises – see page 1) As owner of the premises described in this form, or an authorised delegate of the owner, I consent to this transfer of a liquor licence. Name ................................................................................................................................................ Signature.......................................................................................................................................... Date: / / Name ................................................................................................................................................ Signature.......................................................................................................................................... Date / / If more than one landlord, each owner is required to sign or a director/secretary of each company if there is more than one If the owner of freehold land relates to a shopping centre, centre management approval can be accepted in the case where it is a larger centre (e.g. Westfield). Please attach an accompanying letter to explain this. If a smaller establishment (e.g. strip shopping centre), then the owner of freehold land's consent should be provided If there is a lessee/sub-lessee involved (e.g. where a business is franchised), it will be necessary for the signatures of all parties to be lodged If the premises are leased from the Crown, then a representative of the Department of Natural Resources and Mines must give their consent to the transfer The Department of Natural Resources and Mines consent as owner of the freehold will not be necessary to meet full requirements. However, the application cannot be formally approved until this consent is received and will be included as a ‘subject to’ item at the end of the application process Section 20 For commercial other (Subsidiary on-premises) licences where accommodation is provided Will the proposed licensee have control over the entire premises? (i.e. restaurants, units etc.) Yes No – control over the entire premises is required. Where there is a separation of control over the dining and accommodation facilities, separate liquor licences will be required. A licensee cannot enter into an agreement, franchise or management arrangement for another party to have tenure over part of the licensed premises Are the units strata titled? Yes – the written consent to this application will be required from each individual unit owner who wishes to have the availability of sale of liquor on their respective lot, or alternatively, written consent from the body corporate to this application. In respect of common property, the consent of the body corporate will be required No Liquor Act 1992 • Section 105 • Form 3 V.04 June 2013 Page 7 of 9
Page 1 and 2: Liquor Act 1992 Form 3 Application
Page 3 and 4: Section 8 Signature of outgoing lic
Page 5: Section 8 Trading name change Will
Page 9: Part D - Lodgement and fee payment

Liquor Licence Form 3 Application for Transfer of a Liquor Licence

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