Special Alcohol Bulk Non-Beverage Permit Application (Below 160 Proof)

This form is REQUIRED and must be filed annually with the Idaho State Liquor Division (ISLD) for all Special Alcohol Bulk Non-Beverage permits in Idaho. This form must be completed in its entirety, signed and submitted before December 1 for the next license year. All licenses expire the 31st of December in the year the license is issued. New applicants may submit at any time during the year, however, will be required to resubmit during the renewal period mentioned above.

Special Alcohol Bulk Non-Beverage permits are issued by the Idaho State Liquor Division in accordance with the Idaho Liquor Act, Idaho Administrative Procedures Act and applicable codes outlined in section 8 of this application.

Instructions: This form is an application for permission to acquire non-commercial sized quantities of alcoholic liquor in the manufacture of medicines, food products, perfumes, and other like commodities which are generally not classified as beverages. Be specific in describing use of the alcohol and any end product or service. Incomplete applications with insufficient information will be denied. Permits may not be transferred or shared. If more than one person needs to place orders for alcohol, each must obtain a permit in their own name.

1. Application Date
Date*
2. Type of Application
Application*
- New
- Renewal
3. State Sales/Use Tax Permit #
Number*
4. Idaho License
Number (For nenewal applications only)
5. Business Name
Name*
Employer ID Number (EIN)*
Physical Address*
Street Address City State ZIP Code
Shipping Address (if different)
Street Address City State ZIP Code
Telephone/Cell Number(s)*
Email Address*
Business entity registered with the Secretary of State’s Office*
- Yes
- No
Click here for details on filing with the Secretary of State’s Office
6. Contact Person
Additional contacts and their contact information may be included below.
Name
Telephone/Cell Number(s)
Email Address
Name
Telephone/Cell Number(s)
Email Address
7. Business Profile Overview
Be specific in describing use of the alcohol and any end product or service.

Incomplete applications with insufficient information will be denied.

Permits MAY NOT be transferred or shared, if more than one person needs to place orders for ethyl alcohol, each person must obtain a permit in their own name.
Specific Description of Business*
Specific Description of Use for Alcohol*
Specific Use of End Product or Service*
Estimated Gallons of Alcohol to be Used Per Year*
One must reapply for a new permit if they exceed their estimated gallons per year.
Alcohol Types(s) Requested*
(Specify type and proof: e.g., neutral 151, barrel strength whiskey; Must be below 160 proof)
8. Idaho Codes and Rules
It is recommended that you be familiarized with Idaho liquor codes and rules:
- Idaho Code: 23-203 Idaho State Liquor Division - Powers & Duties
- Idaho Code: 23-504 Permits & Licenses – Alcoholic Non-Beverages
- Idaho Code: 23-513 Permits & Licenses – Term of Permits or Licenses
- Idaho Code: 23-514 Permits & Licenses – Nature of Permit
- Idaho Code: 23-602 Penal Provisions – Unlawful Manufacture, Traffic In, Transportation, and Possession of Alcohol Beverage
- Idaho Statues: Idaho Legislature - Title 23 Alcoholic Beverages
- IDAPA Rules: 15.10.01 - Rules of the Idaho State Liquor Division
9. Signature
I do hereby attest that I have the authority to sign legally binding contracts on behalf of the business entity named herein. I have read, understand and acknowledge the Idaho liquor laws and IDAPA rules, have not been convicted of or pleaded guilty to a felony or a crime of moral turpitude, have a reputation of “probity, temperance and integrity”, will comply with federal, state, county and local laws, regulations, and Idaho State Liquor Division rules and policies and acknowledge that the issued Special Alcohol Bulk Non-Beverage Permit is at the sole discretion of the Director or his appointed representatives. I certify that all information provided in the application and all required documents are accurate to the best of my knowledge.

By submitting this application, you are acknowledging that the electronic signature below, is intended to have the same force and effect as your manual signature.

In case of any conflict between the terms or statements herein and any federal and state regulations, laws, codes, State or Division policies, the regulations, laws, codes or policies prevail.
Signature*
Name Business Name Date
Signature page must accompany application. If alternate arrangements are needed for submitting this application or any of the required documents, contact Ethyl Alcohol Permits, for permission and instructions.
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Name
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Special Alcohol Bulk Non-Beverage Permit Application (Below 160 Proof)

1. Application Date

2. Type of Application

3. State Sales/Use Tax Permit #

4. Idaho License

5. Business Name

6. Contact Person

7. Business Profile Overview

8. Idaho Codes and Rules

9. Signature

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