Indicates required field Status message NoticeThe required license transfer or change of officer must be approved and finalized within 18 months of the date of death as mandated by the Maryland Alcoholic Beverages Article, Division I, Title 4, Subtitle 8. Establishment Information Trade name Organization Address line 1 Address line 2 City State Zip code Deceased Licensee Information First name Last name Date of death Death certificate? The deceased held the license as a - Select -Sole proprietorPartnerCorporate officerMember (LLC) Applicant Information First name Last name Email address Phone number Address line 1 Address line 2 City State Zip code Have you ever been convicted of a felony? Yes No I hereby attest that I am - Select -Surviving spouseSurviving partnerSurviving corporate officeSurviving memberSurviving next of kin If next of kin, what is your relationship to the deceased? Further, I attest that I am qualified to hold said license pursuant to the Annotated Code of Maryland, and I agree to abide by all provisions and the Rules and Regulations of the Board of License Commissioners for Anne Arundel County. Typed signature
