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APPENDIX II.

OFFICIAL FORMS

PRESCRIBED BY THE SECRETARY OF STATE IN PURSUANCE OF SECTION 48 OF THE LICENSING ACT, 1872.

1. FORM OF GRANT OF A NEW LICENCE, AND CONFIRMATION OF SUCH GRANT.

(LICENSING ACT, 1872.)

AT the general annual licensing meeting [or an adjournment of the general annual licensing meeting], holden at

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(a.) We, being

on

187 for the division of

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of the justices acting for the said division, and being the majority of those at the said meeting assembled,

or,

(b.) We, being the majority of the members present of the Borough Licensing Committee, appointed for the said borough in pursuance of the Licensing Act, 1872,

(c.) We, being

or,

of the justices of the said borough, and being the majority of those at the said meeting assembled, Hereby grant unto A.B., of [here insert a licensed victualler, beerhouse keeper, coffee house keeper, confectioner, eating house keeper, licensed dealer in spirits, a refreshment house keeper, a wholesale spirit dealer, the holder of a strong beer licence, or as the case may be], this licence authorizing him to apply for and hold [Here insert A., or

B., or C....... or M., as in the Appendix, p. 204, as the case may be.]
The owner of the premises in respect of which this licence is granted is
M.N., of

This licence shall be in force from the

day of

Witness our hands.

day of

until the

[Signatures of justices.](a)

(a) A licence may be authenticated by an official seal in lieu of signatures (35 & 36 Vict. c. 94, s. 40, sub-sect. 3, applying 33 & 34 Vict. c. 29, s. 4, sub-sect. 2). In that case insert, instead of " witness our hands ""Given under the official seal of the said justices in sessions assembled, which seal is hereto affixed in their presence by me, C.D., Clerk of the licensing justices," or as the case may be.

AT a meeting holden at

(Confirmation.)

on the

day of

(a.) We, being the majority of members present of the county licensing committee, appointed for the said county in pursuance of the Licensing Act, 1872, do hereby confirm the grant of the above licence.

Witness our hands (a)

(b.) We, being

or,

of the justices of the said borough, and being the majority of those at the said meeting assembled, do hereby confirm the grant of the above licence.

Witness our hands (a)

or,

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(c.) We, being the majority of the members present of the joint committee, appointed for the said borough in pursuance of the Licensing Act, 1872, do hereby confirm the grant of the above licence. Witness our hands.

[Signatures of justices.] (a)

2. FORM OF RENEWAL OF A LICENCE, 35 & 36 VICT. c. 94,

S. 74.

(LICENSING ACT, 1872.)

AT the general annual licensing meeting [or an adjournment of the general annual licensing meeting] holden at

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(a.) We, being

, on the

in the county of

of the justices acting for the said division, and being the majority of those at the said meeting assembled,

or,

(b.) We, being of the justices of the said borough, and being the majority of those at the said meeting assembled, Hereby grant unto A.B., of [here insert a licensed victualler, beerhouse keeper, coffee house keeper, confectioner, eating house keeper, licensed dealer in spirits, a refreshment house keeper, a wholesale spirit dealer, the holder of a strong beer licence, or as the case may be], this renewal licence, authorizing him to apply for and hold

[Here insert A., or B., or C...........or M., as in the Appendix, p. 204, as the case may be.]

The owner of the premises in respect of which this licence is granted is M.N., of

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[Signatures of justices.] (a)

(a) A licence may be authenticated by an official seal in lieu of signatures (35 & 36 Vict. c. 94, s. 40, sub-sect. 3, applying 33 & 34 Vict. c. 29, s. 4, sub-sect. 2). In that case insert, instead of "witness our hands" _66 Given under the official seal of the said justices in sessions assembled, which seal is hereto affixed in their presence by me, C.D., Clerk of the licensing justices," or as the case may be.

3. THE SAME BY WAY OF ENDORSEMENT, 35 & 36 VICT. c. 94,

s. 48 (2).

(To be endorsed on the licence, or on a copy thereof.)

At the general annual licensing meeting [or an adjournment of the general annual licensing meeting] holden at

day of of (a.) We, being

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for the division of [or for the borough of

]:

on the in the county

of the justices acting for the said division, and being the majority of those at the said meeting assembled,

(b.) We, being

or,

of the justices of the said borough, and being the majority of those at the said meeting assembled,

Hereby renew the licence within contained, and such licence as renewed shall be in force until the

day of

The owner of the premises in respect to which the licence is granted is M.N., of

Witness our hands.

[Signatures of justices.] (a)

4. FORM OF TRANSFER LICENCE GRANTED AT SPECIAL SESSIONS, IN PURSUANCE OF 9 GEO. 4, c. 61, s. 4.

AT a special sessions holden at

for the division of

borough of

(a.) We, being

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in the county of

[or, for the

]:

of Her Majesty's justices of the peace acting in and for the said division, and being the majority of those at the said sessions assembled,

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Hereby, pursuant to sect. 4 of the Intoxicating Liquor Licensing Act, 1828, and the Acts amending the same, license one C.D., of transfer to him* the licence now held by A.B., of licensed victualler, beerhouse keeper, coffee house keeper, confectioner, eating house keeper, licensed dealer in spirits, a refreshment house keeper, a wholesale spirit dealer, the holder of a strong beer licence, or as the case may be], and granted on the last, authorizing him

to hold

day of

[Here insert A., or B., or C.........or M., as in the Appendix, p. 204, as the case may be.]

*[If by endorsement, say from the asterisk,* the licence within contained now held by the within-named A.B.]

(a) A licence may be authenticated by an official seal in lieu of signatures (35 & 36 Vict. c. 94, s. 40, sub-sect. 3, applying 33 & 34 Vict. c. 29, 8. 4, sub-sect. 2). In that case insert, instead of "witness our hands "Given under the official seal of the said justices in sessions assembled, which seal is hereto affixed in their presence by me, C.D., Clerk of the licensing justices, or as the case may be.

And we hereby authorize the said C.D. to apply for and hold [in the case of alehouses insert, any of the said excise licences, as now held, as well as those which were not held by the said A.B.-in other cases insert, the said excise licence so held by the said A.B.]

This transfer to be in force from this day until the
Witness our hands.

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(a.) We, being

of the justices acting for the said division, and

being the majority of those at the said sessions assembled,

(b.) We, being

or,

of the justices of the said borough, and being

the majority of those of the said sessions assembled,

Hereby, pursuant to sect. 14 of the Intoxicating Liquor Licensing Act, 1828, and the Acts amending the same, grant unto A.B., of [here insert a licensed victualler, beerhouse keeper, coffee-house keeper, confectioner, eating-house keeper, licensed dealer in spirits, a refreshment house keeper, a wholesale spirit dealer, the holder of a strong beer licence, or as the case may be], this licence authorising him to apply for and hold

[Here insert A., or B., or C. as the case may be.]

...

or M., as in the Appendix, p. 204, or

The owner of the premises in respect of which this licence is granted is M.N., of

This licence shall be in force from the day of

the

Witness our hands,

day of

until

[Signatures of justices.] (a)

APPENDIX containing descriptions of the several Licences (for insertion in the previous skeleton Forms.)

A. ALEHOUSE LICENCE (ON OR OFF).

Any of the excise licences that may be held by a publican for the sale by retail, at a house situated at known by the sign of the

(a) A licence may be authenticated by an official seal in lieu of signatures (35 & 36 Vict. c. 94, s. 40, sub-sect. 3, applying 33 & 34 Vict. c. 29, s. 4, sub-sect. 2). In that case insert, instead of "witness our hands "Given under the official seal of the said justices in sessions assembled, which seal is hereto affixed in their presence by me, C.D., clerk of the licensing justices, or as the case may be.

premises.

of intoxicating liquor, to be consumed either on or off the

If the licence be a six-day licence add as a separate paragraph: The premises in respect of which this licence is granted shall be closed during the whole of Sunday.

B. BEERHOUSE LICENCE (OFF).

An excise licence to sell by retail at a house situated at

beer,

to be consumed off the premises, in pursuance of the Act 11 Geo. 4 & 1 Will. 4, c. 64, and Acts amending the same.

C. BEERHOUSE LICENCE (ON OR OFF).

An excise licence to sell by retail at a house situated at

beer,

to be consumed either on or off the premises, in pursuance of the Act 11 Geo. 4 & 1 Will. 4, c. 64, and the Acts amending the

same.

If the licence is a six-day licence add as a separate paragraph:

The premises in respect of which this licence is granted shall be closed during the whole of Sunday.

D. CIDER AND PERRY LICENCE (ON OR OFF).

An excise licence to sell by retail at a house situated at

cider

and perry, to be consumed either on or off the premises, in pursuance of the Act 11 Geo. 4 & 1 Will. 4, c. 64, and Acts amending the same. If the licence is a six-day licence add as a separate paragraph :

The premises in respect of which this licence is granted shall be closed during the whole of Sunday.

E. ADDITIONAL LICENCE TO STRONG BEER DEALERS.

An additional excise licence to sell by retail at a house situated at beer, to be consumed off the premises, in pursuance of the Act 26 & 27 Vict. c. 33, s. 1.

F. TABLE BEER LICENCE (OFF).

An excise licence to sell by retail at a house situated at

table

beer, to be consumed off the premises, in pursuance of the Act 24 & 25 Vict. c. 21, s. 3.

G. WINE LICENCE TO SHOPKEEPER (OFF).

An excise licence to sell by retail at a shop situate at

wine, to

be consumed off the premises, in pursuance of the Act 23 Vict. c. 27, s. 3, and Acts amending the same.

H. LICENCE FOR WINE TO A REFRESHMENT HOUSE KEEPER, CONFEC

TIONER, OR EATING HOUSE KEEPER (ON OR OFF).

An excise licence to sell by retail at a house situated at

wine,

to be consumed either on or off the premises, in pursuance of the Act 23 Vict. c. 27, ss. 7 and 8, and Acts amending the same.

If the licence is a six-day licence add as a separate paragraph:

The premises in respect of which this licence is granted shall be closed during the whole of Sunday.

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