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Notice_of_nonrenewal_revocation_or_suspension_of_license 125.12 (2), (3) * Notice of nonrenewal, revocation, or suspension of license.

STATE OF WISCONSIN
Town of ________
________ County

To ________ ________:

It appearing to the Town Board of the Town of ________, ________ County, Wisconsin, from the evidence presented that you sell [describe type of sale, as in license] in the town under a Class [A or B or C] license and that you violated [chapter 125, Wis. stats. and/or the following regulation adopted under s. 125.10, Wis. stats.: [specify violation as in complaint and nonappearance, if applicable], you are notified that your license is [revoked or suspended for ____ days or not renewed].

Dated this ______ day of ________, 20__.

[Signatures of town board]

Attest: [Signature of town clerk]