STATE OF WISCONSIN
Town of ________
________ County
________ ________, of the Town of ________, ________ County, Wisconsin, [spouse or personal representative or trustee or receiver] of ________ ________ [the current licensee], having filed with the undersigned, town clerk, an application for a person-to-person transfer of the [intoxicating liquor or fermented malt beverage] license to sell [describe class of license] at [describe premises] from ________ ________, the current licensee now [disabled or deceased or assigning for the benefit of creditors or subject to bankruptcy proceedings], to ________ ________, [spouse or personal representative or trustee or receiver] of ________ ________, we hereby transfer the license from ________ ________ the current licensee, to ________ ________, [spouse or personal representative or trustee or receiver] of ________ ________.
Dated this ______ day of ________, 20__.
[Signatures of town board]
Attest: [Signature of town clerk]
