Browns Valley, MN · Traverse County
Liquor License Personal History Statement
This personal history statement collects background, employment, financial-interest, and authorization information from an individual applying in connection with an alcoholic beverage license.
- licensed online notary
- ~15 min average
- Notarized PDF emailed
What you’ll need
- Government-issued photo ID
- Webcam-enabled device (laptop or phone)
- This form, ready to upload as a PDF
What this form is
The form asks about the applicant’s identity, residences, criminal history, alcohol-industry experience, employment, other licensing, and financial interests in alcoholic beverage businesses. It also includes an authorization to release information and a sworn-and-subscribed notary block. The form states that the information is used to determine eligibility for a liquor license; check with the city about when it is required and where to submit it.
Who needs it
An individual applying in connection with an alcoholic beverage license should complete the statement and authorization, including the requested background and financial-interest disclosures.
Why it needs a notary
The final-page authorization carries a sworn-and-subscribed jurat; the person granting consent signs before the notary.
How to get this notarized
- 1
Download the Form
Get the Personal History Statement from the City of Browns Valley form page.
- 2
Complete the Statement
Fill in the requested history, licensing, financial-interest, and authorization information. Add sheets where needed.
- 3
Book an Online Notary
Schedule a session with a commissioned online notary for the final-page sworn authorization.
- 4
Sign on Video
Follow the notary’s instructions and sign the authorization during the online session.
- 5
Submit the Form
Send the completed, notarized form to the city as instructed.
Preview the form
The blank PDF straight from Browns Valley. Look it over, then upload your filled copy to start the notary session.
You’ll need ID and a webcam.
A licensed online notary will join you on video, verify your government-issued ID, witness your signature, and apply their seal. You’ll receive the notarized PDF by email when the session ends.
Frequently asked questions
- How do I get the personal history statement notarized online?
- Complete the form, then book a session with a commissioned online notary. Sign the authorization during the video session when directed, and submit the completed form as instructed.
- Do I need to sign the authorization in front of a notary?
- Yes. The final page includes a sworn-and-subscribed notary block after the authorization. Sign that page before the notary.
- Can this form be notarized remotely?
- Minnesota authorizes remote online notarization for its notaries under the Remote Online Notarization Act, Minn. Stat. §358.645. Ask the receiving office whether it accepts a remotely notarized form; confirm with the city if unsure.
- What information does the statement request?
- It asks about personal history, residences, employment, criminal and licensing history, alcohol-industry experience, and financial interests in other alcoholic beverage licenses or businesses.