New Berlin, WI · Waukesha County
Intent to Surrender Alcohol Beverage License
This form records a current alcohol license holder’s voluntary intent to surrender a license when a new applicant seeks an alcohol license for the same premises.
- 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 current license holder uses this form to confirm they will relinquish the existing alcohol license when a new applicant’s license for the same premises is approved and issued. The form states that the license will not be transferred to another location in New Berlin. File it with the City Clerk’s Office when the new alcohol license application is submitted; all members listed on the Alcohol License Application must sign.
Who needs it
The current license holder for premises where a new applicant is applying for an original alcohol license must complete this form and obtain signatures from all listed members.
Why it needs a notary
The form carries a subscribed-and-sworn jurat; each current license holder signing the form must sign and swear to it before the notary.
How to get this notarized
- 1
Download The Form
Get the Intent to Surrender Alcohol Beverage License form from the City of New Berlin.
- 2
Fill In The Form
Enter the company and trade names, premises address, and class of liquor license issued.
- 3
Book An Online Notary
Arrange an online notarization for each current license holder who must sign.
- 4
Sign On Video
Each required signer signs and swears to the form during the remote notary session.
- 5
Submit To The City
File the completed form with the City Clerk’s Office when the new alcohol license application is submitted.
Preview the form
The blank PDF straight from New Berlin. 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
- Who signs the Intent to Surrender form?
- The form says all members listed on the Alcohol License Application must sign. It is for the current license holder surrendering the existing license for the premises.
- How do I file this form with the city?
- Complete the form, have every required license holder sign before a notary, and file it with the City Clerk’s Office when the new alcohol license application is submitted. Confirm with the city or village if unsure.
- Do I need to sign this form before a notary?
- Yes. The form includes a subscribed-and-sworn jurat for a notary public, so each current license holder signing should sign and swear to the form before the notary.
- Can I complete the notarization online?
- Wisconsin law, Wis. Stat. §140.145, authorizes remote notarization by a commissioned online notary. The Department of Financial Institutions administers notary services in Wisconsin.