Name, Address and licence number of premises to which the transfer applies

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1 Clerk to the Licensing Board West Lothian Council West Lothian Civic Centre Howden South Road Livingston West Lothian EH54 6FF Legal Post: LP1 Livingston 2 APPLICATION FOR TRANSFER OF PREMISES LICENCE BY PERSON(S) OTHER THAN THE LICENCE HOLDER Licensing (Scotland) Act, 2005, Section 34 (see note 1) ALL SECTIONS OF THE APPLICATION FORM MUST BE COMPLETED. THE APPLICATION SHOULD BE ACCOMPANIED BY THE PREMISES LICENCE TO WHICH THE APPLICATION RELATES FAILURE TO COMPLETE ALL QUESTIONS, WILL RESULT IN THE APPLICATION BEING RETURNED TO YOU AND NOT PROCESSED, WHICH WILL DELAY THE APPLICATION PROCESS. THIS APPLICATION REQUIRES TO BE LODGED WITHIN 28 DAYS OF THE OCCURRENCE OF THE EVENT DESCRIBED AT QUESTION 2. QUESTION 1 PREMISES INFORMATION Name, Address and licence number of premises to which the transfer applies QUESTION 2 REASON FOR THE TRANSFER The premises licence holder, being an individual has died The premises licence holder, being an individual has become incapable within the meaning of Section 1(6) of the Adults with Incapacity (Scotland) Act, The premises licence holder, being an individual, partnership of company has become insolvent. The premises licence holder, being a person other than an individual, partnership or company has been dissolved. The business carried on in the licensed premises to which the licence relates is transferred (whether by sale or otherwise) to another person. Please provide the date of the event described above occurred and documentary evidence of your capacity to apply for this transfer (e.g. copy of power of attorney, confirmation of appointment by the Court as executor, conslusive of missives or a lease) -1-

2 QUESTION 3 TRANSFEREE INFORMATION Where the transferee is an individual, complete Sections 3(a), 3(f) and 3(g). Where the transferee is a partnership, company or club/other body, complete either Sections 3(b) or 3(c) or 3(d) and 3(e), 3(f) and 3(g). 3(a) Where the transferee is an individual, provide full name, date and place of birth, home address including postcode, contact telephone number and address 3(b) Where the transferee is a partnership, please provide full name, postal address of partnership, telephone number and address 3(c) Where the transferee is a company, please provide name, registered office and company registration number. 3(d) Where the transferee is club or other body, please provide full name, postal address of club or other body, address and preferred contact telephone number -2-

3 3(e) Where transferee is a partnership, company, club or other body, please provide the names, dates and places of birth, home addresses of connected persons, addresses and preferred contact telephone number* Continue on a separate page if necessary. * Connected person is defined in section 147(3) of the Licensing (Scotland) Act (See Guidance Note 2) 3(f) Has the applicant been refused a premises licence under section 23 of the Licensing (Scotland) Act 2005 in respect of the same premises? If YES provide full details 3(g) Has the transferee or any connected person ever been convicted of a relevant or foreign offence a *If YES provide full details For the purpose of this Act, a conviction for a relevant offence or foreign offence is to be disregarded if it is spent for the purpose of the Rehabilitation of Offenders Act 1974 Name & position (if applicable) Date of conviction or sentence Court Offence Penalty -3-

4 a In addition to any convictions held by the applicant at the time of application, applicants should also familiarise themselves with the contents of section 24(1) of the Licensing (Scotland) Act 2005 in respect of any convictions for relevant or foreign offences which they may receive during the period beginning with the making of the premises licence application and ending with determination of the application. QUESTION 4 DOES THE APPROPRIATE PREMISES LICENCE ACCOMPANY THIS APPLICATION? IF THE ANSWER IS NO, PLEASE PROVIDE A DETAILED EXPLANATION BELOW QUESTION 5 PREMISES MANAGER Will the transfer result in a change of the premises manager? If YES, you will require to make an application for variation of premises licence to intimate a new premises manager. DECLARATION BY APPLICANT OR AGENT ON BEHALF OF APPLICANT If signing on behalf of the applicant please state in what capacity. I further confirm that the contents of this application are true to the best of my knowledge and belief. IT IS A CRIMINAL OFFENCE TO MAKE A FALSE STATEMENT IN OR IN CONNECTION WITH THIS APPLICATION Signature. Print Name. Date. Telephone Contact No.. Capacity.. APPLICANT/AGENT (must delete as appropriate) Data Protection Act 1998 Information supplied on this form will be held on computer and applicants are advised that in processing this application background checks will be made which may include reference to personal data held on computer. If this form is incomplete it will be returned to you by ordinary post. The information on this form may be held on an electronic register which may be available to members of the public. This authority has a duty to protect the public funds it administers, and to this end may use the information you have provided on this form for the prevention and detection of fraud. It may also share this information with other bodies responsible for auditing or administering public funds for these purposes. -4-

5 LICENSING (SCOTLAND) ACT 2005 Application for Transfer of Premises Licence (Section 34) Guidance Notes Note 1: Section 34 (1) A person other than:- (a) the holder of a Premises Licence, or (b) an individual under the age of 18 may, within 28 days of the occurrence of any of the events specified in Section 2 of the application form, apply to the appropriate Licensing Board for the transfer to that person of the licence. (2) The application must be accompanied by: (a) the premises licence to which the application relates, or if that is not practicable, (b) a statement of the reasons for failure to produce the licence. (c) documentary evidence of your capacity to apply for the transfer in terms of question 2. Note 2: Connected Person In terms of section 147(3) of the Licensing (Scotland) Act 2005 a connected person is, in relation to a partnership, a company, a club or other body (whether incorporated or unincorporated), a connected person if the person (a) in the case of a partnership, is a partner (b) in the case of a company (i) is a director or, (ii) has control of the company (c) in the case of a club, is an office bearer of the club, (d) in any other case, is concerned in the management or control of the body. Note 3: Notification of Application Upon receipt of the application the Licensing Board must give notice of it, together with a copy of the application to the appropriate Chief Constable who must respond to the application within twenty-one days. -5-

6 Lodging of Applications under the Licensing (Scotland) Act, 2005 Applications together with a cheque or postal order for 25 can be submitted by post to:- West Lothian Licensing Board West Lothian Civic Centre Howden South Road Livingston West Lothian EH54 6FF Please do not send cash by post. There are no facilities to accept cash, cheques or postal orders at the Civic Centre. If you wish to make payment of your fee in person by cash, cheque or postal order, you should take your application to:- West Lothian Connected Arrochar House Civic Square Almondvale Boulevard Livingston West Lothian Information on fees and the supporting documents to be submitted with each application is available on-line. The link to that document is -6-

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