Maine Retail Wholesaler Dealer License without Lobster Home » Maine » Dealer License Application Forms » Retail Wholesaler Dealer License without Lobster Apply for retail, urchin buyer. shellfish transportation, marine worm, wholesale seafood (no lobster). A brief description of the form or Application to be filled out here. Vessel Name Vessel Use / Endorsement Pleasure Commercial Official Number Confirm Official Number Part A: Applicant InformationLandings# Business Name Fed Employer ID or SS# Mailing Address of Business Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Is your physical address different from your mailing address? Yes No Physical Address Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Email LandlineCell PhoneContact Person PhonePart B: Fishery InformationWholesale Seafood License New Renew Check licenses that apply Urchin Buyer Urchin Processor Shellfish Transportation Shellfish Transportation Supplier Marine Worm Dealer Marine Worm Dealer Supplier Retail Seafood Enhanced Retail Seafood Certificate Lobster Meat Permit Number of Wholesale Seafood Vehicles and FacilitiesNumber of Shellfish Transportation Vehicles and FacilitiesNumber of Marine Worm Dealer Vehicles and FacilitiesDo you buy or intend to buy any marine species from harvesters (fishermen)? Yes No Part C: Additional InformationRegistration/Documentation Vessel Name Boat Length Primary Town of Anchorage State Federal Permit# Is this vehicle: owned leased rented Registration Plate# Make Vehicle ID No. Model Year Color Do you buy or intend to buy any marine species from harvesters (fishermen)? Yes No Are you an aquaculture facility? Yes No Do you handle mahogany quahogs? Yes No In the wholesale trade, do you buy, sell, process or transport shrimp? Yes No In the wholesale trade, do you buy, sell, process or transport herring? Yes No In the wholesale trade, do you buy, sell, process or transport dogfish? Yes No In the wholesale trade, do you buy, sell, process or transport scallop? Yes No In the wholesale trade, do you buy, sell, process or transport black sea bass? Yes No Do you sell lobster bait? Yes No Supplemental VehiclesSupplemental Vehicles Supplementals are for: Is this vehicle State Actions Edit Delete There are no Entries. Add Entry Maximum number of entries reached. Supplemental Facilities(if different from mailing address)Supplemental Facilities Wholesale or Marine Worm? Address Actions Edit Delete There are no Entries. Add Entry Maximum number of entries reached. Vessel InformationRegistration/documentation#Vessel NameBoat LengthPrimary Town of AnchorageState Part EFor Corporations or LLC's with six or fewer shareholders, please fill out the highest percentage.Last NameFirst NameDOBSS#% Name First Last Address Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code PhoneShellfish Certificates and PermitsQuantity of Shellstock Shipper PermitsQuantity of Shucker Packer PermitsQuantity of Reshipper PermitsQuantity of Depuration PermitsQuantity of Enhanced Retail PermitsQuantity of Wet Storage, Flow Through PermitsQuantity of Wet Storage, Off Shore PermitsQuantity of Wet Storage, Recirculating PermitsQuantity of Wet Storage, Recirculating. Non-DMR Testing PermitsQuantity of Buying Station PermitsQuantity of Bulk Tagging PermitsQuantity of Buying Station Permits for other species (Mussels, Oysters, Quahogs)List the license numbers of those that you are renewing: Depuration Tags: Number seals requested Contact InformationName First Last Email Enter Email Confirm Email PhoneWholesale Seafood (no lobster) Price: Wholesale Seafood Supp Price: $0.00 for each vehicle and facility: $87 each. Urchin Buyer Price: Urchin Processor Price: Shellfish Transportation Price: Shellfish Transportation Supp. Price: $173.00 for each vehicle & facility: $173 each. Marine Worm Dealer Price: Marine Worm Dealer Supp. Price: $173.00 for each vehicle & facility: $26 each.Retail Seafood Price: Enhanced Retail Seaf. Certificate Price: Lobster Meat Permit Price: Processing Fee Price: RENEWAL ADVANCED PAYMENT OPTION No Additional Years 2 year renewal 3 year renewal 4 year renewal 5 year renewal Total $0.00 Consent I agreeI CERTIFY THAT THE RECITATIONS CONCERNING THE VESSEL: NAME, TONNAGE, DIMENSIONS, PROPULSION, OWNERSHIP, HAILING PORT, RESTRICTIONS, ENTITLEMENTS, REMARKS AND ENDORSEMENTS CONTAINED IN THE CERTIFICATE OF DOCUMENTATION REMAIN ABSOLUTELY THE SAME.NAME: Type your full name to sign this secure webformSignatureCAPACITY OF PERSON SIGNING (E.G., OWNER, AGENT, TRUSTEE, GENERAL PARTNER, CORPORATE OFFICER, MEMBER) Date MM slash DD slash YYYY Authorization I agreeI agree to pay the above total amount according to the card issuer agreement and hereby authorize the charge for the total amount above for the processing of selected permits. I understand that my application will be processed in the order in which it is received by Commercial Fishing Permits Center, a private fee-for-service documentation company, not owned or operated by any governmental agency. I understand that application and processing fees are non-refundable as per Commercial Fishing Permits Center's no refund policy. I understand that submitting another application for a license or permit will supersede the current/pending application for that license or permit. I understand that Commercial Fishing Permits Center does not issue or sell any licenses or permits.Credit CardCard Details Cardholder Name Having Trouble with your card? 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