(a) A license holder or an employee of the license holder may require an individual to sign a book that the license holder keeps if: (1) the individual has shown documentary evidence that substantiates the individual's age to allow the purchase of alcoholic beverages; and (2) the age of the individual remains in question. (b) (1) The book authorized under subsection (a) of this section shall contain copies of the following form: Date............... 20.... To Be Filled in by Seller ____________________________________________________________________________ x ____________________________________________________________________________ x IDENTIFICATION (CHECK ALL SHOWN) ____________________________________________________________________________ x Driver's License ............................................................................................................. □ Army I.D. Card ................................................................................................................................ □ Birth Certificate □ Coast Guard I.D. Card ...................................................... □ Service Discharge ....................................................................................................................... □ Marine I.D. Card ................................................................................................................................ □ Draft Card □ Navy I.D. Card ............................................................................. □ Air Force I.D. Card ........................................................................................................ □ Other (Specify) .............................................................................................................. x ____________________________________________________________________________ x ____________________________________________________________________________ x DESCRIPTION OF PURCHASER ____________________________________________________________________________ x Height ............................................................................................................................... .............................................................................................................................. Weight ........................................................................................................................................ x Color of Eyes Color of Hair ................................................................................................................................ x Outstanding Features.................................................................................................... x ........................................................................................................................................ x ........................................................................................................................................ x ........................................................................................................................................ x ........................................................................................................................................ x Seller's Signature ........................................................................................................... x ____________________________________________________________________________ x ____________________________________________________________________________ x To Be Filled in by Prospective Purchaser I declare I am of legal age to purchase fermented malt beverages or intoxicating liquor, and that I am subject to arrest and prosecution for misrepresenting my age. Print full name ............................................................................................................... x Street address ................................................................................................................ x City ................................................................................................................................... State ............................................................................................................................... x Signature ........................................................................................................................ x (2) The license holder or an employee of the license holder shall record all information required by each section of the form.
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