Permit to Import Alcoholic Beverages in Personal or Household Effects of Person Moving Residence to Virginia, as Provided in Section 4.1-310 of the Code of Virginia.

Mandatory Agreement

I swear (or affirm) that the above information is true to the best of my knowledge and the described alcoholic beverages were accumulated by me while residing at my former residence as part of my personal or household effects; that the alcoholic beverages have been in my possession for at least six months; that the alcoholic beverages are intended for the use of myself, my family and guests, and the merchandise will not be sold, dispensed or given away contrary to the law and pursuant to the Code of Virginia and Regulations of the Virginia Alcoholic Beverage Control Board.

I understand that any alcoholic beverages not meeting the above requirements may be subject to the taxes and other charges provided by law.