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Indiana Alcohol & Tobacco Commission (ATC) County Verification of Business Location - State Form 44184 (R5/12-11)

On December 1, 2010, the Marion County Surveyor's Office started processing the ATC Verification of Business Location forms for Marion County per Indiana State Statute.  This verification form is required for new and transfer permits as per the ATC cover letter (see link below)

Which states –   “An applicant for a New or Transfer permit must also submit the County Verification of Business Location (state form 44184).”​


Please be advised:  Effective Immediately

The ATC Verification of Business Location Form has been updated by the Alcohol & Tobacco Commission.  

Please be sure to submit the new form for processing:

County Verification of Business Location, 

State Form 44184 (R5/12-11)

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To Submit this form the Marion County Surveyor's Office - 

    1. Please complete the top line only with the full street address for the property you are applying for.   Location Verification form​
    2. Complete the Supplemental Information Form.Supplemental Information.pdf​
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Return both documents to the Marion County Surveyor's Office: by fax, email or in person.
        • ​​​​​Fax: 327-4146
        • Email: deborah.fitzpatrick@indy.gov

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While we try to process these forms in a timely manner, the time taken is dependent upon the availability of the County Surveyor and staff and can take up to several days.   Please allow adequate time for this form to be processed.

Please note:  The Marion County Surveyor’s office does not make any decisions regarding your permit or the boundaries of the special fire district.  Any questions you may have regarding your permit application or the boundaries of the Special Fire District should be directed to the ATC.

ATC website

ATC Cover Letter

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Additional Resources