ALCOHOLIC BEVERAGE OFFENSES
6
such as that prescribed by subsec-
tion (b), supported by two (2)
forms of identification showing
the purchaser to be at least twenty-
one (21) years of age;
(ii) produced a driver’s license
bearing the purchaser’s photo-
graph;
(iii) produced a photographic iden-
tification card, issued under IC 9-
24-16-1 or a similar card, issued
under the laws of another state or
the federal government, showing
that the purchaser was of legal age
to make the purchase; or
(iv) produced a government issued
document bearing the purchaser’s
photograph and showing the pur-
chaser to be at least twenty-one
(21) years of age;
(B) the appearance of the purchaser
was such that an ordinary prudent per-
son would believe the purchaser to be
of legal age to make the purchase; and
(C) the sale was made in good faith
based upon the reasonable belief that
the purchaser was actually of legal age
to make the purchase.
(2) That the permittee or the permittee’s
agent had taken all reasonable precautions
in instructing the permittee’s employees, in
hiring the permittee’s employees, and in
supervising them as to sale of alcoholic
beverage to minors.
(b) The following written statement is suffi-
cient for the purposes of subsection (a)(1)(A)(i):
PRESENTATION AND STATEMENT OFAGE FOR
PURCHASE OFALCOHOLIC BEVERAGES
I understand that misrepresentation of age to induce the sale, service, or delivery of alcoholic bever-
ages to me is cause for my arrest and prosecution, which can result in punishment as follows:
(1) Possible payment of a fine of up to $500.
(2) Possible imprisonment for up to 60 days.
(3) Possible loss or deferment of driver’s license privileges for up to one year.
(4) Possible requirement to participate in an alcohol education or treatment program.
Knowing the possible penalties for misstatement, I hereby represent and state, for the purpose of
inducing ___________________________________________________________, to sell, serve,
(Name of licensee)
or deliver alcoholic beverages to me, that I was born:_______________,___________,__________
(Month)
(Day)
(Year)
and that I am _____________________________________years of age.
Date _________________________________ Signed _______________________________
Address ______________________________
Other Identification
_____________________________________
Presented:
Signature of person who witnessed
Nonphoto driver’s license:
completion of this statement by patron:
(number & state)
_____________________________________
_____________________________________
Social Security Number _______________________________
Other ______________________________________________
___________________________________________________
___________________________________________________
