Maryland Statutes
Subtitle 5 - Conduct of Local License Holders
Section 4-506 - Evidence of Purchaser's Age

(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


IDENTIFICATION (CHECK ALL SHOWN)
DESCRIPTION OF PURCHASER
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.
        (2)    The license holder or an employee of the license holder shall record all information required by each section of the form.


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)




Height
Weight
Color of Eyes
Color of Hair
Outstanding Features




Seller’s Signature



Print full name
Street address
City
State
Signature