Vendor Registration Forms

Wines and spirits sold in the state of Mississippi must be sold through the Alcohol Beverage Control Division of the State Tax Commission.

Mississippi statute grants the State Tax Commission the sole right to import and sell wines containing greater than 5% alcohol by weight and distilled spirits containing greater than 4% alcohol by weight at wholesale within the state.

The forms below are provided for the purpose of registering as a supplier of alcoholic beverages to the Mississippi Alcohol Beverage Control.   The following forms are in PDF format.

• Registration of Manufacturers Employees/Brokers Workers in State
• Statement of Monies Paid
• Registration of Manufacturers Representative or Control States Manager
• Resolution Designation Mississippi Agent Under MS Code
• Registration with Secretary of State Office 
• Bailment Agreement
• Power of Attorney
• W9
• Quotation Form [ PDF ] [ Excel ]

Mississippi requires all vendors, unless specifically exempt, to pay via the PayMode electronic payment solution. 

Vendors have sixty days from becoming a vendor of the State of Mississippi to register for PayMode.  After this period has expired, the Mississippi Department of Finance and Administration will not process payments from the Mississippi Alcohol Beverage Control to the vendor. 

• To enroll:  www.bankofamerica.com/paymode/mississippi/ .  The telephone number for PayMode is 1(877)433- 6944 if additional assistance is needed.
• Vendors who choose to file for an exemption must complete "Mandatory E-Payment Exemption Request" form.  Please mail the form to the following address, or fax to the Mississippi Department of Finance and Administration at (601) 359-3896.  
  

        Mississippi Department of Finance and Administration

        Office of Fiscal Management

        Attention:  Leila Malatesta

        501 North West Street

        Suite 701

        Jackson, MS 39201