Partnership, Firm Or Association Application For License To Sell Cereal Malt Beverages Page 3
Download a blank fillable Partnership, Firm Or Association Application For License To Sell Cereal Malt Beverages in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete Partnership, Firm Or Association Application For License To Sell Cereal Malt Beverages with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
1
2
3SECTION 6 – QUALIFICATION FOR LICENSURE
Applies to each partner or member of a firm or association AND their spouses.
1
Are all persons identified in Sections 4 & 5 are Citizens of the United States
?
Yes
No
Have all persons identified in Sections 4 & 5 have been a resident of Kansas for at least one
Yes
No
2
year prior to application
?
Have all persons identified in Sections 4 & 5 been residents of this county for at least six
Yes
No
3
months
?
4
All persons identified in Sections 4 & 5 are at least 21 years old
?
Yes
No
Within 2 years immediately preceding the date of this application, have any of the persons
identified in Sections 4 & 5 have been convicted of, released from incarceration for or released
from probation or parole for any of the following crimes:
Yes
No
(1) Any felony; (2) a crime involving moral turpitude; (3) drunkenness: (4) driving a motor
vehicle while under the influence of alcohol (DUI); or (5) violation of any state or federal
intoxicating liquor law.
Does the partnership, firm or association have a manager, officer or director who was an officer,
manager, director or stockholder owning in the aggregate more than 25% of the stock of a
Yes
No
corporation that had a CMB license revoked or was convicted of a violation of the Club and
Drinking Establishment Act or the CMB laws.
Has the spouse of any partner or member been convicted of any of the crimes identified in
Yes
No
Section 6 during the time the spouse held a CMB license?
SECTION 6 – DURATION OF SPECIAL EVENT
Start Date
Time
AM
PM
End Date
Time
AM
PM
I declare under penalty of perjury under the laws of the State of Kansas that the foregoing is true and
correct and that I am authorized by the partnership/firm/association to complete this application.
(K.S.A. 52-601)
SIGNATURE _________________________________________________ DATE ______________________
Print Form
FOR CITY/COUNTY OFFICE USE ONLY:
License Fee Received Amount $____________ Date ____________
($25 - $50 for Off-Premise license or $25-200 for On-Premise license)
$25 CMB Stamp Fee Received Date ____________
Background Investigation
Completed Date _____________
Qualified
Disqualified
New License Approved Valid From Date _____________ to _____________ By: _____________
License Renewed
Valid From Date _____________ to _____________ By: _____________
Special Event Permit Approved
Valid From Date _____________ to _____________ By: _____________
A PHOTOCOPY OF THE COMPLETED FORM, TOGETHER WITH THE STAMP FEE REQUIRED BY K.S.A. 41-2702(e), MUST BE
SUBMITTED WITH YOUR QUARTERLY REPORT (ABC-307) TO THE ALCOHOLIC BEVERAGE CONTROL, 915 SW HARRISON
STREET ROOM 214, TOPEKA, KS. 66625-3512.
1
Spouse not required to be U.S. citizen. K.S.A. 41-2703(b)(9)
2
Spouse not required to be Kansas resident. K.S.A. 41-2703(b)(9)
3
Spouse not required to be a resident of the county. K.S.A. 41-2703(b)(9)
4
Spouse not required to be over 21 years of age. K.S.A. 41-2703(b)(9)
Page 3 of 3
AG CMB Partnership, Firm or Association Application (Rev. 07.08.2013)
ADVERTISEMENT
0 votes
Related Articles
Related forms
Application For License To Sell Fireworks At Wholesale - Department Of Public Safety Division Of Fire Prevention
Legal
64-029 - Application For License To Sell Nursery Stock - State Of California, Department Of Food And Agriculture
Legal
Related Categories
Parent category: Business