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Instructions on Completing this Application

Sections 1 and 2 – Transaction and License Category:

Trade Name: List the name under which your business will operate and as it will appear on your

outside sign, menu, etc.

Transaction Type: Tells us what type of application you are requesting. For example, if you are

applying for a transfer of ownership, place an “X” in that block.

Series Requested: ex. 1APS, 2APS, 1COP, 2COP, 4COP, 3PS

Type Requested: ex. SRX, S (Not all license series have a type)

License Category: Tells us what type of license is to be processed. Place an “X” in each box,

which applies to your application. For example, if you were applying for retail alcoholic beverages

you would place an “X” in each of those blocks. Refer to the AB&T page on DBPR’s Internet site

for the License Type data chart.

Purchasing a Temporary License: Temporary licenses are $100. (If applicable, you must

provide proof of Right of Occupancy to the premises to receive a temporary license).

Section 3 – License Information

Applicant Name: This is to include first, middle and last name(s). If you are applying as a

partnership, all partners should be listed on this line. If you are applying as a corporation, limited

partnership, or other legal entity, list the exact name as registered with the Florida Secretary of

State’s office.

Trade Name (D/B/A): List the name under which your business will operate and as it will appear

on your outside sign, menu, etc.

FEIN or Social Security Number: List your FEIN number if you pay wages to one or more

employees; otherwise list your Social Security number.

Location Address: Provide the street address of your named business, not a P.O. Box.

Mailing Address: Provide a P.O. or street address of your named business.

Resident Agent/Contact Person: List the person to whom you wish correspondence and

inquiries addressed. This person should be readily available during business hours to answer

any questions about the licensed premises.

QUESTIONS APPLY TO ALCOHOLIC BEVERAGE LICENSES ONLY

Current License Number, Series, and Type: List the license number, series and type as it

appears on the current license (i.e. BEV-5800595, 4COP, S). Not all license series have a type.

Current Business Name: List the business name as it appears on the current license.

Are you transferring this license due to revocation proceedings? Answer “Yes” or “No.” If

the answer is “yes,” and there is a personal relationship (i.e. parent, spouse, child) between the

applicant and the transferor, you must list the nature of the relationship.

Section 4 – Partner, Officer, Stockholder Information

This information is requested for all person(s) directly connected with the business unless they are

current licensees.

Section 5 – Description of Premises to be Licensed:

Trade Name D/B/A: List the business name.

Questions 1-2: Check yes or no.

Question 3: Draw a sketch of the premises to be licensed (include front, back, and side

roads/streets)

Section 6 – Sales Tax

This section must be completed by the Florida Department of Revenue on all transfer, change of location,

or amended corporate name applications.

Section 7 – Zoning

This section must be completed by the local zoning authority on all change of location, transfer with a

change of location, or increase in series applications. This application is to be taken to the Zoning

Department (City or County) that governs the location of your business.

Instructions For Completing Dbpr Abt - 6035 Form - Division Of Alcoholic Beverages And Tobacco Page 4

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