Form Abc-252 - Application For Liquor Licensure - Kansas Department Of Revenue
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1KANSAS DEPARTMENT OF REVENUE
DO NOT WRITE IN THIS BOX
ALCOHOLIC BEVERAGE CONTROL DIVISION
VALIDATED AMOUNTS
CASHIER
LIC. FEE
REG. FEE
APPLICATION FOR LIQUOR LICENSURE
LICENSED PREMISES
MAILING ADDRESS
(Business Location)
Business Name
Name
Address
Address
City
State
Zip Code
City
State
Zip Code
Phone Number
Phone Number
License No.
Renewal Only Expiration Date:
1.
LICENSE TYPE:
(Check the box for the type of license you are applying for)
- Class A
- Class A, Social
(
- $250
(
) - $500
Fraternal/Veterans)
500 members or less
- Class A, Social
- $1,000
- Class B
- $1,000
Reciprocal Y or N
(Over 500 members)
- Drinking Establishment
- $1,000
- Caterer - $500
- DE/Caterer - $1,500
(DE)
- Hotel/Caterer - $3,500
- Hotel - $3,000
- Retailer - $250
- Manufacturer
- Farm Winery
- Microbrewer – $250
(Check one below)
- Alcohol & Spirits - $2,500
- Distributor - $1,000
(Check one below)
- Wine - $500
- Spirits
- Wine
- Beer
- Beer –
- Non-Beverage User
(See Daily barrel Capacity)
(Check one below)
1 – 100 = $200
100 – 150 = $400
- Class 1 - $10/up to 100 Gallons
150 – 200 = $700
200 – 300 = $1,000
- Class 2 - $50/up to 1000 Gallons
300 – 400 = $1,300
400 – 500 = $1,400
- Class 3 - $100/up to 5000 Gallons
500 or more = $1,600
- Class 4 - $200/up to 10,000 Gallons
TYPE OF OWNERSHIP:
- Class 5 - $500/10,000 + Gallons
-Individual
- Corp./LLC
- Partnership/LLP
2.
REGISTRATION FEE:
New - $50
Renewal - $10
License fee and Registration fee must be submitted, as provided under K.S.A. 41-317, in a form of a
certified or cashier’s check of a bank within the State, United States Postal Money Order or cash in the
full amount of the fees. All fees are to be made payable to:
Director, Alcoholic Beverage Control
Customer Relations/Licensing
915 SW Harrison Street
Topeka, KS 66625-2073
(785) 368-8222 or Fax – (785) 296-2073
3.
BOND AMOUNTS:
•
•
Manufacturer - $25,000
Spirits Distributor - $15,000
•
•
Beer/Wine Distributor - $5,000
Non-beverage Users:
•
Microbrewery/Farm Winery - $2,000
Class 1 - $200
Class 4 - $5,000
•
Retailer - $2,000
Class 2 - $500
Class 5 - $10,000
•
On-Premise - $1,000
Class 3 - $1,000
(Clubs & DE’s)
KEEP A COPY FOR YOUR RECORDS.
ABC-252 (Rev. 3/01)
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