Form Abl-901 - Application For Beer, Wine, And/or Liquor

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STATE OF SOUTH CAROLINA
ABL-901
DEPARTMENT OF REVENUE
APPLICATION FOR BEER, WINE,
(Rev. 11/7/01)
4280
AND/OR LIQUOR
Processing of this application normally takes six to eight weeks. If the application is denied by the department or
protested by a member of the public or law enforcement, it could take up to six months for a public hearing to be
held, and a decision made on the application.
File #:
Type of license applied for:
(
)
Off-premises beer and wine
(
)
Business (restaurant/hotel/motel) minibottle
(
)
On-premises beer and wine
(
)
Nonprofit private club minibottle
(
)
Brewpub
(
)
Retail liquor store
(
)
Wholesale beer and wine
(
)
Wholesale liquor
(
)
*7-Day beer/wine (off-premises only)
(
)
Alcoholic liqueurs (cooking license)
(
)
** Sunday/Sabbath beer and wine
(
)
Brewery/Winery
(
)
Liquor Manufacturer
SECTION I. Applicant information.
You must check and complete either A, B, or C in Section I.
(NOTE: Revealing the social security number(s) requested in this application is mandatory. Section 61-2-160 prohibits
the issuance of any permit or license if delinquent taxes are owed by the applicant or any principal. The social security
numbers are used to determine if delinquent taxes are owed. In addition, social security numbers are used to verify
identity for criminal record purposes. If you do not provide social security numbers as requested, your application will be
denied.)
A. Sole Proprietorship. Check this block if you are the sole owner of the business applying for this permit or license.
1. Owner's full name:
2. Social security number is:
Race:
Nationality:
3. Home address (list street address and city, do not list PO Box):
Email address:
4. Driver's License number:
4.(a) State of issuance:
5. Home telephone number (include area code):
6. Legal resident of the United States:
Yes
No
7. Legal S.C. resident and maintained principal place of abode in the State of S.C. since (year and date):
8. Date of birth (must be 21 years of age):
9. Have you been involved before in the sale of beer, wine, or alcoholic liquors.
Yes
No
If yes, give details in Schedule A.
10. Have you had revoked or suspended, in this or any other state, any license to sell beer, wine, or alcoholic liquors.
Yes
No
If yes, give details in Schedule A.
11. Do you have any financial interest of any kind in any other tier of the beer, wine, or alcoholic beverage industry? (For
example, if you are seeking a retail beer and wine permit, do you have a financial interest of any kind in a beer and
wine wholesale business or a brewery?)
Yes
No
If yes, give details in Schedule A.
12. Does an entity or person who works for or has an ownership or financial interest in another tier of the beer, wine or
alcoholic beverage industry have any type of financial interest in your business?
Yes
No
If yes, give
details in Schedule A.
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Parent category: Financial