Instructions For Transfer Application Officers Of An On-Premises Retailer Club Alcoholic Beverage Permit Page 2

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APPLICATION INSTRUCTIONS
Please read these instructions prior to completing this application for a transfer in
officers of your club permit. These instructions, along with information printed on
certain forms, if followed will allow you to file a complete document thus reducing
the amount of processing time required to d etermine your eligibility.
The application immediately follows these instructions.
First, complete SECTION I - STATEMENT OF OWNERSHIP. This form will
show all of the officers of your establishment.
Next, complete the PERSONAL RECORD (Form 1001) for each new officer.
Attach to these forms two (2) properly executed fingerprint cards for each
personal record form submitted.
ABC collects a pass-along fee for fingerprint card processing by the Federal
Bureau of Investigation.
This fee is due and payable with the application
submission. This fee is $24.00 per person. Make your money order or cashier’s
check payable to ABC FF.
YOUR MISSISSIPPI STATE INCOME TAX FILING STATUS WILL BE
VERIFIED FOR THE PAST THREE (3) YEARS.
THIS OFFICE ALSO
REPORTS TO THE INTERNAL REVENUE SERVICE THAT YOU HAVE
APPLIED FOR A PERMIT. IF YOU HAVE FAILED TO FILE YOUR FEDERAL
OR STATE RETURNS WHEN DUE, YOU MAY CONTACT THE IRS AND/OR
STATE TAX COMMISSION OFFICE IN YOUR AREA FOR ASSISTANCE.
WHEN YOU HAVE FILED ALL LATE RETURNS AND PAID ANY TAXES DUE,
PLEASE REQUEST THE STATE TAX COMMISSION TO CONTACT OUR
OFFICE TO VERIFY THAT YOUR FILING STATUS IS CURRENT. WE MUST
HAVE THIS VERFICATION IN ORDER TO CONTINUE PROCESSING YOUR
APPLICATION.
Last, review your application to be sure that you have completed it properly.
Send your application forms to:
ALCOHOLIC BEVERAGE CONTROL
PERMIT DEPARTMENT
P.O. BOX 540
MADISON, MS. 39130-0540
IF YOUR NEED ASSISTANCE, CALL ABC PERMIT DEPT. (601) 856-1330.

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