Kansas Liquor License Application Instructions - Kansas Alcoholic Beverage Control Page 3
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8Kansas Alcoholic Beverage Control
Licensing Unit
915 SW Harrison Street, Room 214
Topeka, KS 66625-3512
Telephone 785-296-7015
FAX 785-296-7185
KANSAS LIQUOR LICENSE APPLICATION
FEIN_______________________
I have completed my Business Tax Application (CR-16) and will submit with my liquor license application. (New licenses only).
SECTION 1 – LICENSE APPLICATION INFORMATION
Business Mailing Address for All Licenses
Business Entity Name
Contact Person
Business Mailing Address
City
County
State
Zip
Business Phone No.
E-Mail Address
Check One:
New License
Renew License No. ________________________________
Location Information
License Type: __________________________________________________
Location DBA Name
Location Street Address
City
County
State
Zip
Business Phone No.
E-Mail Address
Check One:
New License
Renew License No. ________________________________
Location Information
License Type: __________________________________________________
Location DBA Name
Location Street Address
City
County
State
Zip
Business Phone No.
E-Mail Address
Check One:
New License
Renew License No. ________________________________
Location Information
License Type: __________________________________________________
Location DBA Name
Location Street Address
City
County
State
Zip
Business Phone No.
E-Mail Address
Check One:
New License
Renew License No. ________________________________
Location Information
License Type: __________________________________________________
Location DBA Name
Location Street Address
City
County
State
Zip
Business Phone No.
E-Mail Address
Check One:
New License
Renew License No. ________________________________
Location Information
License Type: __________________________________________________
Location DBA Name
Location Street Address
City
County
State
Zip
Business Phone No.
E-Mail Address
ABC-800 (Rev. 8.5.09)
Page 3 of 8
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