Kansas Liquor License Application Instructions - Kansas Alcoholic Beverage Control Page 7
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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
FEIN_______________________
SECTION 7 – TAX CLEARANCE
Has the applicant obtained their Tax Clearance certificate?
Yes*
No**
*If yes, enter your Tax Clearance confirmation number:_______________________________________
**If no, you must request your Tax Clearance certificate.
To obtain your tax clearance, go to:
SECTION 8 – PREMISE(S) INFORMATION
Does the applicant own the proposed location?
Yes*
No
*If yes, attach a copy of the deed to the application. (New applicants only).
Does the applicant have a purchase agreement for the proposed location?
Yes*
No
*If yes, attach a copy of the purchase agreement to the application. (New applicants only).
Does the applicant lease the proposed location?
Yes*
No
*If yes, attach a copy of the lease to the application. (New applicants or renewal applicants with lease
changes).
Is the lease in the correct business entity name?
Yes
No
Does the lease have the correct business entity type?
Yes
No
Is the lease valid for at least 3/4 of the license year?
Yes
No
SECTION 9 – MANAGEMENT SERVICES DISCLOSURE
Are you applying for a retailer’s license?
*If yes, please answer the question below.
Yes*
No**
**If no, proceed to the next section.
Will any person/entity other than the owner(s) or partners be engaged or contracted to perform
management or operational services to the retail liquor store?
Yes*
No
*If yes, you must complete and attach the Management Services Information (ABC-807)
SECTION 10 – STATEMENT OF GROSS RECEIPTS
1
Is your business also a licensed food
service establishment as defined by K.S.A. 36-501?
Yes*
No**
*If yes, please answer the question below.
**If no, proceed to the next section.
1
Food – means any raw, cooked or processed edible substance or ingredient, other than alcoholic liquor or
cereal malt beverage used or intended to use or for sale, in whole or in part, for human consumption.
Is there a 30% requirement for food sales in your county?
Yes*
No**
*If yes, please answer the question below.
**If no, proceed to the next section.
CHECK ONE:
I am applying for a new license. I understand that I must meet the 30% food sales requirement during the next
Yes
No
year.
Yes
No
I am renewing my license. Enter the following information:
License Year: ____________ to ____________
Month/Year
Month/Year
1
Gross Receipts
: $____________________
2
Food Income
:
$____________________
Percentage of Food Income: ____________%
1
Gross Receipts for Drinking Establishments, Caterers or Hotels – includes all sales of food and beverages
sold on the premises
1
Gross Receipts for Private Clubs – includes sales of any type made on the licensed premises including food,
alcohol, membership fees, cover charges, vending machine concessions, video games and other sales.
2
Food Income – means the gross receipts from the sale of food on the licensed premises only and does not
include income derived from the sale of items mixed with alcoholic liquor or cereal malt beverage.
I have attached a true copy of the menu with current prices to my application.
Yes
No
ABC-800 (Rev. 8.5.09)
Page 7 of 8
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