Application For Alcoholic Beverage Control Manufacturer License(S) - Stateof New York Liquor Authority
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18manu-rev051217
OFFICE USE ONLY
Date
Original
Amended
LICENSE
102
APPLICATION FOR ALCOHOLIC BEVERAGE CONTROL MANUFACTURER LICENSE(S)
FILING CHECKLIST
This application is to be used by applicants seeking a license to manufacture and sell alcohol at wholesale; or a license for a custom beer,
cider and/or wine manufacturing center(s)
APPLICANTS SHOULD KEEP A COPY OF THIS APPLICATION AND THE SUPPORTING DOCUMENTS FOR THEIR RECORDS.
This checklist has been created to better assist you with the application process. All items on the checklist must be complete and accurate.
If all items in the checklist are not submitted, the application may be disapproved for Failure to Comply.
Applicants MUST submit the following Sections of the License Application when filing the application:
Application (Pages 2-3)
Bulletin #254 (signed and dated)
Right to Premises
Personal Questionnaire (for each Principal, Lender, Donor,
Joint Account Holder, etc. - signed and dated)
Landlord Identification
Financial Disclosure
Notice of Appearance (if represented by someone other than
the applicant principals)
Premises Questionnaire
Applicant's Statement (signed and dated)
Method of Operation
Submit the following Supporting Documents when filing the application:
Bond, Form L-9 (if required) signed by the applicant and expiring at the end of the initial licensing term
(Refer to the Manufacturer Fee Chart for the bond amount required)
Financial Records showing the source and availability of funds to be used for the venture
Lease/Deed/Contracts/Alternating Proprietorship Agreements (You must demonstrate rights to the premises spanning the full license period)
Premises Diagrams
(See Diagram instructions and Examples at the end of this application.)
Photo Identification for all applicant Principals (copies only)
Photos of the proposed premises (exterior and interior)
Photos of applicant principals
Proof of Citizenship for all applicant principals NOT currently licensed with the NYS Liquor Authority (ex: copy of Birth Certificate,
US Passport, Certificate of Naturalization, Permanent Resident Card)
Holding Corporation Stipulation (if the applicant company is owned or partially owned by another legal entity)
Application and filing fee (refer to the Manufacturer Fee Chart)
All Applicants MUST submit the following Supporting Documents before a license can be issued (Conditions of
Approval):
Photos of the premises showing ready to open and operate
NYS Department of State Corporate Filing Receipt
or Business Certificate from County Clerk if Sole
Certificate of Authority to Collect NYS Sales Tax
Proprietor or Partnership
(If the license type includes any retail privileges)
Assumed Name Filing Receipt (if DBA is used)
Workers' Compensation & Disability Insurance Policy numbers AND
TTB Permit or Brewer's Notice showing the premises
carrier names OR a Certificate of Attestation of Exemption from
address and appropriate type of operation
coverage
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