Form Abc-160 - Instructions To Complete The Irrevocable Consent To Jurisdiction printable pdf download

Kansas Department of Revenue

Alcoholic Beverage Control Division

915 S.W. Harrison Street, Room 214

Topeka, KS 66625-3512

Phone: 785-296-7015 Fax: 785-296-7185

Instructions to Complete the Irrevocable Consent to Jurisdiction:

Pursuant to K.S.A. 41-313(b), non-resident applicants applying for a license or permit are required to file with

the Secretary of State of Kansas its irrevocable written consent that any action or garnishment proceeding may

be commenced against the applicant in the courts of this state by service of process on the resident agent. This

is a one-time requirement for the life of your license or permit.

All information must be completed and the required fee submitted or this document will not be accepted

by the Secretary of State’s Office for filing. There is a $25.00 service fee for all checks returned by your

financial institution.

Section 1 – All Applicants:

1. Applicant Name: Enter the name of your company. If your company is a corporation, you are also

required to complete Section 2.

2. Mailing Address: Enter your mailing address, city, state and zip code.

3. Phone: Enter your phone number.

4. Entity Type: Check the appropriate box for your entity type.

5. Signature and date: After reading the form, sign and enter the date you signed the form.

Section 2 – Corporation Applicants Only:

Complete this section in addition to the “All Applicants” section.

1. Certification: After reading the statement, the Secretary must print their name, sign and enter date the

date they signed form. Attach a copy of the resolution to your Irrevocable Consent to Jurisdiction.

2. Resolution: After reading the resolution, the President and Secretary must print their names, sign and

enter the date they signed the form.

Filing the Irrevocable Consent to Jurisdiction:

1. I have enclosed the $35.00 filing fee checkbox: Check the box and attach your $35.00 filing fee to the

form. Make your check payable to the Kansas Secretary of State.

2. I understand I must provide a photocopy of this form to the ABC that has been filed by the Secretary of

State checkbox: Check the box.

3. Mail your completed form with the $35.00 filing fee to:

Secretary of State

Memorial Hall, 1

Floor

120 SW 10

Ave

Topeka, KS 66612-1594

785-296-4564

Completing Your Liquor License or Permit Application:

Upon receipt of your Irrevocable Consent to Jurisdiction from the Secretary of State, please mail or fax a copy

with this letter and a copy of the file stamped Irrevocable Consent to Jurisdiction to:

Kansas Department of Revenue

Alcoholic Beverage Control Division

915 SW Harrison, Room 214

Topeka KS 66625-3512

785-296-7015

Fax: 785-296-7185

Email: ABC.Marketing.Unit@kdor.ks.gov

Contact Information:

If you need assistance completing this form, contact the Secretary of State’s office at their number listed above.

If you need assistance completing your liquor license or permit application, contact the Alcoholic Beverage

Control at their number listed above.

ABC-160 (Rev. 7.1.11)

Form Abc-160 - Instructions To Complete The Irrevocable Consent To Jurisdiction

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