Form Abc-800 - Kansas Liquor License Application Instructions (Page 11 of 13) in pdf

Kansas Department of Revenue

Alcoholic Beverage Control Division

915 S.W. Harrison Street, Room 214

Topeka, KS 66625-3512

Phone: 785-296-7015 Fax: 866-855-5025

FEIN_______________________

SECTION 7 – BUSINESS ENTITY INFORMATION

I am applying for a Special Order Shipping license and I have filed my Irrevocable Consent to Jurisdiction with the Kansas Secretary

of State. (Proceed to business entity type).

Is your Corporation, Partnership, LLC or LLP in good standing with the Kansas Secretary of State?

Yes*

*If yes, attach a Certificate of Good Standing (requires fee) or search results print out from the

Secretary of State’s website (no charge) to the application. To print from the Secretary of State’s

N/A

website, go to:

Check one of the following business entity types:

Individual

Is the applicant a resident of Kansas?

Yes

I live in ______________________________________ county.

Corporation – Attach a copy of the Articles of Incorporation and By-Laws to your application. (New applicants only).

General Partnership – Attach a copy of the Partnership Agreement to your application. (New applicants only).

Partners live in the following county(ies):

LLC or LLP – Attach a copy of the Articles of Organization and Operating Agreement. (New applicants only).

Trust – Attach a copy of the Declaration Of Trust.

Municipal Corporation – (Requires Process Agent and Management Services Agreement).

Government – (check one):

City

County

State

Federal

Other:

SECTION 8 – 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: after saving this document

SECTION 9 – PREMISE(S) INFORMATION

List attached for multiple locations

Does the applicant own the proposed location?

Yes*

*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*

*If yes, attach a copy of the Purchase Agreement to the application. (New applicants only).

Does the applicant lease the proposed location?

Yes*

*If yes, attach a copy of the Lease to the application. (New applicants or renewal applicants with lease

changes).

Lease End Date: _______________________

Is the premise(s) owned by a city or county, or is this a stadium, arena, convention center, theater, museum,

amphitheater or other similar premises?

Yes*

*If yes, attach a copy of the Executed Agreement for alcoholic beverage services to the application.

(New applicants or renewal applicants with changes).

Executed Agreement End Date: ______________________

SECTION 10 – MANAGEMENT SERVICES DISCLOSURE

Will any person/entity other than the owner(s) or partners be engaged or contracted to perform

management or operational services?

Yes*

*If yes, you must complete and attach the Management Services Information (ABC-807)

ABC-800 (Rev. 7.1.12)

Page 11 of 13

Form Abc-800 - Kansas Liquor License Application Instructions Page 11

Related Articles

Related forms

Related Categories