Form Abc-800 - Kansas Liquor License Application Instructions (Page 2 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

Section 5 – Appointment of Process Agent with Power of Attorney*

The Process Agent is required for LLCs, Corporations and Municipal Corporations. They must be a Kansas resident and

they are required to provide spousal information if they are married.

Enter all required information for your Process Agent.

Check the box, “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 the next Section).

If you were required to file the Irrevocable Consent to Jurisdiction, attach a copy of this form that has been

stamped “FILED” by the Kansas Secretary of State’s office and submit with your new application for liquor

license. Not required to attach for renewal applications.

NOTE: If you are an out-of-state winery applying for a Special Order Shipping license, you must appoint the Kansas

Secretary of State as your process agent by filing the Irrevocable Consent to Jurisdiction form (ABC-160) with their office.

*See Social Security Number Disclosure statement on page 4.

Section 6 – Background Qualifications

Applicants, owners and process agents must meet certain qualifications required by the Liquor Control Act and the Club

and Drinking Establishment Act.

Check the appropriate box to answer each question truthfully for all applicants you have listed in Sections 4 and

If the answer to any question is yes, you must provide an explanation on a separate page and attach to your

application.

Section 7 – Business Entity Information

GOOD STANDING. Your corporation, partnership, LLC or LLP must be in good standing with the Kansas

Secretary of State. You are required to attach a certificate of good standing which may be obtained from the

Secretary of State’s office for a fee; or, you may submit a business entity search results print from the Secretary

of State’s website at no charge. Go to:

If you do not have a corporation, partnership LLC or LLP, check the N/A box.

NOTE: If you are an out-of-state winery applying for a Special Order Shipping license, check the box, “I have filed my

Irrevocable Consent to Jurisdiction” and proceed to the business entity type section.

BUSINESS ENTITY TYPE. Check the box for your entity type and attach the required documentation to your

application as listed by your entity type.

NOTE: Corporations must be a Kansas corporation unless you are a an out-of-state winery applying for a Special Order

Shipping license, which requires filing the Irrevocable Consent to Jurisdiction (ABC-160). If you are an out-of-state winery

applying for a Special Order Shipping license, you are not required to submit documents.

Section 8 – Tax Clearance

All taxes due to the State of Kansas must be filed and paid prior to obtaining a liquor license.

Check the appropriate box to answer the question.

If you answered “Yes”, enter the confirmation number on your Tax Clearance certificate.

If you answered “No”, refer to the Application Prerequisite section on page 1 for information to obtain your

Tax Clearance certificate.

Section 9 – Premise(s) Information

Applicants must provide information regarding ownership of the proposed location. If you lease the premise, the lease

must be valid at the time of application.

Check the appropriate box for each question. If you answered “Yes” to any question, attach any required

information to your application.

If you have multiple locations, check the box “List attached for multiple locations” and attach the list to your

application.

NOTE: If you are an out-of-state winery applying for a Special Order Shipping license, you are not required to submit

documents.

Section 10 – Management Services Disclosure

Performance of management or operational services means the exercise of control by any person(s) or entity other than

the owner(s) or partners of a licensee on behalf of the licensee or its owner(s) or partners over the hiring, firing and/or

supervising of employees; ordering, inventory placement and coordinating order delivery to the store; advertising,

marketing or promotional programs enlisted, offered or utilized by the store; negotiating, entering into and/or execution of

contracts to which the store is a party; payment or authorization to pay for services provided to or purchases made by the

store; and performance of any other similar task(s) central to the operation or ability to operate the store.

Check the box to answer the question regarding use of management or operational services.

If you answered “Yes”, you must complete and attach the Management Services Information form (ABC-

807).

NOTE: Required for municipal corporations.

ABC-800 (Rev. 7.1.12)

Page 2 of 13

Form Abc-800 - Kansas Liquor License Application Instructions Page 2

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