Form Abc-800 - Kansas Liquor License Application Instructions (Page 3 of 13) in pdf

Form Abc-800 - Kansas Liquor License Application Instructions Page 3

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 11 – Determination of Food Sales Requirement

Applies to applicants who are also licensed food service establishments and are located in a county that requires 30% of gross

sales to be from food sales and to Class B Clubs who have reciprocal agreements and/or multiple ownership.

Section 12 – Authorized Person

You have the option to designate an authorized person or agent with whom the ABC may discuss your license and/or application

for liquor licensure. You may also designate this person as your primary contact person.

By designating an agent with whom the ABC may discuss your license and/or application, you and, if applicable, the entity, hereby

specifically authorize the ABC to share and discuss with such agent any and all information concerning your liquor license,

application or any legal proceedings taken by the ABC against your license. You may also appoint the agent as your Process

Agent with Power of Attorney.

The designation made pursuant to this form shall be effective until the ABC receives a notice withdrawing your appointment.

Check one box.

Section 13 – Application Oath

Read the application oath, then sign the application, enter the date signed, print your name and your title.

Finalizing Your Application:

Attach all required documentation to your application and the appropriate license fee(s) and registration fee(s) for each license.

You have the following payment options:

pay the license fee and registration fee in full; or,

pay ½ the license fee and the entire registration fee

. The remaining ½ of the license fee plus a 10% surcharge

must be paid within one year or your license will automatically be cancelled. (Refer to Section 3).

make your check or money order payable to the “Kansas Department of Revenue”.

Submit your application and payment to the address on the form.

Contact Information:

Questions may be directed to the ABC Licensing Unit.

Email:

abc.licensing@kdor.ks.gov

Phone: 785-296-7015, press option #2

ABC-800 (Rev. 7.1.12)

Page 3 of 13

Form Abc-800 - Kansas Liquor License Application Instructions Page 3