Form Abc-812 - Request For Approval Sale Of Inventory Of Alcoholic Liquor Or Cmb
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2Kansas 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
REQUEST FOR APPROVAL
SALE OF INVENTORY OF ALCOHOLIC LIQUOR OR CMB
This request must be submitted AND approved prior to transfer of any inventory. If inventory
is being sold to more than one licensee, complete and submit the ABC-812 for each
transaction.
SECTION 1 – Seller Information:
License Number:
Licensee Owner Name:
Licensee DBA Name:
Address:
City / State / Zip:
Phone:
Fax:
I request permission to sell all or part of my inventory of alcoholic beverages to the licensee listed
below.
_________________________________________
_________________________________________
Signature
Date
SECTION 2 – Purchaser Information:
License Number:
Licensee Owner Name:
Licensee DBA Name:
Address:
City / State / Zip:
Phone:
Fax:
I request permission to purchase all or part of the inventory of alcoholic beverages to the licensee
listed above.
_________________________________________
_________________________________________
Signature
Date
ABC OFFICE USE ONLY:
Date
Tax Clearance:
Yes
No
Associate:
Date
Fine Clearance:
Yes
No
Associate:
Signature of ABC Director
Date
Request for Sale:
Approved
Denied
Signature of ABC Licensing Customer Rep
Date
Licensee Notification:
Email
Fax
Mail
Page 1 of 2
ABC-812 (Rev. 11.3.11)
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Parent category: Financial