Form Abc-812 - Request For Approval Sale Of Inventory Of Alcoholic Liquor Or Cmb Page 2
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1
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
Seller License Number:
Purchaser License Number:
SECTION 3 – Inventory of Alcoholic Liquor or CMB:
For each product you are selling, enter the information below. Attach additional pages as necessary.
TOTAL
NUMBER OF
BRAND NAME
BOTTLE SIZE
SALE
BOTTLES
PRICE
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
TOTAL SALE AMOUNT
$
Page 2 of 2
ABC-812 (Rev. 11.3.11)
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Parent category: Financial