Form Abc-808 - Designation Of Agent And/or Process Agent With Power Of Attorney
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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
Designation of Agent and/or Process Agent With Power of Attorney
Explanation:
You have the option to designate an agent with whom the ABC may discuss your license and/or
application for liquor licensure.
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 or another person 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
that appointment.
Prerequisite:
To appoint an Agent and/or Process Agent with Power of Attorney, you must be:
•
an individual who holds a liquor license; or,
•
if you are part of an entity that holds a liquor license, you must have the authority to designate an
agent on the entity’s behalf.
The Process Agent must be a Kansas resident.
INSTRUCTIONS TO COMPLETE THE LIQUOR LICENSE DESIGNATION OF AGENT:
1. Enter your FEIN In the space provided in the upper right corner.
2. Section 1 – Licensee Information
a. Enter your license information as required.
b. TITLE. Check the applicable box.
Section 2 – Designation of Agent
a. Read the statement and check the appropriate box.
1. If you checked “Yes”, complete the requested information.
2. If you checked “No”, proceed to Section 3.
Section 3 – Appointment of Process Agent with Power of Attorney
a. Read the statement and check the appropriate box.
1. If you checked “Yes”, complete the requested information.
2. If you checked “No”, proceed to instruction #3.
3. Read the sworn statement, then the licensee and agent/process agent must sign and date the form.
4. Submit the executed form to the ABC at the address on the form.
If you have questions or need assistance, please contact the ABC Licensing Unit by email at
abc.licensing@kdor.ks.gov or by phone at 785-296-7015.
ABC-808 (Rev. 8.14.11)
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