Form Abc-828 - Kansas Packaging And Warehousing Facility Permit Application And Agreement
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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: 785-296-7185
Packaging and Warehousing Facility Permit Application and Agreement Instructions
Who Can Apply for This permit?
This permit is available to any manufacturer or supplier of alcoholic liquor or cereal malt beverage, whether licensed in this
state or any other state.
Requirements to Obtain a Kansas Packaging and Warehousing Facility Permit:
A.
Packaging and Warehousing Facility Permit Application and Agreement (ABC-828).
B.
$2500.00 annual permit fee.
C. Request for Premises Approval (ABC-806).
D. Irrevocable Consent to Jurisdiction form (ABC-160). If your company is not located in Kansas, you are required to file
the Irrevocable Consent to Jurisdiction form (ABC-160) with the Kansas Secretary of State. The Secretary of State’s
Office will return to you a copy of the ABC-160 form that has been stamped “FILED”. You must then provide the ABC
with a copy that has been stamped “FILED” along with your Application and Agreement.
E.
Copy of your Basic Permit or Brewer’s Notice.
F.
Copy of your valid Manufacturer or Supplier license in this state or any other state.
Completing the ABC-828 Kansas Packaging and Warehousing Facility Permit Application and Agreement:
1.
Permit Type.
a.
New Permit. Check the “New Permit” box if you do not have a Kansas Packaging and Warehousing Facility Permit
or if your Kansas Packaging and Warehousing Facility Permit has been expired for more than 30 days.
b.
Renew Permit. Check the “Renew Permit” box to renew your current Kansas Packaging and Warehousing Facility
Permit.
2.
Check your appropriate “Application Entity Type”, complete, sign and date the Kansas Packaging and Warehousing
Facility Application and Agreement form, print your name and title.
3.
Make a copy of the completed Packaging and Warehousing Facility Permit Application and Agreement. Retain the copy
for your records.
4.
Complete the attached Packaging and Warehousing Facility Permit Voucher.
a.
New Permit. Check the “New Permit” box, enter the name as it appears on the Packaging and Warehousing Facility
Permit Application and Agreement and the date completed. Attach a copy of your Federal Basic Permit or Brewer’s
Notice, a copy of your valid Manufacturer or Supplier license and a copy of the Filed Irrevocable Consent to
Jurisdiction (ABC-160) if your business is not located in Kansas.
b.
To Renew Permit. Check the “Renew Permit” box, enter your Supplier Name, Packaging and Warehousing Facility
Permit Number and the date completed and attach a copy of your valid Manufacturer or Supplier license.
5.
Make your check payable to the “Kansas Department of Revenue” and attach it to the completed Packaging and
Warehousing Facility Permit Voucher below.
6.
Return the original completed Packaging and Warehousing Facility Permit Application and Agreement and the $2500.00
Packaging and Warehousing Facility Permit fee to the ABC Marketing Unit with the required documentation.
To obtain additional information, visit our website at:
Direct your questions to the Marketing Unit at 785-296-7015 or email to ABC.Marketing.Unit@kdor.ks.us
Detach and Return with Payment
KANSAS ALCOHOLIC BEVERAGE CONTROL DIVISION
PACKAGING AND WAREHOUSING FACILITY PERMIT FEE VOUCHER
Applicant DBA Name:
$2500.00 Permit Fee Enclosed (CLPR)
New Permit
Attach the following:
Request for Premises Approval (ABC-806)
Copy of your Federal Basic Permit or Brewer’s Notice
Copy of your filed Irrevocable Consent to Jurisdiction (ABC-160)
Not required (Company is located in Kansas)
Copy of your valid Manufacturer or Supplier license
Renew Permit Number: 25 - ________________________
Attach a copy of your valid Manufacturer or Supplier license
ABC-828 (Rev. 7.1.11)
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