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Planned Operational (Non-Retail) ABC-257-NR-REVERSE - California

Planned Operational (Non-Retail) Form. This is a California form and can be used in Department Of Alcoholic Beverage Control Statewide .
 Fillable pdf Last Modified 5/5/2014
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Department of Alcoholic Beverage Control PLANNED OPERATION (NON-RETAIL) 1. APPLICANT NAME(S) (Last, first, middle) 2. LICENSE TYPE(S) 3. PREMISES ADDRESS (Street number and name, city, zip code) 4. PREMISES (Check all that apply) Office Warehouse Production Facility Alternating Proprietorship Tasting Room Joint Tasting Room Restaurant on Premises 5. MANUFACTURE IMPORT WHOLESALE (Distribute) Beer 6. SELL TO Wine Distilled Spirits Beer Wine Distilled Spirits Beer Wine Distilled Spirits Retailers 7. OPERATING HOURS Wholesalers Consumers Export out of California Sunday Opening Time Closing Time Monday Tuesday Wednesday Thursday Friday Saturday 8. LIST ANY BRAND NAME(S) AND TYPE(S) OF ALCOHOL PRODUCT YOU WILL MANUFACTURE/IMPORT/DISTRIBUTE 9. IF CONTRACTING WITH A MANUFACTURER TO MAKE A CUSTOM PRODUCT TO BE SOLD UNDER YOUR BRAND NAME LIST NAME AND LICENSE NUMBER OF MANUFACTURER. 10. LIST NAME(S) AND ADDRESS(ES) OF ALL SUPPLIERS OF ALCOHOLIC BEVERAGES (Street number and name, city, state, zip code) 11. ALCOHOLIC BEVERAGES WILL BE SHIPPED TO MY CUSTOMERS FROM (STREET NUMBER AND NAME, CITY, STATE, ZIP CODE) Applied-for premises Type 14 (Public Warehouse) Other (E.G.Duplicate 02) ABC License Number ABC License Number Address Address 12. ALCOHOLIC BEVERAGES WILL BE STORED AT (Street number and name, city, state, zip code) 13. BUSINESS RECORDS WILL BE MAINTAINED AT (Street number and name, city, state, zip code) 14. FEDERAL BASIC PERMIT REQUIRED FROM ALCOHOL AND TOBACCO TAX AND TRADE BUREAU (TTB)? Yes No APPLICATION DATE 15. IF APPLYING FOR TYPE 02 WINEGROWER LICENSE OR TYPE 22 WINEBLENDER LICENSE, LIST BONDED WINERY PERMIT NUMBER ISSUED BY TTB (REQUIRED) BONDED WINERY PERMIT NUMBER 16. REGISTRATION REQUIRED FROM STATE BOARD OF EQUALIZATION? Yes No REGISTRATION DATE FOR ABC USE ONLY INFORMATION PROVIDED PROVIDED BY (Name) DATE PROVIDED ABC-578 Instructions to Beer Suppliers & Out of State Beer Vendors ABC-413 Instructions to Distilled Spirits Shipper ABC-414 Distilled Spirits Shipper Agreement COMMENTS/ADDITIONAL INFORMATION ABC-257-NR (REVERSE) (03/14) American LegalNet, Inc.
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