South Carolina > Statewide > Department Of Revenue > Alcoholic Beverage Licensing
Application For Registration Of Beer And Wine Producer Or Importer ABL-500 - South Carolina
| Application For Registration Of Beer And Wine Producer Or Importer Form. This is a South Carolina form and can be used in Alcoholic Beverage Licensing Department Of Revenue Statewide . |
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1350 STATE OF SOUTH CAROLINA DEPARTMENT OF REVENUE ABL 500C (Rev. 2/3/12) 4449 ABL 500 Checklist: For your application to be processed you must fulfill ALL of the following requirements: ABL 500 Checklist: 1. Completed application, signed, and dated. 2. Submit fees. 3. Complete the Consent and Waiver form of the application. 4. All principals must attach a criminal records check (CRC), not more than 90 days old. If the principal has lived in SC for more than 2 years, obtain the CRC from SLED at www.sled.state.sc.us or SLED Headquarters, Criminal Records Department, 4400 Broad River Rd., P.O. Box 21398, Columbia, SC 29221. If the principal has lived in SC less than 2 years, obtain a CRC from previous state of residency AND a CRC from SLED. If principal is not a SC resident, obtain a CRC from current state of residency. 5. EFFECTIVE JULY 1, 2008: Attach completed appropriate residency status verification affidavit. Use Verification of Lawful Presence in the United States (ABL-577) for owners of sole proprietorships. Use Verification of Lawful Background for Applicant's Principal (ABL-920) for each principal, if applicant is other than a sole proprietor. Each principal, officer, owner, member, and/or partner MUST sign the appropriate form. If applicable, include his/her non-citizen alien registration number and attach a copy of all appropriate immigration documents. 6. If a winery, must attach a copy of TTB Basic Permit. 7. If a brewery, must attach a copy of TTB Brewers Notice. 8. If an importer, must attach a copy of TTB Basic Permit. 9. Upon approval of license, Wholesaler Distribution Agreement must be submitted within 60 days. 10. If applying as a corporation, please attach Articles of Incorporation. American LegalNet, Inc. www.FormsWorkFlow.com 1350 STATE OF SOUTH CAROLINA DEPARTMENT OF REVENUE APPLICATION FOR REGISTRATION OF BEER AND WINE PRODUCER OR IMPORTER File Number: ABL-500 (Rev. 2/3/12) 4270 Mail to: SC Department of Revenue, ABL Section, Columbia, SC 29214-0907 Telephone: (803) 898-5864 DOR Website: www.sctax.org PLEASE PRINT OR TYPE ALL INFORMATION Fee: $400 Biennially (Expires August 31st of even numbered years) PLEASE PRINT OR TYPE ALL INFORMATION 1. OWNER, PARTNERSHIP, OR CORPORATE CHARTER NAME 6. TRADE NAME (DOING BUSINESS AS) 2. PHYSICAL LOCATION OF BUSINESS REQUIRED (NO P.O. BOX) STREET 7. BUSINESS PHONE NUMBER CITY COUNTY (REQUIRED) STATE ZIP DAYTIME PHONE NUMBER 3. MAILING ADDRESS (FOR ALL CORRESPONDENCE) 8. FEDERAL IDENTIFICATION NUMBER AND/OR SOCIAL SECURITY NO. IN CARE OF STREET "In compliance with the Federal Privacy Act of 1974, the disclosure of an individual's social security number on this form is mandatory*. SC regulation 117-201 provides that any person required to make a return, statement or document to the Department must include identifying numbers on such return, statement or document if the Department requests such information. Social security numbers are primarily used for the purposes of identifying taxpayers and monitoring tax compliance and/or fraud." STATE ZIP CITY 4. TYPE OF OWNERSHIP COUNTY SOLE PROPRIETOR (one owner) LLC/LLP FOREIGN CORPORATION STATE INC. NON-PROFIT ORGANIZATION OTHER (EXPLAIN) PARTNERSHIP (two or more owners) SC CORPORATION DATE INC. 9. DATE OF INC. CHECK ONE: IMPORTER: BREWERY BEER WINERY WINE If the corporation is publicly traded, you must designate an officer or other person to hold the license. This person must be of good moral character, over the age 21, and a SC resident. This person should be included on the Consent and Waiver along with other principals of the corporation. Name of designated officer or other employee: TTB IMPORTER PERMIT # 5. DOES THE APPLICANT OWN OR HAVE FINANCIAL INTEREST IN A BEER OR WINE WHOLESALE OR RETAIL BUSINESS? IF SO, PLEASE SPECIFY. 42701011 American LegalNet, Inc. www.FormsWorkFlow.com I, (Name of individual or entity applying) Title hereby certify that the information contained in this application and the attached ABL-500 is true and correct to the best of my knowledge and belief. The Department of Revenue shall have the right within the Statutory limitations to audit and examine the books and records, papers and memoranda of this form with respect to the administration and enforcement of laws administered by the SC Department of Revenue and the South Carolina Law Enforcement Division. 42702019 American LegalNet, Inc. www.FormsWorkFlow.com
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