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Schedule B Beer Retail Only License - Kentucky

Schedule B Beer Retail Only License Form. This is a Kentucky form and can be used in Licensing Alcohol Beverage Control Statewide .
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Schedule ­ B 01/19/10 SCHEDULE "B" BEER RETAIL ONLY LICENSE LEAVE BLANK ­ FOR ABC USE ONLY Site ID # License Number __________________________________ $ ______________________ Validating Number ______________________________ Malt Beverage Administrator's Approval _____________________________________________________________________Date ____________ (A). Applicant's name(s) or company to be licensed ______________________________________ D.B.A. (Name of Business) ________________________________________________________ Address of premises to be licensed __________________________________________________ (B). 1. Are you applying for a Retail Beer License? ........................................ J Yes J No 2. Will you also sell gasoline or lubricating oil or work on motor vehicles? ... J Yes J No a. If yes, KRS 243.280 requires premises used for the sales of gasoline and lubricating oil or for the servicing and repair of motor vehicles must maintain an inventory of not less than $5,000 in food, groceries, and related products valued at cost. b. Do you meet this requirement? ............................ ........................ J Yes J No (C). I do hereby solemnly swear or affirm that all statements contained in this application and all attachments are true and correct to the best of my knowledge, information and belief. I incorporate this schedule into my basic application for a Kentucky alcoholic beverage license. I understand I may not begin to operate with alcohol activity until the Kentucky ABC Office has issued my license(s). I further swear or affirm I shall abide by all state and local statutes, regulations, and ordinances relating to the manufacture, sale, use or and trafficking in alcoholic beverages. Signature of Applicant ________________________Title _______________Date ___________ (D). Your Local ABC Administrator must approve this application before it is forwarded to the State ABC. Take or mail this application, the ABC Basic application, fees and all attachments to your Local ABC Administrator. Obtain their signature of approval below or make arrangements for this approval to be sent to the State ABC Dept. This certifies that the applicant(s) herein above named have been approved for the types of license applied for and for the premises above specified. SIGNATURE OF APPROVAL OF LOCAL ABC ADMINISTRATOR _________________________Date ______________ J City of ________________________________Administrator (or) the J County of __________________________________Administrator You may now forward this application, all attachments, and your state license fee to: Commonwealth of Kentucky Department of Alcoholic Beverage Control 1003 Twilight Trail Frankfort, Kentucky 40601-8400 Telephone 502-564-4850 Fax 502-564-1442 www.http://abc.ky.gov American LegalNet, Inc. www.FormsWorkFlow.com Page 2 Schedule ­ B Rev. 01/19/10 TYPES OF LICENSES & FEES Site ID # To determine the ABC license fee(s), find the license type(s) In the left column, then move right across the table to the month that the license will become effective. Check a the boxes for the type(s) of license(s) you are applying for. Attach a certified check, cashier check, or a money order. Make payable to: KENTUCKY STATE TREASURER WE MAY NOT ACCEPT CASH BY MAIL OR HAND DELIVERY!!! LICENSE TYPE PREFIX a FULL YEAR FEE Pay this amount HALF YEAR FEE Pay this amount MALT BEVERAGE RETAIL BEER KRS 243.280 B J 200.00 100.00 TOTAL KRS 243.360 requires an applicant to first advertise their intention to apply for these licenses in the newspaper please use the attached example to assist you with this requirement. (If you are currently licensed and only adding a Sunday or a supplemental bar license to your premises you are not required to run this advertisement.) Place your advertisement in the legal section of the newspaper having the largest circulation for the county or city where your premises will be located. After your advertisement has appeared in the paper, obtain a clipping from the paper and attach the Affidavit of Publication to your ABC application. The Affidavit of Publication is enclosed and should be completed by an official of the newspaper where the advertisement appeared. CHECK LIST 1. Have you attached a certified check, cashier check, money order, or credit card payable to: Ky. State Treasurer for your License? J Yes J No 2. Have you answered each question fully and checked the type(s) of license(s) you are applying for? J Yes J No 3. Have you signed your application(s) and had your signature notarized? J Yes J No 4. Have you secured the signature of approval from your local ABC Administrator on this application? Visit http://abc.ky.gov for a list of Local ABC Administrators in your area. J Yes J No 5. Have you attached a certified copy of your newspaper advertisement for this license? J Yes J No 6. Have you attached a signed copy of your lease that does not expire before your license? J Yes J No 7. Have you attached a copy of your criminal background check from the state(s) where you have resided for the past five (5) years? J Yes J No American LegalNet, Inc. www.FormsWorkFlow.com
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