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Schedule S Storage And Warehouse License - Kentucky
| Schedule S Storage And Warehouse License Form. This is a Kentucky form and can be used in Licensing Alcohol Beverage Control Statewide . |
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Schedule S 01/19/10 SCHEDULE "S" STORAGE AND WAREHOUSE LICENSE LEAVE BLANK FOR ABC USE ONLY Site ID # License # _______________ $ __________ Validating # _______________ License # _______________ $ __________ Validating # ______________ Distilled Spirits Administrator's Signature of Approval _____________________________________________________ Date ___________________ Malt Beverage Administrator's Signature of 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 Liquor and Wine Storage Warehouse License?................................................................. J Yes J No If yes, list the purpose you have for this license. ___________________________________________________. KRS 243.035, 243.350 and 804 KAR 4:040 require a separate application & license for each storage location. (1)(a). Are you applying for a Bottling House Storage License?................................................................................................ J Yes J No If yes, KRS 243.035, 243.350, and 804 KAR 4:040 require applicants to be parties not otherwise entitled to store, bottle, or warehouse distilled spirits or wine but who are so authorized by the Federal government and who are required to keep as part of their permanent records, US Treasury Dept. forms. If you are applying for a Ky. Bottling House Storage license KRS 243.400 requires that a $1,000 surety bond be Provided per location. Is your surety bond attached? See attached bond example............................................. J Yes J No J 2. Are you applying for a Bonded Warehouse License to store distilled spirits or wine?......................................... If yes, under KRS 243.350 and 804 KAR 4:200 are you a distiller, who has suspended manufacturing, but continues to store distilled spirits or wine?............................................................................................ Are you applying for a Special Off-Premises Retail Beer Storage License?..................................................... If yes, 804 KAR 4:130 requires you to be a holder of a Kentucky retail beer license. List your Kentucky Retail Beer License Number ___________________________________________and list the location of your retail licensed premises: ________________________________________________________________________________. Are you applying for a Beer Distributor Storage License? ......................................................................... If yes, 804 KAR 4:140 requires you to be a holder of a Kentucky Beer Distributor's License. List your Kentucky State License Number._______________________________ and the address of your distributor's premises: ________________________________________________________________________________________. J Yes J No J Yes J No J Yes J No A/N 3. 4. J Yes J No 5. Are you applying for a Malt Beverage Warehouse License under KRS 243.040? ................................................. J Yes J No If yes, do you hold a Kentucky Brewers' License or a Kentucky Out-Of-State Brewers' License? ..............................J Yes J No If yes, list your Kentucky State ABC License Number:________________________________________________. and the address of your brewery premises: _______________________________________________________. (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 application schedule into my ABC 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 of and trafficking in alcoholic beverages. Signature of Applicant _______________________________________Title ____________________Date __________ (D). OBTAIN LOCAL ABC ADMINISTRATOR'S SIGNATURE OF APPROVAL Your Local ABC Administrator must approve this application before it is forwarded to the State ABC. Take or mail this application schedule, 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 Office in Frankfort, Kentucky. This certifies that the applicant(s) herein above named have been approved for the types of licenses 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 schedule, ABC Basic application, all attachments, and your state license fee to: Commonwealth of Kentucky Dept. of Alcoholic Beverage Control 1003 Twilight Trail Frankfort, Kentucky 40601-8400 American LegalNet, Inc. www.FormsWorkFlow.com Page 2 Schedule S 01/19/10 TYPES OF LICENSES & FEES Site ID # To determine the ABC license fee, find the license type(s) in the left column, and then move right across the table. Licenses issued 6 months or more pay of full year fee. Licenses issued less than 6 months pay one-half year fee. Attach a certified check, cashier check, or a money order for your license fees. Make payable to: KENTUCKY STATE TREASURER NO CASH! FULL YEAR FEE Pay this amount 100.00 HALF YEAR FEE Pay this amount 50.00 LICENSE TYPE J SPECIAL OFF PREMISES RETAIL BEER STORAGE 804 KAR 4:130 for Ky. licensed beer retailers PREFIX BS J DS J BEER DISTRIBUTOR STORAGE 804 KAR 4:140 for Ky. licensed beer distributors J 250.00 125.00 MBS J MALT BEVERAGE WAREHOUSE KRS 243.040 for Ky. licensed brewers J 1,000.00 500.00 SW J STORAGE WAREHOUSE STORAGE (liquor and wine) KRS 243.350 and 804 KAR 4:040 for persons who are not otherwise authorized to store or warehouse but are authorized by the Federal Government (TTB) to store and warehouse distilled spirits and wine
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