Kentucky > Statewide > Alcohol Beverage Control > Miscellaneous
Retailers Sampling Request - Kentucky
| Retailers Sampling Request Form. This is a Kentucky form and can be used in Miscellaneous Alcohol Beverage Control Statewide . |
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ABC Form "Retailers Sampling Request" Rev. 11/15/08 Commonwealth of Kentucky DEPARTMENT OF ALCOHOLIC BEVERAGE CONTROL 1003 Twilight Trail Frankfort, Kentucky 40601-8400 (502) 564-4850 Telephone (502) 564-1442 Fax "ABC RETAILER'S SAMPLING REQUEST" KRS 244.050 (3)(a) (b) requires each holder of a Kentucky "Retailer's Sampling License" to notify this Office at least 7 days in advance before conducting a sampling event. A Sampling event is limited to a period not to exceed four (4) consecutive hours between 12 noon and 8 p.m. Each sample size shall not exceed one (1) ounce of wine, and one-half (1/2) ounce of distilled spirits. You must limit a customer to no more than six (6) wine, and two (2) distilled spirits samples per day. All samples must be provided free of charge and at your licensed premises. List the following information exactly as it appears on your license(s) License Number(s) Name of Licensee DBA. Address of Premises Telephone No. Fax No. ______________________________________________ ______________________________________________ ______________________________________________ ______________________________________________ Street City Zip code ( ( )_________________________________________ )_________________________________________ List the date(s) of your sampling(s) Beginning ___ day of ______, 20____ and ending on ____day of _______20__. List the time of your "Sampling" from _____________p.m. to ___________p.m. SIGNATURE OF LICENSEE __________________________date ___________ For official use only APPROVED effective: ________20_____and expires: __________20_____. DISTILLED SPIRITS ADMINISTRATOR ________________________________ DISPLAY THIS APPROVAL PROMINENTLY DURING YOUR SAMPLING EVENT American LegalNet, Inc. www.FormsWorkFlow.com
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