Texas > Statewide > Alcoholic Beverage Commission

Application For Retailers Permit Or License L-101-A - Texas

Application For Retailers Permit Or License Form. This is a Texas form and can be used in Alcoholic Beverage Commission Statewide .
 Fillable pdf Last Modified 2/6/2008
Get this form for FREE as a print-only pdf

APPLICATION FOR RETAILER'S PERMIT OR LICENSE ISSUE DATE FEE SURCHARGE Form L-101-A (1/2004) LATE FEE (RENEWAL ONLY) TABC USE ONLY 1A. APPLICATION FILED FOR: BG WINE AND BEER RETAILER'S PERMIT BE BQ BF BL BP V Y P Q LP E ET BEER RETAIL DEALER'S ON-PREMISE LICENSE WINE AND BEER RETAILER'S OFF-PREMISE PERMIT BEER RETAIL DEALER'S OFF-PREMISE LICENSE RETAIL DEALER'S ON-PREMISE LATE HOURS LICENSE BREWPUB LICENSE WINE & BEER RETAILER'S PERMIT FOR EXCURSION BOATS WINE & BEER RETAILER'S PERMIT FOR RAILWAY DINING CAR PACKAGE STORE PERMIT WINE-ONLY PACKAGE STORE PERMIT LOCAL DISTRIBUTOR'S PERMIT LOCAL CARTAGE PERMIT LOCAL CARTAGE TRANSFER PERMIT Registry No. PS N NB NE NL PE MB LB MI CB FB RM PACKAGE STORE TASTING PERMIT PRIVATE CLUB REGISTRATION PERMIT PRIVATE CLUB BEER AND WINE PERMIT PRIVATE CLUB EXEMPTION CERTIFICATE PERMIT PRIVATE CLUB LATE HOURS PERMIT BEVERAGE CARTAGE PERMIT MIXED BEVERAGE PERMIT MIXED BEVERAGE LATE HOURS PERMIT MINIBAR PERMIT CATERER'S PERMIT FOOD AND BEVERAGE CERTIFICATE MIXED BEVERAGE RESTAURANT PERMIT WITH FB B. Application is for: Original Renewal Renewal Change Change of TABC USE ONLY RETAILERS C. If renewal or change, enter license/permit no(s). D. If applying for subordinate only, enter primary license/permit no. 2A. Applicant is: Individual Partnership Limited Partnership Limited Liability Partnership Corporation Limited Liability Company Other Unincorporated Association of Persons (Private Clubs Only) B. Indicate primary business at this location: 01-Restaurant 02-Bar 03-Sexually Oriented 04-Sporting Arena, Civic Center, Hotel 05-Miscellaneous 06-Grocery/Market 07-Liquor Store 08-Gas Station 10-Pari-mutuel Wagering 11-Convenience Store with Gas 12-Convenience Store without Gas FUNC. CODE BUS. TYPE TRADE CODE C. Does applicant require employees to attend an agency-approved seller training course? ............... D. Is live music featured two or more times per week? ................................................................ E. Has the proposed licensed location been reviewed for compliance with Title III of the Americans with Disabilities Act of 1990? ................................................................................................... 2 C. D. E. F. G. Yes Yes Yes Yes No No No No WINE % FOR BG/BQ F. Does the applicant own the land and building at the proposed licensed location? ......................... G. If location has not been licensed within the last 24 months for on-premise consumption of alcoholic beverages, indicate date sign was posted.............................................................................. 3. 4. Trade Name of Business Address or Location City County City Area Code + Alternate Phone No. State State ZIP Code (9 Digits) CITY CODE 5. 6. FOR INDIVIDUAL Mailing Address Area Code + Business Phone No. ZIP Code (9 Digits) COUNTY CODE Applicant's E-Mail Address (optional) Date of Birth-MM/DD/YYYY ( ) - ( ) / Issuing State and Driver's License Number City State ZIP Code (9 Digits) 7A. Full Legal Name of Individual (Last, First, Middle) Social Security Number / P/C CODE - - Residential Address B. Has the person named in 7A above been a legal resident of Texas for one year immediately preceding the filing of this application? .................................................................................................. 7B. Yes No American LegalNet, Inc. www.FormsWorkflow.com
Link/Embed this Document
URL
Embed


Popular Searches

  1. Preliminary Change of Ownership Report
  2. Decree of Dissolution of Marriage
  3. proof of service of summons
  4. Notice and Acknowledgment of Receipt
  5. fEE WAIVER
  6. Petition to Expunge
  7. writ of replevin
  8. Income and Expense Declaration
  9. divorce forms
  10. proof of claim

Bookmark and Share