Texas > Statewide > Alcoholic Beverage Commission
All Applicants L-101-APP - Texas
| All Applicants Form. This is a Texas form and can be used in Alcoholic Beverage Commission Statewide . |
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ALL APPLICANTS TRADE NAME: Form L-101-APP (1/2004) 10A1. 2. B. Will the license or permit embrace the entire building, grounds, and appurtenances at the address shown as the location? ........................................................................... If "No," have you attached the required diagram?.................................................... Will your business be located within 300 feet of a church or public hospital?.................. Note: Make measurements for churches or public hospitals from front door to front door, along the property lines of the street fronts and in a direct line across intersections. Will your business be located within 300 feet of any school, including private schools, day care center or day care facility? ..................................................................... If "Yes," are the facilities located on different floors or stories of the building(s)? ........... Will your business be located within 1,000 feet of a public school? ............................. Will your business be located within 1,000 feet of a private school?.............................. MEASUREMENT FOR C1 AND C2: Make measurements for private and public schools, day care centers and day care facilities in a direct line from the nearest property line of the school, day care center or day care facility to the nearest property line of the place of business, along street fronts and in a direct line across intersections. Note: If located in a multistory building, refer to instruction booklet. Measuring from the door where the public enters your establishment to the nearest property line of a public or private school, will your business be located within 1,000 feet of a public or private school? .............................................................................. If "Yes," give written notice of this application to the school officials and attach a copy of the notice to this application. Has any person named in question 7A, P7, C7 or N7 or his or her spouse been finally convicted or received deferred adjudication for any of the following offenses? ............... If "Yes," indicate type of offense and explain: (1) any felony offense (2) prostitution (3) bookmaking (4) gambling or gaming (5) bootlegging (6) vagrancy offense involving moral turpitude (7) any offense involving dangerous drugs or controlled substances as defined in Texas Controlled Substances Act (9) (8) any offense involving firearms or a deadly weapon more than three violations of the Texas Alcoholic Beverage Code relating to minors A1. 2. B. Yes Yes Yes No No No C1a. b. 2a. b. C1a. b. 2a. b. Yes Yes Yes Yes No No No No ALL APPLICANTS D. D. Yes No E1a. E1a. Yes No (10) violations of the Texas Alcoholic Beverage Code resulting in a criminal fine of $500 or more or cancellation of a license or permit b. If answer to E1a is "Yes," has it been five years since the termination of a sentence, parole or probation served for any offenses indicated above? ................................... If "No," attach an explanation. Has any person named in question 7A, P7, C7 or N7 been convicted of any offense(s) under federal or state law, or municipal ordinance involving violations of an individual's civil rights or discrimination against an individual on the basis of race, color, creed or national origin? The applicant or permit and license holder may have an interest, directly or indirectly in only one level of the alcoholic beverage industry; i.e., manufacturing, wholesaling or retailing. You or your agent, servant or employee may not be employed in any capacity at different levels, may not rent or lease property or equipment from or to an entity operating at another level, may not secure credit or a loan in any form for an entity at another level, cannot control in any fashion the interests of a permittee or licensee at a different level. Are you or anyone described in questions 7A, P7, C7 or 10J in violation of the above requirements? ................................................................................................. If "Yes," attach an explanation. b. Yes No If "No," explain. 2. 2. Yes No F. F. Yes No If "Yes," explain. American LegalNet, Inc. www.FormsWorkflow.com ALL APPLICANTS TRADE NAME: Form L-101-APP (1/2004) 10G. List the bank name, address, and account numbers to be used in connection with your proposed business. Attach additional page if needed. Bank Name Account No. Address Account No. Bank Name Account No. Address Account No. Bank Name Account No. Address Account No. ALL APPLICANTS H. List the name and address of the accountant/bookkeeper of the business. Name Address I. What is the amount of total investment for this business? $ J. List any person, firm, or corporation that has advanced or will advance any money, that holds any mortgage or encumbrances against the assets of the business, or that has signed or co-signed, guaranteed or financially assisted this business for which you are seeking a permit/license. If a partnership or corporation, list partners or officers. Attach additional sheet if needed. Name Amount Terms TABC USE ONLY $ Date of Birth (MM/DD/YYYY) Social Security or FEID Number Issuing State and Driver's License Number / Name / Amount Terms $ Date of Birth (MM/DD/YYYY) Social Security or FEID Number Issuing State and Driver's License Number / / K. Do you own the furniture, fixtures and equipment at the proposed licensed location? ...... If "No," indicate from whom you lease the items and amount paid. Name Amount K. Yes No $ L. Are you applying for a permit/license for the benefit of someone else? ......................... L. If "Yes," provide the following information: Name Address Yes No American LegalNet, Inc. www.FormsWorkflow.com
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