Utah > Statewide > Department Of Alcoholic Beverage Control
Beer Wholesaler License Application - Utah
| Beer Wholesaler License Application Form. This is a Utah form and can be used in Department Of Alcoholic Beverage Control Statewide . |
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UTAH DEPARTMENT OF ALCOHOLIC BEVERAGE CONTROL 1625 South 900 West · PO Box 30408 · Salt Lake City, UT 84130-0408 · (801) 977-6800 · FAX (801) 977-6888 www.abc.utah.gov BEER WHOLESALING LICENSE APPLICATION CHECKLIST Dear Applicant: The items below must be completed and submitted by the 10th of the month before any action can be taken by the Utah Alcoholic Beverage Control Commission. You will be notified of the next monthly commission meeting when your application will be considered for issuance of a license. 1. 2. Completed application (form enclosed). Ownership entity organizational papers for business: a) if a corporation, submit a copy of articles of incorporation; b) if a partnership, submit a copy of written agreement; c) if a limited liability company, submit a copy of the articles of organization. Criminal history background check information (see application). Local Consent from either city/town council if premises located in incorporated area or county commission if unincorporated area (form enclosed). $10,000 beer wholesaler cash or corporate surety bond (form enclosed). Brand & Territorial Agreement(s) between beer wholesaler and each brewer/importer, reflecting brands of beer as well as geographical areas for distribution (form enclosed). Copy of current federal basic permit. Copy of current local business license. Certificate of public liability insurance. Scaled floor plan of premises highlighting the areas where beer (4.0% by volume) will be stored. $300 application fee (non-refundable). $2,300 annual license fee (refundable if license not granted). Make checks payable to Utah Department of Alcoholic Beverage Control. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. Enclosed are copies of Utah laws and commission rules pertaining to beer wholesalers. If you have any questions concerning these forms or the application process, please contact our Licensing and Compliance Division at (801) 977 6800. American LegalNet, Inc. www.FormsWorkFlow.com Effective 7.1.11 v7.18 Page 1 of 63 UTAH DEPARTMENT OF ALCOHOLIC BEVERAGE CONTROL APPLICATION FOR BEER WHOLESALING LICENSE 1. Applicant/Beer Wholesaler: ____________________________________________________ 2. Business Name: _____________________________________________________________ 3. Address: ___________________________________________________________________ Street PO Box City State Zip 4. Phone:__________________ fax: ____________________ e-mail: ____________________ 5. Person to Contact: _________________________________ 6. Owner of real property and building: _____________________________________________ 7. Ownership: Check appropriate box and provide the requested information in the space below. (add additional sheets if necessary) [] Applicant is an individual: List below information for: (a) Individual (b) All Managers (a) All Partners (b) All Managers (a) Any Stockholder owning at least 20% of the corporation (b) All Corporate officers and Directors (c) All Managers (a) Any members owning at least 20% of the company (b) All Managers [] Applicant is a partnership: List below information for: [] Applicant is a corporation: List below information for: [] Applicant is a limited liability company (LLC): List below information for: TITLE____________NAME_______________________HOME ADDRESS_______________________________ HOME PHONE#______________DR LIC#___________SS#______________DOB__________%OWNED______ Are you a United States Citizen? ________ If no, must attach a copy of residency status. TITLE____________NAME_______________________HOME ADDRESS_______________________________ HOME PHONE#_______________DR LIC#___________SS#______________DOB__________%OWNED_____ Are you a United States Citizen? ________ If no, must attach a copy of residency status. TITLE____________NAME_______________________HOME ADDRESS_______________________________ HOME PHONE#________________R LIC#___________SS#______________DOB__________%OWNED_____ Are you a United States Citizen? ________ If no, must attach a copy of residency status. 8. Criminal History. The law prohibits persons who have been convicted of certain crimes from being in the alcoholic beverage business. This applies to any applicant, proprietor, partner, managing agent, director, of Effective 7.1.11 v7.18 Page 2 of 63 American LegalNet, Inc. www.FormsWorkFlow.com officer of the business. This also applies to any stockholder owning at least 20% of the corporation stock, or if a limited liability company, any member owning at least 20% of the company. Please list all criminal offenses other than minor traffic offenses of which you or any of these persons (including persons listed in subparagraph 7) have ever been convicted. NAME CRIMINAL OFFENSE DATE OF CONVICTION _______________________________________________________________________________________ In addition, a criminal history background check must be furnished on each person listed above and in subparagraph 6. This may be done as follows: a. Utah residents: If any person listed has been a resident of Utah for at least two years, he/she shall submit a fingerprint card to the DABC and consent to a fingerprint criminal background check by the Utah Bureau of Criminal Identification. b. Non Residents: Out of state residents or persons who have resided in Utah for less than two years shall submit a fingerprint card to the DABC and consent to a fingerprint criminal background check by the Federal Bureau of Investigation (F.B.I). An informed consent and release of liability form is included with this information. Fingerprint cards are available at law enforcement agencies. You may download the fingerprint card at this web address: http://www.fbi.gov/hq/cjisd/pdf/fpcardb.pdf Submit the form(s) to the DABC with a processing fee of: · $20.00 per card for BCI background checks, or · $39.25 per card for FBI background checks. In the case of an undue delay in the processing of a B.C.I or F.B.I. criminal background check, here are the rules and procedures for obtaining a third-party national background check: An application that requires a B.C.I or F.B.I. criminal history background report(s) may be included on a commission meeting agenda, and may be considered by the commission for issuance of a license, permit, or package agency if: 1). the applicant has completed all requirements to apply for the license, permit, or package agency other than the department receiving the B.C.I or F.B.I. criminal history background report(s); 2). the applicant attests in wri
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