Application For Liquor Producer Warehouse License {ABL-921} | Pdf Fpdf Doc Docx | South Carolina

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Application For Liquor Producer Warehouse License {ABL-921} | Pdf Fpdf Doc Docx | South Carolina

Last updated: 2/21/2022

Application For Liquor Producer Warehouse License {ABL-921}

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1350 STATE OF SOUTH CAROLINA DEPARTMENT OF REVENUE ABL 921-C (Rev. 8/24/10) 4369 ABL 921 Checklist For your application to be processed you must fulfill ALL of the following requirements: ABL 921 Checklist: 1. Completed application, signed, dated and notarized. 2. Submit an Affidavit of Publication from the newspaper running your ad. The affidavit must include a copy of your ad. If you have just started your ad in the newspaper and have not received the ad and affidavit, you must include the receipt from the newspaper with your application. Forward the ad and affidavit from the newspaper as soon as the newspaper provides it to you. Your license/permit cannot be issued until this is received. 3. Attach a copy of the Articles of Incorporation, if applying as a corporation. 4. Attach a copy of Articles of Organization and Operating Agreement (if applicable), when applying as a Limited Liability Corporation (LLC). 5. Attach partnership agreement, if applying as a partnership or Limited Liability Partnership (LLP). 6. Submit a copy of your lease. If you own the property you must submit a copy of the deed or tax bill. 43691013 American LegalNet, Inc. www.FormsWorkFlow.com 1350 STATE OF SOUTH CAROLINA DEPARTMENT OF REVENUE APPLICATION FOR LIQUOR PRODUCER WAREHOUSE LICENSE File Number: ABL-921 (Rev. 9/30/10) 4425 Mail to: SC Department of Revenue, ABL Section, Columbia, SC 29214-0907 Telephone: (803) 898-5864 DOR Website: www.sctax.org PLEASE PRINT OR TYPE ALL INFORMATION Fee: $600 Biennially PLEASE PRINT OR TYPE ALL INFORMATION 1. OWNER, PARTNERSHIP, OR CORPORATE CHARTER NAME 5. BUSINESS PHONE NUMBER DAYTIME PHONE NUMBER 6. FEDERAL IDENTIFICATION NUMBER AND/OR SOCIAL SECURITY NO. 2. PHYSICAL LOCATION OF WAREHOUSE REQUIRED (NO P.O. BOX) STREET "In compliance with the Federal Privacy Act of 1974, the disclosure of an individual's social security number on this form is mandatory*. SC regulation 117-201 provides that any person required to make a return, statement or document to the Department must include identifying numbers on such return, statement or document if the Department requests such information. Social security numbers are primarily used for the purposes of identifying taxpayers and monitoring tax compliance and/or fraud." CITY COUNTY (REQUIRED) STATE ZIP 7. LICENSE # OF LIQUOR PRODUCER/MICRO-DISTILLERY/LIQUOR MANUFACTURER 3. MAILING ADDRESS (FOR ALL CORRESPONDENCE) LICENSE NUMBER: IN CARE OF 8. NAME AND LICENSE # OF LIQUOR PRODUCER REPRESENTATIVE STREET NAME: CITY 4. TYPE OF OWNERSHIP SOLE PROPRIETOR (one owner) LLC/LLP FOREIGN CORPORATION STATE INC. NON-PROFIT ORGANIZATION OTHER (EXPLAIN) PARTNERSHIP (two or more owners) SC CORPORATION DATE INC. COUNTY STATE ZIP LICENSE NUMBER: -PLR DATE OF INC. If the corporation is publicly traded, you must designate an officer or other person to hold the license. This person must be of good moral character, over the age 21, and a SC resident. This person should be included on the Consent and Waiver along with other principals of the corporation. Name of designated officer or other employee: COMPLETE REVERSE SIDE OF THIS FORM 1 44251015 American LegalNet, Inc. www.FormsWorkFlow.com DESIGNATED AGENT A. You must designate a person to receive all notices from the Department of Revenue concerning your permit/license. These notices will be sent to the person at the mailing address shown in question 3. It is your responsibility to keep the department advised of any change regarding this person or your mailing address as the law will presume you received all notices sent to the address you have given us. Name of Designated Agent: CONTACT PERSON B. The S.C. State Law Enforcement Division will conduct an investigation on this application, and will need to meet with the contact person at the location for which you are seeking a permit or license, to discuss the business and ownership of the business. Give the name and telephone numbers (daytime and evening) of the contact person who can meet with the SLED agent for this purpose. Name of Contact Person Telephone Number Telephone Number (daytime) (evening) If the agent is unable to contact the Contact Person or if the Contact Person cannot discuss the ownership of the business, your application will be delayed. Processing of this application may take six to eight weeks, or more. If the application is denied by the Department or protested by a member of the public or law enforcement, it could take up to six months or more for a hearing to be held and a decision made on the application by the Administrative Law Court. I understand that a misstatement or concealment of fact in an application is sufficient grounds for the revocation of the license or permit. I consent to the inspection of the premises covered by this license or permit by any agent of the SC Department of Revenue or any law enforcement officer. I have read the instructions to this application and to the best of my knowledge, all information provided with this application is true and accurate. SWORN to and subscribed before me this day of Notary Public for My Commission Expires: Notary (L.S.) Notary (printed name) Social Security Privacy Act Disclosure It is mandatory that you provide your social security number on this tax form. 42 U.S.C 405(c)(2)(C)(i) permits a state to use an individual's social security number as means of identification in administration of any tax. SC Regulation 117-201 mandates that any person required to make a return to the SC Department of Revenue shall provide identifying numbers, as prescribed, for securing proper identification. Your social security number is used for identification purposes. , year of Applicant (owner, partner, or corporate officer) 44252013 American LegalNet, Inc. www.FormsWorkFlow.com STATE OF SOUTH CAROLINA DEPARTMENT OF REVENUE GENERAL INFORMATION FOR BEER, WINE, AND ALCOHOLIC LIQUOR APPLICATIONS ABL-921 Instructions (Rev. 5/9/12) 4425 LEGAL DISCLAIMER The information provided here is for general guidance only. It should not be considered as, or substituted for, legal advice. The department's staff is not permitted to give legal advice. Please read the laws, regulations, and applicable court decisions carefully before applying. Processing of applications normally takes six to eight weeks. If the application is denied by the department or protested by a member of the public or law enforcement, it could take up to six months for a public hearing to be held and a decision made on the appli

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