Partial Transfer Of Ownership | Pdf Fpdf Doc Docx | Kentucky

Partial Transfer Of Ownership

Kentucky/Statewide/Alcohol Beverage Control/Miscellaneous/
Partial Transfer Of Ownership | Pdf Fpdf Doc Docx | Kentucky

Partial Transfer Of Ownership Form

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This is a Kentucky form that can be used for Miscellaneous within Statewide, Alcohol Beverage Control.

Last updated: 11/30/2016
INSTRUCTIONS APPLICATION REQUEST FOR APPROVAL OF PARTIAL TRANSFER OF OWNERSHIP TO MY ORIGINAL LICENSE APPLICATION "Transfer of an Interest" KRS 243.630 prohibits an active Kentucky ABC licensee from transferring any interest in their business to a new person or entity of 10% or more, but less than 100%, unless the transfer or assignment is authorized by the State ABC administrator(s) in the exercise of his or her sound discretion under KRS 243.640 or 243.650. This application form may be used to request approval from the State ABC Administrator(s) to transfer any interest in your business. The State ABC Administrator(s) shall grant or deny the application request within sixty (60) days of the date the application is substantially complete or on a later date that is mutually acceptable to the administrator and the transferee. A licensee shall not transfer his or her license or any interest in the license while any proceedings against the license or the licensee are pending for a violation of any statute or regulation which may result in the suspension or revocation of the license. A licensee shall not transfer his or her license or any interest he or she has in the license if the licensee owes a debt on the inventory to a wholesaler responsible for the collection and payment of the tax imposed under KRS 243.884. A licensee shall not transfer his or her license or any interest in the license if the licensee owes the Commonwealth of Kentucky, Department of Revenue, for taxes as defined in KRS 243.500(5). Step 1. Complete the attached application form. Be sure to list the daytime phone number(s) and fax number(s). Step 2. Carefully read and sign both sections 9 and 10 and have these signatures notarized. Step 3. Any new persons being added to your application must provide a recent copy (no more than 30 days old) of a statewide police criminal background check from all states where the new person(s) has resided for the past (5) years. For Kentucky dial (800) 928-6381 or go to www.courts.ky.gov. For all other states you may call our office to obtain instructions. Step 4. We do not accept Cash! Attach your nonrefundable processing fee of $50 by certified check, cashier's check, money order, or credit card payable to: The Kentucky State Treasurer. Step 4. Attach any supporting documentation to your application you feel necessary to obtain approval. Step 5. Mail or submit your application and $50 fee to: COMMONWEALTH OF KENTUCKY DEPARTMENT OF ALCOHOLIC BEVERAGE CONTROL 1003 Twilight Trail Frankfort, Kentucky 40601-8400 502-564-4850 phone 502-564-1442 fax http://abc.ky.gov American LegalNet, Inc. www.FormsWorkFlow.com Request for Approval Partial Transfer of Ownership Page (1) Revised June 2013 COMMONWEALTH OF KENTUCKY DEPARTMENT OF ALCOHOLIC BEVERAGE CONTROL 1003 Twilight Trail Frankfort, Kentucky 40601-8400 502-564-4850 phone 502-564-1442 fax ABC Site I.D. # http://abc.ky.gov APPLICATION REQUEST FOR APPROVAL OF PARTIAL TRANSFER OF OWNERSHIP TO MY ORIGINAL LICENSE APPLICATION "Transfer of an Interest" Pursuant to KRS 243.630 and 804 KAR 4:010, I am a current active licensee with the Kentucky Department of Alcoholic Beverage Control. I hereby request approval from the State Administrator(s) to accept this supplemental statement and make it part of my original application on file. 1. Name of licensee: _____________________________________DBA:_______________________________________ Address of premises:_________________________________________________________________________________ (Street Number) (Street Name) (City) (State) (County) State ABC License Number(s): _________________________________________________________________________ 2. Application Processing Fee: ................$50....................Payment enclosed: $________________________________ The following transfer or change will proceed upon approval by the state ABC administrator(s) DATE OF BIRTH * H W F O H W F O H W F O H= HOME W=WORK F=FAX 0=OTHER Yes No Yes No Yes No * If the acquiring person is a Corporation, LLC, LTD, or Partnership, list information relating to members, directors, managers, or principal officers. If additional space is needed, please make an attachment. American LegalNet, Inc. www.FormsWorkFlow.com Acquiring % OF OWNERSHIP NAME AND ADDRESS OF NEW PRESON(S) ACQUIRING AN INTEREST SOCIAL SECURITY NUMBER USA CITIZEN 3. ALL PHONES TITLE LIST DATE & STATE(S) WHERE YOU RESIDED IN PAST 5 YEARS LIST PERSON YOU ARE REPLACING (If applicable) Request for Approval Partial Transfer of Ownership Page (2) The following questions are to be completed by the new person(s) listed in Section (3) of this application. 4. Do you have an interest in any kind of alcoholic beverage business or the premises of any alcoholic beverage business other than that for which you are herein applying? ....................................... If yes, describe the interest(s) ____________________________________________________________ 5. Have you been convicted of any felony in the past five (5) years or been convicted of a misdemeanor directly or indirectly related to alcohol or a controlled substance within the past two (2) years?........................ If yes, you must attach a statement giving a full explanation, including date(s) of conviction(s). Yes No Yes No 6. Are there pending proceedings against the licensee for a violation of any statute or regulation which may result in the suspension or revocation of this license(s)? ....................................................................... Yes 7. Is the licensee in debt on the inventory to a Kentucky Wholesaler responsible for the collection and payment of the tax imposed under KRS 243.884?......................................................................................................... ... Yes 8. Does the licensee owe the Commonwealth of Kentucky, Department of Revenue, any taxes as defined in KRS 243.500(5)?................................................................................................................................................. Yes No No No Affidavit of person(s) new to the original application listed in #3 shall complete this section. 9. I (we),__(print your name(s) here) ___________________________________________________, do hereby swear and affirm under penalty of perjury that all statements contained in this application and all its attachments are true and correct to the best of my knowledge, information and belief. I hereby swear and affi