BEER-ON-FB by stariya

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									                                               TEXAS ALCOHOLIC BEVERAGE COMMISSION                                              FORM BEER-ON-FB
                                  APPLICATION FOR TWO-YEAR RENEWAL OF BEER RETAILER’S ON PREMISE
                                            LICENSE AND WINE AND BEER RETAILER’S PERMIT
                                                WITH FOOD AND BEVERAGE CERTIFICATE
   TWO-YEAR RENEWAL NOTICE FOR:                                            EXPIRES:
 FIRST READ ALL INSTRUCTIONS
 Check information in numbers 1 through 5 for accuracy. Indicate minor corrections for trade name and mailing address.
 For changes to the applicant entity or a complete change of location address, see instructions on last page.

 1. Mailing Address:                                                       2. Trade Name:




                                                                           3. Location Address:




                                                                           4. Mailing Address:




  LICENSE/PERMIT NUMBER           ISSUE DATE            TWO-YEAR FEE          TWO-YEAR SURCHARGE             LATE FEE            TOTAL FEES DUE
                                  /      /




BOND INFORMATION                                                                                      REGISTRY NO.




 5. Application is filed by:




This does not represent the entire business entity structure on file with the Texas Alcoholic Beverage Commission. The license/permit holder is
responsible for notifying TABC of any organizational changes at any level of your business structure. Failure to do so may result in the cancellation
of your license/permit.
QUALIFICATIONS
 6. Is this application being made by you for the benefit of someone else? If “YES,” indicate below or attach                  6.     YES NO
    explanation.



 7. Has the applicant, applicant’s spouse, partner, officer, director or stockholders, of the licensed entity become           7.     YES NO
    disqualified by law or by facts and conditions from holding a license or permit under the Texas Alcoholic
    Beverage Code? If “YES,” indicate below or attach explanation.



 8. Have there been changes since your original application that have not been reported on this or previous                    8.     YES NO
    applications? If “YES,” indicate below or attach explanation.
LICENSE/PERMIT NUMBER:                                                                                                                     FORM BEER-ON-FB


 9. Does applicant require employees to attend a seller training course?                                                               9.      YES NO
10. Provide sales data for the last year of operation or the projected yearly sales at the licensed premises:

       Alcoholic Beverage Sales:                $                                            Other Sales:        $

       Food Sales:                              $                                            Total Sales:        $
11. Is food service your primary business at this location?                                                                           11.      YES NO
12. Are the hours of operation for the sale and service of food and alcoholic beverages the same?                                     12.      YES NO
13. Indicate primary business at this location:

                01 Restaurant             03 Sexually Oriented                               05 Miscellaneous:

                02 Bar                    04 Sporting Arena, Civic Center, Hotel             06 Pari-mutuel Wagering

CHANGE OF CLASS ONLY
14. Are you applying for a change of class?                                                                                           14.      YES NO
    If “YES,” FROM Wine and Beer Retailer’s Permit (BG) TO Wine and Beer Retailer’s Off-Premise Permit (BQ)                                    BG TO BQ
    or, FROM Beer Retailer’s On-Premise License (BE) TO Beer Retailer’s Off-Premise License (BF).                                              BE TO BF
APPLICANT CONTACT INFORMATION
    Business Phone #                       Alternate Phone #             Cell Phone # (optional)                       E-mail (optional)



WARNING: Section 101.69 of the Texas Alcoholic Beverage Code is as follows: “…a person who makes a false statement or false
representation in an application for a permit or license or in a statement, report, or other instrument to be filed with the Commission and
required to be sworn commits an offense punishable by imprisonment in the penitentiary for not less than 2 nor more than 10 years.”

                            If Applicant is:        Who Must Sign:                                 ACKNOWLEDGMENT
    IMPORTANT




                                   Individual       Individual Owner
                                  Partnership       Partner              PRINT NAME
                                                                               HERE
                                  Corporation       Officer
                                                                                       APPLICANT: PRINT NAME
                        Limited Partnership         General Partner
                Limited Liability Partnership       General Partner           SIGN
                                                                              HERE
                 Limited Liability Company          Officer or Manager                 APPLICANT: SIGN NAME AS SHOWN ABOVE

                 Before me, the undersigned authority, on this                         day of                        , 20             the person whose
name is signed to the foregoing application personally appeared and, duly sworn by me, states under oath that he or she has read the said
application and that all the facts therein set forth are true and correct.
                                                                              SIGN
          SEAL                                                                HERE
                                                                                       NOTARY PUBLIC
INSTRUCTIONS FOR TWO-YEAR BEER LICENSES:
Retain a copy of this renewal for your records.

You MUST renew for the entire two-year period. The total amount of fees plus surcharges to cover the two-
year period MUST be paid at the time of renewal. Fees may NOT be prorated or refunded.

Sign and have your application notarized. Make two copies. Food and Beverage Certificate holders make
three copies. To renew beer licenses take the original and two copies to the tax assessor-collector in the
county where the business is located. You must pay a $2 filing fee, state fee(s) and surcharge(s), and county
fee(s).

PAYMENTS: Please add your fees and surcharges together for the total amount due.
Payments for your beer renewal must be made to the tax assessor-collector in the county where the
business is located. You must pay a $2 filing fee in addition to your renewal fees and county fees.

FOOD AND BEVERAGE CERTIFICATE (FB) HOLDERS: Renewal fees for your Food and Beverage
Certificate must be paid directly to TABC. Fees must be paid with a cashier’s check, money order or
company firm check made payable to the Comptroller of Public Accounts. Personal checks will not be
accepted. The postmark date will serve as proof of timely filing.

Mail a copy of your completed renewal application and fee to:
                                                   TABC
                                              PO Box 13127
                                         Austin TX 78711-3127

LATE FEES: If you do not file this application before your expiration date, your license/permit will
expire. Your expiration date is printed at the top of the front page.

You may file your renewal within 30 calendar days after your expiration date along with all fees and
surcharges plus a $100 late fee for each license/permit renewed. After the 30th day, you must file an original
application. You will not be allowed to sell/serve alcoholic beverages until your application and
renewal fees are received or until your original license/permit is issued.

OTHER FEES: Please note alcohol license/permit fees may be due to your city/county. It is your
responsibility to contact these authorities to determine what amounts, if any, may be due.

NOTE: Check information in numbers 1 through 5 for accuracy. Indicate minor corrections to tradename and
mailing address directly on this form.

Changes in the structure of your business entity or business location address will require additional forms.
Contact your local TABC Office or the Licensing Division at 512-206-3360.

Minor corrections to the trade name and mailing address can be made on this form by marking through the
incorrect information and entering the current information.

FOR GENERAL DISTRIBUTOR’S LICENSE (BB), BRANCH DISTRIBUTOR’S LICENSE (BC), LOCAL
DISTRIBUTOR’S LICENSE (BD) AND BREWPUB LICENSE (BP) HOLDERS ONLY: Include with this
renewal a newly executed Tax Security Bond to cover the two-year period. Tax security will be accepted as
a Tax Bond (Form 2-52.5), Letter of Credit (Form 2-26.7) or Assignment (Form 2-37.4) of a certificate of
deposit or savings account. These forms can be found on our website, http://www.tabc.state.tx.us/.


                   For forms and additional information visit us at: www.tabc.state.tx.us

								
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