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Macon Alcohol Beverage License Application

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Macon Alcohol Beverage License Application Powered By Docstoc
					                                    City of Macon
                              Business License Division
                                  700 Poplar Street
                             City Hall Bldg ♦ Room 308
                      P.O. Box 247 ♦ Macon, Georgia 31202-0247
              Alcohol Beverage Application Procedures and Instructions

  New                      Liquor Package              Beer Package           Wine Package
  Transfer of              Liquor Mixed                Beer C.O.P.            Wine C.O.P.
Location                 Drinks
  Transfer of              Liquor                      Beer Draft             Wine Wholesale
Ownership                Wholesale
  Change of Agent


Corporation and Trade Name             Business Address                    Business Telephone




Name of Applicant and/or Agent         Home Address                        Home Telephone


Social Security Number                 Date of Birth                Age?   County of Residence?

          SEE REVERSE SIDE FOR DETAILED INFORMATION

                             Applicant and/or Agent Information

    1.   ‫ ﭐ‬Copy of appropriate (A.) State application and (B.) Personnel statement.
    2.   ‫ ﭐ‬Complete personal performance bond included in application.
    3.   ‫ ﭐ‬Current photograph of applicant or agent.
    4.   ‫ ﭐ‬Fingerprints of applicant taken by Macon Police Department (by appointment
            only).
                                  Location Information

    5. ‫ ﭐ‬Affidavit from the City Engineer’s Department.
    6. ‫ ﭐ‬Proof of Planning and Zoning compliance.
    7. ‫ ﭐ‬Legal description of the property upon which premises are located.
    8. ‫ ﭐ‬Affidavit from the newspaper.
    9. ‫ ﭐ‬Complete Consent Form for State Wide Check.
    10. ‫ ﭐ‬Submit a clear and valid copy of applicant’s State of Georgia drivers license.

I certify that the information disclosed in this application is true and correct, and I agree
to abide by, observe and conduct my business according to the rules and regulations
prescribed by the City of Macon, the acts of the Georgia General Assembly and the State
Department of Revenue.
                                                    _________________________________
                                                   Signature of Applicant and/or Agent Date


                                    OFFICE USE ONLY


The application of _______________________ is complete and the Chief of Police or his
designee finds no disqualifying items present and therefore, approves it by the Macon
Police Department.

                                                           Chief of Police or Designee
                                   City of Macon
                     Alcoholic Beverage Application Instructions

   1.      ‫ ﭐ‬State application and personnel statements may be obtained at the Georgia
           Department of Revenue: 630 North Avenue, Suite B.
           (Two Separate Documents). Please request the personnel statement.
           Documents are also available online at http://www.etax.dor.ga.gov/.

   2.      ‫ ﭐ‬Liquor, Beer, and Wine Beverage bonds are attached to this application. This
           step does not require being bonded within an outside agency/company.

   3.      ‫ﭐ‬A small current photograph of the applicant or agent is required. Attach
           photograph to the front page of this application. Photograph must clearly and
           accurately depict applicant’s face from full front view. Copy of driver’s
           license is not acceptable for this step. (e.g. Passport Photo)

   4.      ‫ ﭐ‬Fingerprints of the applicant or agent to be taken by the Macon Police
           Department. No walk-ins will be taken, by appointment only. Refer to the
           instruction sheet attached to this application for all contact numbers.

   5.      ‫ ﭐ‬An affidavit from the City Engineer’s Office stating that the establishment
           complies with distance requirements ($150.00 fee). 682 Cherry St. 8th Floor,
           City Hall Annex Building, (478) 751-7180.

   6.      ‫ ﭐ‬All businesses are required to have a zoning compliance issued by the
           Macon-Bibb County Planning and Zoning Commission, 682 Cherry St., 9th
           Floor, City Hall Annex Building, (478) 751-7450. (Fee included).

   7.      ‫ ﭐ‬A legal or lease description of the property upon which the premises are
           located is required. (May be found within lease agreement).

   8.      ‫ ﭐ‬An affidavit from the Macon Telegraph located at 120 Broadway, stating that
           an advertisement has ran once a week for two consecutive weeks is required.
           (478) 744-4328 or 4509.

   9.      ‫ ﭐ‬Complete and submit the consent form for statewide check, provided by the
           Georgia Bureau of Investigation/Georgia Crime Information Center. Included
           in application.

   10.     ‫ ﭐ‬Submit a clear and valid copy of the applicant/agent State of Georgia driver’s
           license.

   11.     Completed application is to be returned to the Finance Office/Business
           License Division, City Hall-Downtown. Located at 700 Poplar Street,
           Room 308.

   12.     Should questions arise, please contact us at: City of Macon
                                                        Finance Office/Business License
                                                        P.O. Box 247
                                                        Macon, GA 31202-0247
                                                        (478) 751-7258, 7255 or 803-
                                                        2614

   13.     Prior to returning your application, please verify that all forms have been
           signed and notarized if applicable. For your convenience, our office is
           capable of notarizing any documents needed free of charge. (FOR
           VERIFICATION PURPOSES- DO NOT SIGN PRIOR TO ARRIVAL)

Applicant will be notified of approval or disapproval of application. Payment is due
upon approval of application.
                       Wholesale And/Or Retail Liquor And/Or Wine Bond
                                    City of Macon, Georgia

State of Georgia, County of Bibb, Bond No. N/A

Know all men by these presents, that
                                           Georgia,     as   PRINCIPAL,       is   held   and     firmly
Of                                                               bound unto the City of Macon as
           (Home Address)         (City)              (County)


OBLIGEE in the sum of FIVE HUNDRED ($500.00) DOLLARS, for the payment of
which will and truly be made, I bind heirs, my executors, administrators, successors and
myself as the case may be, jointly, severally and firmly by these presents.

        Signed with my hand, and sealed with my seal, this ____ day of _______, 20___.
WHEREAS, the above named Principal has applied to the City of Macon, Georgia for a
license to engage in business at:


(Street Address)                  (City)                         (County)                       (State)



(Trade name of business)                                         (Describe Premises)


as a wholesaler and/or retailer of liquor and/or wine under the provisions of the Revenue
Tax Act to legalize and control alcoholic beverages and liquor – Act of 1937-1938-
Section 58-1001 for a period beginning the ______ day of _____________, 20____, and
ending December 31, 20___.

        NOW THEREFORE, should the said Principal named above promptly pay the
Obligee for the use of said City all sums which may become due by said principal to the
City of Macon as taxes, license fees, or otherwise, by reason of, or incident to the
operation of said business, together with expenses incurred by the City in the collection
of any amount due the City the amount of expense to be determined by the City Council
but not exceed ONE HUNDRED ($100.00) DOLLARS, and shall faithfully comply with
all laws, rules and regulations governing the sale of liquor and/or wine as required by the
aforesaid Act, and such other conditions as the City of Macon may, by rules, regulations
and policy require, then this bond shall be void; otherwise, to remain in full force and
shall be construed as a forfeiture bond.

        This bond shall be cancelled by the Principal or the Obligee by giving sixty (60)
days notice in writing to each of the other parties hereon at their last known address but
no such cancellation shall affect the liability of the Principal accruing before the
expiration date of such notice or date of actual cancellation of said bond.

        This bond shall be in force for the aforesaid period of said Principal’s liquor
and/or wine license, and shall be deemed to be continued and renewed annually
automatically upon the renewal or issue of any liquor and/or wine license to said
Principal for the operation of the aforesaid business at the aforesaid location unless prior
to the end of any subsequent calendar year, said Principal shall notify the City of Macon
in writing that their respective obligation herein-under is terminated at the end of each
subsequent calendar year.

       IN WITNESS WHEREOF, the said Principal has executed this instrument under
his hand and seals the day and year first written above.

                                                                       __________________________
Sworn to and subscribed before me this                                      Applicant / Agent Signature

_____ day of ______________, 20___.

_______________________________
       Notary Public
                                 Retailer’s Malt Beverage Bond
                                    City of Macon, Georgia

State of Georgia, County of Bibb, Bond No. __N/A_____________________________

Know all men by these presents, that __________________________________________

Of ___________________________________________________, Georgia, as Principal
          (Home Address)           (City)             (County)

is held and firmly bound unto the City of Macon as OBLIGEE in the sum of FIVE
HUNDRED ($500.00) DOLLARS for the payment of which will and truly be made, I
bind myself, my heirs, executors, administrators and successors, as the case may be,
jointly, severally and firmly by these presents.

Signed with my hand, and sealed with my seal, this day      of       ,     20 .
         WHERAS, the above named Principal has applied to the city of Macon, Georgia
for a license to engage in business at:


                           (Describe premises at which business is to be located )




(Trade name of business)                     (City)              (County)            (State)


As a retailer of malt beverages, under the provisions of the Malt Beverage Control Act of
1935, Georgia Laws 1935, p. 73, (Georgia Code Ann. 58-701 et seq.) for a period
beginning ______day of _____________________20________and ending December 31,
20_________.

        NOW THEREFORE, should the said Principal named above promptly pay the
Obligee for the use of said City all sums which may become due by said Principal to the
City of Macon as taxes, license fees, or otherwise, by reason of, or incident to the
operation of said business, together with expenses incurred by the City in the collection
of nay amount due the City the amount of expense to be determined by the City Council
but not to exceed ONE HUNDRED ($100.00) DOLLARS, and shall faithfully comply
with all laws, and regulations governing the sale of malt beverages as required by the
aforesaid Act, and such other conditions as the City of Macon may by rules, regulations
and policy require, then this bond shall be void, otherwise to remain in full force and
shall be construed as a forfeiture bond.

        This bond shall be cancelled by the Principal of the Obligee by giving sixty (60)
days notice in writing to each of the other parties hereto at their last know address but no
such cancellation shall effect of liability of the Principal accruing before the expiration
date of such notice or date of actual cancellation of said bond.

         This bond shall be in force for the aforesaid period of said Principal’s malt
beverage license, and shall be deemed to be continue and renewed annually automatically
upon the renewal or issue of any malt beverage license to said Principal for the operation
of any subsequent calendar year, said principal shall notify the City of Macon in writing
at their respective obligation herein-under is terminated at the end of such subsequent
calendar year.

       IN WITNESS WHEREOF, the said Principal has executed this instrument under
his hand and seals the day and year written above.

Sworn to and subscribed before me this                                      ________________________
                                                                            Applicant / Agent Signature
_____ day of _____________, 20____.

_______________________________
         Notary Public
                                City of Macon Alcoholic Beverage License Application

              Check All That Apply:                    Packaged To Go            Consumed on Premises
                                                         Malt                      Malt
                 New                                     Wine                      Wine
                 Renewal                                 Distilled Spirits         Distilled Spirits
                 Transfer-Location
                  Transfer-Ownership                   Wholesale
                  Change of Agent                       Malt
                                                        Wine
                                                        Distilled Spirits


                                                BUSINESS INFORMATION


              Trade Name

              Corporate Name

              Federal/State Taxpayer Identification Number

              Street Address

              Mailing Address

              Telephone Number

                                          APPLICANT / AGENT INFORMATION


              Name

              Residential Street Address

              Mailing Address

              Telephone Number

              Date of Birth                      Social Security Number

New License                                  Transfer – Ownership                         Change of Agent
1.State Application                          PLEASE SEE PROCEDURE FOR                     1. State Application
2. Personnel Statement                       NEW LICENSE                                  2. Personnel Statement
3. Affidavit from Engineer Department                                                     3. Current Photograph
4. Planning & Zoning Compliance                                                           4. Fingerprints
5. Copy of Lease (Legal Description)       Transfer – Location
6. Affidavit from Newspaper                1. Planning & Zoning Compliance
7. Current Photograph                      2. Affidavit from Engineer Department          Renewal
8. Fingerprints                            3. Copy of Lease (Legal Description)           1. Alcoholic Beverage renewal form
                                           4. Affidavit from Newspaper                    2. Renewal Payment
                                           5. Fire Inspection
                                           6. Building Inspection


              The undersigned certifies that the information contained in this application and accompanying
              documentation is true and correct. The undersigned further agrees to abide by, observe and
              conduct the licensed business according to all city ordinances and state laws and regulations in
              respect thereof.

              I hereby certify that                             signed his/her name to the forgoing statement
              after stating to me under oath administered by me, that all statements and answers are true and
              correct.

              This               day of            ,                         .
                                                                                         Notary Public
                          OWNERS INFORMATION FORM

Type or print clearly

A separate copy of this form must be completed for each individual who has an interest in
the business as owner, partner, or principal stockholder.

Local ordinance prohibits the issuance, renewal, or transfer of an alcoholic beverage
license to any person where an individual having an interest either as owner, partner, or
principal stockholder has been convicted of pled nolo contender within ten (10) years
immediately prior to the filing of the application for any felony or convicted of two (2) or
more misdemeanors of any state in the United States or any municipal ordinance (except
traffic violations) within two (2) years.

The Macon Police Department will conduct a nationwide criminal background check of
the individual named herein and report its findings to the Business License Office.

Date of Application:

Business:

Trade Name

Name of Corporation

Individual:

Name

Residential Street Address

Mailing Address

Telephone Number (           )

Date of Birth                                        Social Security Number

Interest in Business:
Check the Applicable Description

The business is a publicly held corporation, and the above named individual owns
          ten percent (10%) or more of the business
          less than ten percent (10%) of the business

The business is not a publicly held corporation, and the above individual owns
       percent of the business.
                                       Georgia Bureau of Investigation
                                      Georgia Crime Information Center

                                     Consent Form for State Wide Check



I hereby authorize
to receive any Georgia criminal history record information pertaining to me, which may be
in the files of any state or local criminal justice agency in Georgia.



Full Name (print)


Address                                                                       Telephone Number


    Sex                Race             Date of Birth                Social Security Number




Signature


Date

--------------------------------------------------------------------------------------------------------------

Special employment provisions (check if applicable):

          Employment with mentally disabled (Purpose code ‘M’)
          Employment with elder care (Purpose code ‘N’)
          Employment with children (Purpose code ‘W’)

One of the following must be checked:

          This authorization is valid for 90/180/       (circle one) days from date of signature.
        I,                                                              give consent to the above named to
perform periodic criminal history background checks for the duration of my employment with this company.
MEMO
TO:            Alcoholic Beverage Applicant/Owner(s)

FROM:          Macon Police Department

REF:           Business License Fingerprints


Effective January 1, 2009 GCIC will no longer accept fingerprint cards that are sent by
mail. They will only accept fingerprints through the “Live Scan” fingerprinting system.
The $26.00 money orders that applicants submit to Central Records as payment to GCIC
will now NEED TO BE PAID TO THE CITY OF MACON. The $26.00 payment can be
made with a money order or with a business check.

The fingerprinting fee for business license is now a $20.00 service fee instead of the
previous payment of $10.00 per card.

We apologize for the inconvenience and if you have any questions, please do not hesitate to
contact me by e-mail (skendricks@mpd.bibb.ga.us) or you may call me at (478) 803-2340.



Cc
                 MACON POLICE DEPARTMENT
                            CENTRAL RECORDS DIVISION
                                700 POPLAR STREET
                                 MACON, GA 31202
                              478-751-7575 ext 197 or 196
                                    478-751-7550


                        FINGERPRINTS FOR BEER AND WINE



1) Inside the City Limits
2) No Fingerprint Cards
3) $20.00 Cash
4) $26.00 Money Order


PLEASE CALL FOR AN APPOINTMENT.



                            FINGERPRINTS FOR LIQUOR



See the following Live Scan Fingerprinting Procedure sheet.
               Live Scan Fingerprinting Procedure
Live Scan fingerprinting is an electronic process managed by Cogent Systems, Inc. Your
   fingerprints will be scanned with a computer. You do not need fingerprints cards.

                Please read this page carefully before you begin.

1. Register – you must first contact Cogent Systems, Inc. to register.

      You may do this by going online to www.ga.cogentid.com.
      Important! You will need the following information to register:
      1. Transaction Reason is Alcohol/Liquor Licensee.
      2. ORI number is provided by local Georgia Department of Revenue.
      3. Verification Code is provided by local Georgia Department of Revenue.
      4. The processing fee is $52.90.
      5. If paying online, credit or debit is accepted.
      6. If paying at a fingerprinting site, you must pay with a money order or cashiers
         check.
      7. You will receive a registration confirmation number. **Print out the
         registration confirmation number and SAVE IT. This confirmation page
         will also be required by the Georgia Department of Revenue. **

2. Take the registration confirmation number and go to the fingerprinting
   location nearest you.

      a. Spy Gadgets & Covert Technologies
         2952 Vineville Avenue, Suite 2
         Macon, Georgia 31204
         (478) 621-5199

      b. R. Warner & Associates
         524 South Houston Lake Road
         Building K, Suite 300
         Warner Robins, GA 31088
         (478) 953-2124

      1. You must also take identification. A picture id is preferred.
      2. Your fingerprints will be scanned with a computer.

				
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