TEXAS ALCOHOLIC BEVERAGE COMMISSION FORM MB-FB
APPLICATION FOR TWO-YEAR RENEWAL OF MIXED BEVERAGE PERMIT
WITH FOOD AND BEVERAGE CERTIFICATE AND MIXED BEVERAGE
RESTAURANT PERMIT WITH FOOD AND BEVERAGE CERTIFICATE
TWO-YEAR RENEWAL NOTICE FOR: EXPIRING:
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.
6. Is this application being made by you for the benefit of someone else? If “YES,” indicate below or attach 6. YES NO
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 MB-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. Do you maintain food service 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
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
Individual Individual Owner
APPLICANT: PRINT NAME
Limited Partnership General Partner
Limited Liability Partnership General Partner SIGN
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.
INSTRUCTIONS FOR TWO-YEAR LIQUOR PERMITS:
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.
Mail the completed application, fee and surcharge to:
PO Box 13127
Austin TX 78711-3127
STATE FEES AND SURCHARGES are printed on the front page. Please add your fees and surcharges
together for the total amount due.
PAYMENTS: Fees must be paid with a cashier's check, money order or company firm check payable to the
Comptroller of Public Accounts. Personal checks will not be accepted. The postmark date will serve as proof
of timely filing.
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 WINERY (G) AND OUT-OF-STATE WINERY DIRECT SHIPPER PERMIT (DS) HOLDERS ONLY:
Include with this renewal a newly executed Liquor Tax Bond to cover the two-year period. Tax security will
be accepted in the form of a Bond (Form 2-51.3), Certificate of Deposit/Savings Account (Form 2-37.4) or
Letter of Credit (Form 2-26.7). These forms can be found on our website, http://www.tabc.state.tx.us/.
FOR MIXED BEVERAGE RESTAURANT PERMIT WITH A FOOD AND BEVERAGE CERTIFICATE (RM)
ONLY: Submit renewal and fees for both the RM and Food and Beverage Certificate (FB). You must
maintain your Food and Beverage Certificate at all times. You may not submit a Conduct Surety Bond in
place of the Food and Beverage Certificate.
For forms and additional information visit us at: www.tabc.state.tx.us