Download Free Print-Only PDF OR Purchase Interactive PDF Version of this Form
Advice Of Correction Form. This is a California form and can be use in Department Of Alcoholic Beverage Control Statewide.
Loading PDF...
Tags: Advice Of Correction, ABC-219, California Statewide, Department Of Alcoholic Beverage Control
Department of Alcoholic Beverage Control
State of California
ADVICE OF CORRECTION
This form is to be used for any changes that need to be made to the licensee's information.
It is used for most of the miscellaneous license reporting requirements where an application
is not required, including:
• Transmittal of fees for Condition Modification/Removal
• Reporting changes in corporations, limited liability companies, or limited
partnerships that do not require an application
• Reporting corrections to license information
1. LICENSE NUMBER
Instructions: Complete items as appropriate. Items # 1, 4, 5, 7, 9 should be the licensee's
current information before the change. When this form is completed, it must be submitted
to the District office.
2. RECEIPT NUMBER
3. FEE PAID
4. LICENSEE'S NAME
5. DOING BUSINESS AS (DBA)
6. DATE
7. PREMISES ADDRESS (Street number and name, city, zip code)
8. DISTRICT OFFICE
9. MAILING ADDRESS (Street number and name, city, state, zip code)
10. LICENSEE'S PHONE NUMBER
11. TYPE OF PENDING APPLICATION
12. DATE APPLICATION FILED
13. ABIS UPDATED
Yes
UPDATED BY
(INITIALS)
No
________
14. DOCUMENT EXPLAINING
CHANGE ATTACHED
Yes
No
15. ACTION OR CHANGE
(Attach ABC-243)
a.
Corporate Change - Section 23405
b.
LP Change - Section 23405.1 (Attach ABC-256)
c.
LLC Change - Section 23405.2
d.
Condition Modification/Removal - Section 23803 (ABC-333
g.
DBA Change
h.
Premises Address Change by City or County (Attach
(Attach ABC-256-LLC)
letter from city or county)
i.
to follow to HQ H&L)
e.
Mailing Address Change
f.
(Attach letter, if any, from licensee)
Name Change
(Attach official document; e.g.,
certificate from Secretary of State, court order,
Replacement of Lost License
(Attach letter, if any, from licensee)
marriage certificate)
j.
Other
16. DETAILS OF CHANGE OR PAYMENT (e.g., annexation into city, fee for Code 8, etc.)
17. RECOMMENDATION (Required for Items 15a-c only)
INVESTIGATOR'S SIGNATURE
DATE SIGNED
18. RECOMMENDATION (Required for Items 15a-c only)
SUPERVISOR'S SIGNATURE
DATE SIGNED
Distribution: Original to HQ Licensing (If replacement of lost license, original to HQ Cashier with Transmittal);
Copy to District file
ABC-219 (rev. 9/11)
American LegalNet, Inc.
www.FormsWorkFlow.com
