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Schedule X Airport Convention Center Convention Hotel Complex Automobile Race Track Horse Race Track Entertainment Destination Center License Form. This is a Kentucky form and can be use in Alcohol Beverage Control Statewide.
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Page 1 – Advertisement-Basic-Revised 02/24/05
EXAMPLE OF PUBLIC NOTICE
WHEN APPLYING FOR AN ABC LICENSE
KRS 243.360 requires a person to first advertise their intention to apply for these licenses in the newspaper.
Please use the following to assist you with this requirement. Place your advertisement in the legal section of
the newspaper having the largest circulation for the county or city where your premises will be located.
YOUR ADVERTISEMENT SHOULD READ AS FOLLOWS:
(Fill in the blanks)
_________________________________________________________________________________, Mailing address
(List the Name of each individual owner(s) or the name of the Corporation, Ltd, or L.L.C. the license will be issued under)
________________________________________________________________________ Hereby declares intention(s)
(Include Street, City, State and Zip)
to apply for a _____________________________________________________________________________license(s)
(List all license types you are applying for. (Example) Retail Beer, Retail Liquor by the Drink, Retail Liquor by the Package,
Restaurant Liquor by the Drink, Restaurant Wine by the Drink, Alcoholic Beverage Caterer's,
Retailer's Liquor Drink Sampling, Retailer's Liquor Package Sampling, Alcoholic Beverage Limited Restaurant by the Drink, Alcoholic
Beverage Golf by the Drink, and so on…)
(Be sure to refer to your ABC Schedule form for a complete list of all the license types you are making application for.)
no later than ______________________________________________________, The business to be licensed will be
(Enter the date you intend to make application to the State ABC)
located at _______________________________________________________________ Kentucky _______________.
(List the EXACT street address and city where the ABC license is to be issued)
(Zip)
doing business as ________________________________________________________________________________
(List the name of your business (D.B.A.))
The (owner(s); Principal Officers and Directors; Limited Partners; or Members) are as follows:
_____________________,
Title or position
_____________________,
Title or position
_____________________,
Title or position
_____________________,
Title or position
_____________________,
Title or position
_____________________,
________________________ of ____________________________________________
Name
Home address, city, state and zip code
________________________ of ____________________________________________
Name
Home address, city, state and zip code
________________________ of ____________________________________________
Name
Home address, city, state and zip code
________________________ of ____________________________________________
Name
Home address, city, state and zip code
________________________ of ____________________________________________
Name
Home address, city, state and zip code
________________________ of ____________________________________________
Any person, association, corporation, or body politic may protest the granting of the license(s) by writing the
Department of Alcoholic Beverage Control, 1003 Twilight Trail, Frankfort, Ky. 40601-8400, within 30 days of the date
of this legal publication. (End of advertisement)
Forward a clipping of this advertisement along with the Affidavit of Publication to:
Kentucky Office of Alcoholic Beverage Control
1003 Twilight Trail
Frankfort, Kentucky 40601-8400
(502) 564-4850 phone
(502) 564-1442) fax
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Page 2 – Advertisement
Rev. 02/24/2005
Commonwealth of Kentucky
Office of Alcoholic Beverage Control
1003 Twilight Trail
Frankfort, Kentucky 40601-8400
(502) 564-4850 phone
(502) 564-1442 fax
GLUE OR
TAPE
CLIPPING
HERE
AFFIDAVIT OF PUBLICATION
Attesting Publication of Intention to Engage in an
Alcoholic Beverage Business
The following Affidavit of Publication is to be executed by an officer of the newspaper in which the application advertised,
one time before the date of application for an alcoholic beverage license, his/her intention to engage in the business
authorized by the license(s) applied for. A clipping of the advertisement must be attached to this Affidavit of Publication.
_____________________________________________________________of ________________________________
(Name of Officer at Newspaper)
(City)
(State)
Being first duly sworn, says that he / she is __________________________________________________________
(Title of Position at Paper)
of the _____________________________________________________ a newspaper printed and published in the
(Name of Newspaper)
State of ___________County of _________________________, and having a general circulation in the County of
______________________________, Kentucky, and that the attached advertisement is a true copy and has been
Published in said newspaper on the following date(s): ________________________________________________
Signature of Officer _____________________________________________
Subscribed and sworn to before me, a Notary Public within and for the State and County aforesaid, by
____________________________ to me personally known, this __________day of _________
(year) _________
My Commission expires the _________day of ________________________________________ (year) _________
County of ________________________
Notary Public ___________________________________________
THIS AFFIDAVIT PROPERLY EXECUTED MUST BE ATTACHED TO THE ABC APPLICATION FOR
LICENSING.
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LEASE AGREEMENT
I, (We) ____________________________________________________,
hereby agree to lease to ___________________________________________,
the premises located at ____________________________________________,
____________________________________________,
in _________________________County, Kentucky.
The said lease shall be for a term of _____________________________,
beginning _____________________and ending _________________________.
The rent shall be payable at a rate of ____________________________.
I understand and agree upon, that the premises herein named shall be used
for lawful purposes only.
Lessor X_____________________________
Lessor X_____________________________
Lessee X_____________________________
Lessee X_____________________________
Subscribed and sworn to before me, a Notary Public, on this the _______
day of ___________________________, 20_______, by the above Lessor and
Lessee.
Notary Public __________________________
My commission expires _____________________________________________.
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ABC Edu. Fin. Asst. Self-Certification
12/20/05
SELF-CERTIFICATION FOR COMPLIANCE WITH
KRS 164.772 Default in repayment obligation under financial assistance program – Professional
licensing and certification – Notification.
This form must be completed (signed and dated) by all persons interested in this
application, including, but not limited to, officers, partners, and managing members.
If this involves more than one person, make copies in order that each such interested
person completes this form.
Certification of Repayment of Educational Financial Assistance
I, _______________________________________________, am an applicant for a license related
to alcohol or alcoholic beverages issued by the Kentucky Office of Alcoholic Beverage Control.
I hereby certify that I am not in default of a repayment obligation, such as a student loan
repayment, under any financial program administered by the Kentucky Higher Education
Assistance Authority (KHEAA).
________________________________________
Signature of applicant
_____________________
Date
RETURN THIS COMPLETED FORM TO STATE ABC ALONG WITH YOUR APPLICATION
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COMMONWEALTH OF KENTUCKY
Page 1 ABC Basic application 01/01/07
Site I.D. #
OFFICE OF ALCOHOLIC BEVERAGE CONTROL
1003 Twilight Trail
Frankfort, Kentucky 40601-8400
502.564.4850 phone
502.564.1442 fax
“BASIC APPLICATION FOR ALCOHOLIC BEVERAGE LICENSES”
Applications may be returned if all questions are not answered completely.
Leave Blank – For ABC Use Only
License # __________________ $______________ Val._______________
License #__________________ $______________ Val. ____________
License # __________________ $______________ Val._______________
License# __________________ $______________ Val. ____________
Malt Beverage Administrator’s Approval _________________________________________________________________ Date _____________________
Distilled Spirits Administrator’s Approval _________________________________________________________________ Date ____________________
(A) 1. Applicant’s name(s) or company to be licensed _________________________________________
DBA (Name of Business) _______________________________________________________________
(B). 2. Tax numbers (must be issued in
the applicant’s name).
Address of premises to be licensed _______________________________________________________
Ky. Sales & Use Tax # _____________
City ______________________ County _____________ State ________ 9 digit zip code ____________
Ky. Withholding Tax # ______________
Mailing address if different from above ____________________________________________________
Contact person 8:00 am – 4:30 pm _____________________e-mail address _____________________
Ky. Corporate Tax # _______________
Contact phone___________________Fax__________________Premises phone __________________
Federal EIN #_____________________
List all ABC Schedule(s) you have attached ___________________ Fee enclosed $________________
(C) 3.
4.
5.
List all types of licenses you are applying for _______________________________________________________________________________
What Month do you want your license(s) to become effective? _________________________________________________________________
Describe the type of business you will operate and list how you will sell alcoholic beverages. _________________________________________
Check all that apply: Beer:
By the drink only,
By the package only,
Both by the drink and package.
Wine
Distilled Spirits:
By the drink only,
By the package only,
Both by the drink and package.
6. Are you the owner of the real estate where these premises are to be licensed?......................................................................................⃞Yes ⃞No
If no, you must attach a signed copy of your lease. ABC will not issue or renew any license(s) unless this lease extends through the
full period of your license expiration date.
List the name of the owner of the premises real estate____________________________________________ Give date lease expires____________
H
W
F
SOCIAL
SECURITY
NUMBER
TITLE
DATE
OF
BIRTH
% OF
OWNERSHIP
ALL PHONE NUMBERS
H = HOME
W = WORK
F = FAX
0 = OTHER
LIST DATE &
STATE
WHERE YOU
RESIDED IN
PAST 5 YRS.
NAME AND ADDRESS
USA CITIZEN
(D) 7.
Complete the following for the business proprietor, partner(s) and all persons interested in the business to be licensed. List all owners, officers, directors,
partners, managing members, members, and shareholders (unless publicly held). Show 100% of the ownership.
If additional space is needed, please make an attachment.
⃞ Yes
⃞ No
%
O
H
W
F
⃞ Yes
⃞ No
%
O
H
W
F
⃞ Yes
⃞ No
%
O
Please state in section D7 if this is a publicly held company.
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Site I.D. #
(E) 8. Is the applicant a corporation, limited partnership, or limited liability company, in good standing with the Ky. Secretary of State?......⃞Yes ⃞No
List the State Incorporated or organized in _______________________________________________________________________
Attach a copy of your Articles of Incorporation or Articles of Organization.
If incorporated or organized in another state, attach a Certificate of Authority to do business in Kentucky.
9. Is the entire license fee paid by the applicant and by no other person?....................................................................................................⃞Yes ⃞No
10. Are the premises to be licensed located within an incorporated city or town?...........................................................................................⃞Yes ⃞No
If yes, list the name of the city or town __________________________________________________________________________
11. Have you ever been licensed to sell alcoholic beverages?........................................................................................................................⃞Yes ⃞No
If yes, give the name of the state and license number(s) ____________________________________________________________
If in Kentucky, are you transferring this license to a new location?............................................................................................................⃞Yes ⃞No
12. Does anyone named in section D 7 of this application have any 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?............................................................................⃞Yes ⃞No
If yes, describe the interest(s) _________________________________________________________________________________
13. Has the applicant or any person named in section D 7 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?.........................................⃞Yes ⃞No
If yes, you must attach a statement giving a full explanation, including date(s) of conviction(s).
14. Has a license been suspended or revoked or denied for the premises to be licensed or any person named in section D7 of this
Application herein? If yes, attach a statement giving a full explanation, including dates of suspension, revocation, or denial...................⃞Yes ⃞No
15. Are the premises to be licensed and the entrance located on the street level?..........................................................................................⃞Yes ⃞No
If no, is the business a hotel, club or restaurant?........................................................................................................................................⃞Yes ⃞No
16. a.
Have the premises applied for been licensed to sell alcoholic beverages in the past twelve months?...............................................⃞Yes ⃞No
b.
c.
d.
Are the premises currently licensed?...................................................................................................................................................⃞Yes ⃞No
If yes, give the Kentucky License number (s) __________________________________________________________________
Is the license being transferred to you?...............................................................................................................................................⃞Yes ⃞No
e.
Are you acquiring an interest in the existing business?.......................................................................................................................⃞Yes ⃞No
If yes, check all the following boxes that apply to you. ⃞ Inventory
⃞ Ownership by purchase of assets
⃞ Leases
⃞ Fixtures and Equipment
⃞ Ownership by purchase of shares
⃞ Other _______________________________________________
(F) 17.
THE SELLER SHOULD COMPLETE THIS SECTION IF ITEM # 16 HAS BEEN ANSWERED “YES”
OR IF SOMEONE IS TRANSFERRING THEIR LICENSE (S) TO YOU.
I (we), _____________________________________________________________________________the seller(s) or owner(s) of the business known
(Enter the exact name(s) that appears on the current license(s)
as_______________________________________ located at ______________________________________________ Kentucky, am the holder of a
⃞ Malt Beverage (beer)
⃞ Liquor by Drink
⃞ Liquor by Package
⃞ ____________ (other) license(s). The license number(s) is
(are) ___________________________. I hereby represent that I have agreed to convey all license privileges (permitted by law) to
_____________________________________________________________. I (we) understand that I (we) may not relinquish control of the business,
(Enter the exact name(s) that is applying to become the new licensee)
premises, or my interest in the licenses until such time as the buyer’s application has been approved by the Office of Alcoholic Beverage Control.
Signature of Seller __________________________________________________________________ Title _________________ Date __________
(If a partnership, all partners must sign. If a corporation, only one officer must sign)
Sworn or affirmed before me on this ____________ day of _________, year of _________. My Commission expires __________________________
Notary Public ___________________________________________________ County of ___________________ State of ______________________
(Canadian applicants are exempt from this notary requirement)
(G) 18.
AFFIDAVIT OF BUYER OR NEW PERSON APPLYING FOR THE ABC LICENSE (S)
I, __(print your name here)___________________________________________________), do hereby swear or affirm 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 further agree that I shall not engage
in any activity involving alcoholic beverages at the premises described herein until I have been issued the appropriate license(s) by the Office of
Alcoholic Beverage Control. Once the license(s) is issued, I hereby swear or affirm that I shall abide by all state and local statutes, regulations, and
ordinances relating to the manufacture, sale, use, and trafficking in alcoholic beverages.
Signature of Buyer or New Applicant __________________________________________ Title ______________________ Date _______________
Sworn or affirmed before me on this _________ day of ______________, year of ____________. My Commission expires _____________________
Notary Public _________________________________________ County of ________________________________ State of ___________________
(Canadian applicants are exempt from this notary requirement)
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Page 1 Schedule X
01/01/07
SCHEDULE “X”
Site I.D. #
AIRPORT, CONVENTION CENTER, CONVENTION HOTEL COMPLEX,
AUTOMOBILE RACE TRACK, HORSE RACE TRACK,
ENTERTAINMENT DESTINATION CENTER LICENSE
Leave Blank – For ABC Use Only
License # _______________ $ __________ Validating # _______________ License # _______________ $ __________ Validating # _______________
License # _______________ $ __________ Validating # _______________ License # _______________ $ __________ Validating # _______________
Malt Beverage Administrator’s Approval ________________________________________________________________ Date ____________________
Distilled Spirits Administrator’s Approval ________________________________________________________________ Date ____________________
(A).
Applicant’s name(s) or company to be licensed ___________________________________________
D.B.A. (Name of Business) _______________________________________________________________
Address of premises to be licensed
(B).
1.
Are you applying for an Airport Liquor & Wine by the Drink License?................................................................................. ⃞ Yes ⃞ No
If yes, KRS 243.050 and 804 KAR 9010(3) will your premises be located in a commercial airport through which
more than 500,000 passengers arrive or depart annually?..................................................................................................... ⃞ Yes ⃞ No
2.
Are you applying for a Retail Beer License?...........................................................................................................................⃞ Yes ⃞ No
If yes, under KRS 243.280 are your premises selling gasoline, oil, or servicing motor vehicles?............................................ ⃞ Yes ⃞ No
If yes, do you maintain an inventory not less than $5,000 of food, groceries, and related products valued at cost?............... ⃞ Yes ⃞ No
3.
Are you applying for a Convention Center Liquor, Wine & Beer by the Drink License?.....................................................⃞ Yes ⃞ No
If yes, under KRS 243.050 does your premise have a capacity for 1,000 or more persons? ..................................................⃞ Yes ⃞ No
4.
Are you applying for a In-Room Hotel Bar License?......................................................................................................... .....⃞ Yes ⃞ No
If yes, KRS 243.055 requires you to have are be applying for a Kentucky Convention Center Drink License.
Are you applying for a new CCC license? ⃞ Yes ⃞ No or are you currently licensed, if yes, list your CCC # __________.
5.
Are you applying for a Caterer’s License at premises that contain a commissary?.............................................................. ⃞ Yes ⃞ No
If yes, under KRS 243.033 and 804 KAR 4:310 have you attached a copy of your food service permit issued by the local
health department?...................................................................................................................................................................⃞ Yes ⃞ No
6.
Are you applying for a Horse Race Track Liquor, Wine and Beer by the Drink License?.................................................. ⃞ Yes ⃞ No
If yes, under KRS 243.050 and 804 KAR 4.260 are your premises located at a horse race track licensed by the
Kentucky Racing Commission?................................................................................................................................................⃞ Yes ⃞ No
If yes, have you attached a copy of your racing license issued by the Kentucky Racing Commission?..................................⃞ Yes ⃞ No
7.
Are you applying for an Automobile Race Track Liquor, Wine and Beer by the drink License?......................................⃞ Yes ⃞ No
If yes, under KRS 243.050(5) does your premises have a seating capacity of at least 30,000 people?.................................⃞ yes ⃞ No
8.
Are you applying for a Supplemental Liquor Bar License if you answered yes to question #1?..........................................⃞ Yes ⃞ No
If yes, under KRS 243.037 and KRS 241.010(49) how many additional bars do you wish to license? _________________.
9.
Are you applying for a Entertainment Destination Center License?....................................................................................⃞ Yes ⃞ No
st
If yes, 804 KAR 4:370 requires the premises to be licensed are located in a city of the 1 class, to have a minimum
of 100,000 square feet of building space and be located within 2,000 feet of an existing tourism attraction or a major
Convention facility. Do you meet these requirements?...........................................................................................................⃞ Yes ⃞ No
10.
Are you applying for a Special Sunday Retail Liquor Drink License?.................................................................................⃞ Yes ⃞ No
If yes, under KRS 244.290 check which license type you will qualify to hold.
⃞ a SD Sunday License (available only to holders of liquor drink licenses in Kenton & Campbell counties voted wet by election under
KRS 244.290 to extend Sunday sales.)
⃞ a LS Sunday License ( available only to holders of liquor drink licenses that are restaurants with seating for at least 100 persons for dining
and receive at least 50% of its gross annual income from the sales of food where a local ordinance has been approved under KRS 244.290
to extend Sunday sales.)
⃞ a ESL Extended Supplemental Hours Sunday Liquor (available under KRS 243.050 only to liquor drink licensees at Airports,
Convention Centers, Horse Race Tracks or Automobile Race Tracks.)
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Page 2 – Schedule –X
01/01/07
Site ID #
(C).
KRS 243.360 requires an applicant to first advertise their intention to apply for these licenses in the
newspaper. Please use the attached example to assist you with this requirement. (If you are currently
licensed and only adding a Sunday or a supplemental bar license to your premises, you are not
required to run this advertisement.)
Place your advertisement once in the legal section of the newspaper having the largest circulation
for the county where your premises will be located. KRS 424.120 and 424.130(1)(b) describe a
qualified newspaper
After your advertisement has appeared in the paper, obtain a clipping from the paper and attach the
Affidavit of Publication to your ABC application. The Affidavit of Publication is enclosed and should be
completed by an official of the newspaper where the advertisement appeared.
(D).
I do hereby solemnly swear or affirm that all statements contained in this application and all
attachments are true and correct to the best of my knowledge, information and belief. I incorporate
this schedule into my ABC Basic application for a Kentucky alcoholic beverage license. I understand I
may not begin to operate with alcohol activity until the Kentucky ABC Office has issued my license(s).
I further swear or affirm I shall abide by all state and local statutes, regulations, and ordinances
relating to the manufacture, sale, use or and trafficking in alcoholic beverages.
Signature of Applicant ___________________________Title _______________Date ___________
(E).
OBTAIN SIGNATURE OF YOUR LOCAL ABC ADMINISTRATOR’S APPROVAL
Your Local ABC Administrator must approve this application before it is forwarded to the State ABC.
Take or mail this application schedule, the ABC Basic application, fee, and all attachments to your Local ABC Administrator. Obtain
their signature of approval below or make arrangements for this approval to be sent to the State ABC Office.
This certifies that the applicant(s) herein above named have been approved for the types of license applied for and for the
premises above specified.
SIGNATURE OF APPROVAL OF LOCAL ABC ADMINISTRATOR ___________________________________Date ______________
⃞ City of ____________________________Administrator (or) the ⃞ County of _____________________________Administrator
(F).
You may now forward this application schedule, the ABC Basic application, all attachments, and your state license fee to:
KENTUCKY OFFICE OF ALCOHOLIC BEVERAGE CONTROL
1003 Twilight Trail
Frankfort, Kentucky 40601-8400
Telephone 502-564-4850
Fax 502-564-1442
http://abc.ky.gov/
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Page 3 – Schedule X
01/01/07
TYPES OF LICENSE & FEES
Site I.D. #
To determine the ABC license fee(s), find the license type(s)
In the left column, then move right across the table. Licenses issued 6 months or more pay a full year fee.
Licenses issued less than 6 months pay one-half year fee.
Check a the boxes for the type(s) of license(s) you are applying for.
Attach a certified check, cashier check, or a money order.
Make payable to: KENTUCKY STATE TREASURER
WE DO NOT ACCEPT CASH!
LICENSE TYPE
⃞ ENTERTAINMENT DESTINATION CENTER
(Liquor / wine / beer by the drink) 804 KAR 4:370
⃞ CONVENTION CENTER, CONVENTION HOTEL
COMPLEX (liquor / wine / beer by the drink)
FULL YEAR FEE
Pay this amount
HALF YEAR FEE
Pay this amount
EDC
7,500.00
3,750.00
CCC
5,000.00
2,500.00
200.00
100.00
800.00
400.00
2,000.00
1,000.00
2,000.00
1,000.00
1,000.00
500.00
Pay fee for the largest
city in the county to
be licensed.
Pay fee for the largest
city in the county to be
licensed.
st
1 Class city
1000.00
2nd. Class city
700.00
rd
3 . Class city
600.00
4th. Class city
500.00
1st Class city
500.00
2nd. Class city
350.00
rd
3 . Class city
300.00
4th. Class city
250.00
500.00
250.00
500.00
250.00
2,000.00
1,000.00
200.00
100.00
PREFIX
a
KRS 243.050
IN-ROOM HOTEL BAR (liquor / wine) KRS 243.055
⃞ CATERER KRS 243.033, 804 KAR 4:310
⃞ HORSE RACE TRACK (liquor / wine / beer by drink)
KRS 243.050, 804 KAR 4:260
HI
CL
HR
⃞ AUTOMOBILE RACE TRACK KRS 243.050(5)
(Liquor / wine / beer by the drink)
AR
⃞ AIRPORT LIQUOR DRINK KRS 243.050, 804 KAR 9:010(3)
(Liquor / wine by the drink)
AL
⃞ SUPPLEMENTAL BAR (liquor / wine by drink) PRE BAR
⃞
⃞
SBL
⃞
⃞
KRS 243.037, KRS 241.010 (49)
(not necessary for CCC, EDC, Horse Race Track, or
Automobile Race Track applicants.)
How many ⃞ (no fee after 5 but, license is required.)
See Page 2 of the State Instruction Sheet to determine areas
these licenses may be located.
⃞ SD SPECIAL SUNDAY RETAIL DRINK
(liquor/wine) KRS 244.290
SD
⃞ LS SPECIAL SUNDAY RETAIL DRINK
(liquor/wine) KRS 244.290
⃞
LS
⃞
⃞
⃞ ESL EXTENDED HOURS SUPPLEMENTAL
SUNDAY DRINK
(liquor/wine/beer) KRS 243.050
⃞ RETAIL BEER KRS 243.280
(Not necessary for Convention Center, Entertainment Destination
Center, Automobile Race Track, and Horse Race Track
applicants.)
ESL
B
⃞
TOTAL
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Page 4-Schedule – X
01/01/07
CHECK LIST
1. We do not accept cash! Have you attached a certified check, cashier check or money order
payable to: Ky. State Treasurer for your License fees and a separate check
for your Kentucky Background checks?
□ Yes □ No
2. Have the buyer and seller (if applicable) signed and had this application notarized?
□ Yes □ No
3. Have you answered each question fully and checked the type(s) of license(s)
you are applying for?
□ Yes □ No
4. Have you signed your application(s) and had your signature notarized?
□ Yes □ No
5. Have you secured the signature of approval from your local ABC
Administrator on this application?
6. Have you attached a certified copy of your newspaper advertisement for
this license?
□ Yes □ No □ N/A
7. Have you attached articles of incorporation, partnership papers, or other
organizational papers?
□ Yes □ No □ N/A
8. Our State ABC Administrators will not approve an ESL license for a CCC,
HR, AR, or AL applicant unless the business to be licensed will promote
tourism and the economic growth of Kentucky. If you are applying for an
ESL license, you must attach a letter or documentation supporting these
requirements. Have you attached this documentation?
□ Yes □ No □ N/A
□ Yes □ No □ N/A
FORWARDING YOUR APPLICATION TO THE KENTUCKY ABC OFFICE
You may now forward this application schedule, the ABC Basic application, all attachments, and your
state license fee to:
Commonwealth of Kentucky
Office of Alcoholic Beverage Control
1003 Twilight Trail
Frankfort, Kentucky 40601-8400
Telephone (502) 564-4850
Fax (502) 564-1442
http://abc.ky.gov
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