Application For B-2a Permit Form. This is a Ohio form and can be use in Department Of Commerce Statewide.
Tags: Application For B-2a Permit, DLC 1615, Ohio Statewide, Department Of Commerce
For Questions call (614) 644-2411 Office hours 8:00 a.m. - 5:00 p.m. OHIO DEPARTMENT OF COMMERCE DIVISION OF LIQUOR CONTROL 6606 TUSSING ROAD, P.O. BOX 4005 REYNOLDSBURG, OHIO 43068-9005 Telephone No. (614) 644-3155 http://www.com.ohio.gov/liqr APPLICATION FOR B-2A PERMIT SALE OF WINE TO A RETAIL PERMIT HOLDER PERMIT FEE - $25.00 (This fee must be separate from your $100.00 Out-of-State Supplier Registration) NO APPLICATION FEE § 4303.071.(A)(1) - Permit B-2a may be issued to a person that is the brand owner or United States importer of wine, is the designated agent of a brand owner or importer for all wine sold in this state for that owner or importer, or manufacturers wine if such manufacturer is entitled to a tax credit under 27 C.F.R.24.278 and produces less than two hundred fifty thousand gallons of wine per year. If the person resides outside this state, the person shall comply with the requirements governing the issuance of licenses or permits that authorize the sale of intoxicating liquor by the appropriate authority of the state in which the person resides or by the alcohol and tobacco tax and trade bureau in the United States department of the treasury. (2) The fee for the B-2a permit is twenty-five dollars. (3) The holder of a B-2a permit may sell wine to a retail permit holder, but a B-2a permit holder that is a wine manufacturer may sell to a retail permit holder only wine that the B-2a permit holder has manufactured. (4) The holder of a B-2a permit shall renew the permit in accordance with section 4303.271 of the Ohio Revised Code, except that renewal shall not be subject to the notice and hearing requirements established in division (B) of that section. (B) The holder of a B-2a permit shall collect and pay the taxes relating to the delivery of wine to a retailer that are levied under sections 4301.421 and 4301.432 and Chapters 5739. and 5741. of the Ohio Revised Code. (C) The holder of a B-2a permit shall comply with this chapter, Chapter 4301. of the Ohio Revised Code, and any rules adopted by the liquor control commission under section 4301.03 of the Ohio Revised Code. Please note: The Division will not accept this application if the applicant does not have issued an Out of State Supplier license (S-5) OR have an Out of State Supplier application pending with the Division's Beer and Wine Section PLEASE COMPLETE PAGE 1 AND 2 (TYPE OR PRINT PLAINLY) Name of Applicant Business Address Type of Applicant: City State Zip Code A-2 permit holder. Please indicate your permit number ______________________________________. S-5 license holder (Out of State Supplier), issued by the State of Ohio. Please indicate your license number _______________. PLEASE SEE PAGE 2 FOR "IMPORTANT ADDITIONAL INFORMATION" FOR DIVISION USE ONLY Remarks: Taxing District Reviewer Action: Permit Number Receipt # DLC 1615 EOE/ADA SERVICE PROVIDER Page 1 FOR TTY USERS DIAL ORS 1-800-750-0750 Rev. 9-23-08 American LegalNet, Inc. www.FormsWorkflow.com 1. Does the applicant manufacture wine? If YES, please answer questions 1a. and 2a. YES NO 1a. Is the manufacturer of the wine entitled to a tax credit under 27 C.F.R. 24.278? YES NO 1b. Does the manufacturer of the wine produce less than 250,000 gallons of wine per year? YES NO 2. Please submit a copy of your Federal Basic Permit issued by the U.S. Department of Treasury, Alcohol and Tobacco Tax and Trade Bureau (TTB). IMPORTANT ADDITIONAL INFORMATION All B-2a permits expire October 1st of each year. Any B-2a permit issued April through September will receive a 50% refund of the class fee. An applicant for a B-2a permit is also required to register as an Out-of-State Supplier and pay a $100.00 initial Application Fee. This fee must be separate from the $25.00 B-2A Permit Fee. The yearly renewal of the Out-of-State Supplier's license with a B-2a is $76.00. In addition to registering as an Out-of-State Supplier, a B-2a permit holder must register each product sold in Ohio and pay a $50.00 product registration fee for each product. Ohio has exclusive sales territories for wine products sold to retail permit holders through an Ohio wholesale distributor. If you also wish to sell your products through an Ohio wholesale distributor, it will be necessary for you to complete a territory designation form for each brand you register. Please visit the Division's web site at www.com.ohio.gov/liqr and under "Featured" - "Applications & Forms" - "Beer & Wine Section..." you can download the necessary forms needed to register as an Out-of-State Supplier and to register your products. If you have any questions, please contact the individual below that handles your account: Company Name beginning with A-L - 614-644-2410 Company Name beginning with M-Z - 614-644-2407 DELIBERATE MISREPRESENTATION OF ANY OF THE INFORMATION ON THE APPLICATION CAN RESULT IN THE DIVISION'S REFUSING TO APPROVE THIS APPLICATION. THE FOLLOWING MUST BE COMPLETED BY THE APPLICANT(S): State of Ohio, ______________________________________________________________County, ss I, ____________________________________________________________________ being first duly sworn, according to law, (Please Print Name) depose and say that the statements and answers made in the foregoing application are true. ___________________________________________________________________________ _____________________ (Signature of Individual, Partner, Officer, Managing Member, or 5% or more Stockholder or Member) ________________________________________ (Residence Address) __________________ _____________ (City) (Title) (State) _______________ (Date) ___________ _______________________ (Zip Code) (Area Code & Phone Number) (To be completed by Notary Public) Sworn to before me and subscribed in my presence this ____________day of ____________________________, 20 ____________ ________________________________________ (Notary Public) ______________________ (Notary Expiration) Page 2 American LegalNet, Inc. www.FormsWorkflow.com