STATE OF WEST VIRGINIA DEPARTMENT OF TAX AND REVENUE ALCOHOL BEVERAGE CONTROL ADMINISTRATION 322 70th Street, SE Charleston, West Virginia 25304-2900 INSTRUCTIONS FOR NON-RETAIL LIQUOR & WINE LICENSE APPLICATION (FORM # ABCC-WS-3) 1. Please read the instructions carefully. All questions are to be answered in full. Your accuracy and thoroughness in completing the application form will assist us in processing the application and preventing unnecessary delays. 2. False representations made in application or failure to comply with Chapter 60 of the West Virginia Code (State Control of Alcoholic Liquors) and rules and regulations promulgated thereunder may result in denial, revocation, or suspension of the license. 3. Any person holding any interest in a Wine Supplier, West Virginia Licensed Wine Distributor, or West Virginia Farm Winery may not hold any interest in a retail wine establishment or a private wine restaurant. 4. Any person holding any interest in a West Virginia Distillery or a West Virginia Mini-Distillery may not hold any interest in a retail liquor, private club, or private wine restaurant establishment. 5. Licensing Periods: • • 6. Wine Supplier, Wine Distributor, Farm Winery, and Direct Shipper license periods begin July 1 and end June 30 of each year. Distillery and Mini Distillery license periods begin January 1 and end December 30 of each year. Acceptable forms of payment of license fees are certified check, cashier’s check, company check, or money order payable to the West Virginia Alcohol Beverage Control Administration. If the license for a Wine Supplier, Wine Distributor, or Direct Shipper is issued for less than a full year, the fee may be prorated as follows: License Application Submitted July 1 through June 30 January 1 through June 30 7. The application must be signed as follows and all signatures must be notarized: • • • • • (304) 558-2481 License Fee Full License Fee ½ of License Fee If an individual, by the owner. If a firm, each member of the firm. If a partnership, each member of the partnership. If an association, each member of the governing board. If a corporation, by either it’s president or a vice president. “AN EQUAL OPPORTUNITY / AFFIRMATIVE ACTION EMPLOYER” http://www.wvabca.com FAX (304) 558-5599 American LegalNet, Inc. www.FormsWorkflow.com 8. Documents which must accompany application: • • • If an Association - a copy of the Certificate of Authority and Agreement of Association If a Limited Liability Corporation - a copy of the Certificate of Authority and Articles of Organization If a Corporation - a copy of the Certificate of Authority and Articles of Organization • A copy of the applicant's federal basic permit, as required under the Federal Alcohol Administration Act. • A copy of West Virginia business license registration. • If out-of-state entity, a copy of current ABC license from state of domicile. • A Letter of Good Standing from State of West Virginia and if an out-of-state entity, a letter of good standing from the state of domicile. (Forms to request a Letter of Good Standing from the State of West Virginia are included.) • If applying as a resident Distillery or Mini Distillery; submit copies of all documents which have been submitted to the Bureau of Alcohol, Tobacco, and Firearms, along with documentation of ATF’s inspection report and approval. 9. A farm winery license shall be issued only to, or held by, an applicant qualified to operate or who is operating a winery or wine cellar bonded under the laws and regulations of the United States. Form and instructions are available by calling the toll-free number at 800-937-8864 or available through download at http://www.ttb.gov/alcohol/permits.htm 10. Distilleries, Mini Distilleries, and Wine Distributors (wholesalers) are required to buy a Special Tax Stamp from the Internal Revenue Service. Additional information and application for the Special Tax Stamp can be made on TTB Form 5630.5 or you can request a packet with the form and instructions by calling the toll-free number at 800-937-8864 or available through download at http://www.ttb.gov/taxes_and_permits/fed_tax_stamp.htm 11. Wine Supplier & Distributor Bonds - Please see bond instructions for proper completion. • • Wine Suppliers - Applicants must complete bond form #ABCC-WS-3-B in the amount of $10,000.00. Wine Distributors - Applicants must complete bond form #ABCC-WS-1-B in the amount of $10,000.00. 12. Direct shippers must provide a list of brands that are to be shipped into West Virginia. 13. All completed applications, with supporting documents, and the required license fees, are to be returned to: West Virginia ABC Administration Wine Division 322 70th Street, S. E. Charleston WV 25304 14. If there are additional questions concerning the proper completion of an application, inquiries can be made to the Alcohol Beverage Control Commissioner at (304) 558-2481 between the hours of 8:30 a.m. and 4:30 p.m. E.S.T. Monday through Friday. American LegalNet, Inc. www.FormsWorkflow.com ABCC-WS-3 Form ABCA-MUD-LIQWNE rev. 05/2007 Acceptable forms of payment for license fee is: Cashier’s Check, Certified Check, Company Check or Money Order Applying As: “ “ “ “ “ “ Individual Partnership Ltd. Partnership Ltd. Liability Corporation Association “ Wine Supplier Answer Questions 1-16 License Fee: $150.00 Licensing Period: ____________ to __________ License Number_________________________ West Virginia Alcohol Beverage Control Administration 322 70th Street, SE Charleston, WV 25304-2900 (304) 558-2481 Non-Retail Liquor and Wine License Application “ Distillery Answer Questions 1-16 Complete Section I License Fee: $1500.00 “ Mini Distillery “ Farm Winery “ Multi Capacity Answer Questions 1-16 Answer Questions 1-16 Answer Questions 1-16 Complete Sections I & III Complete Sections I & III License Fee: $50.00 License Fee: $50.00 License Fee: $300.00 “ Wine Distributor “ Direct Wine Shipper Answer Questions 1-16 Complete Sections I & II License Fee: $2500.00 Answer Questions 1-16 License Fee: $_________________ $150.00 to ship