STATE OF WEST VIRGINIA DEPARTMENT OF REVENUE ALCOHOL BEVERAGE CONTROL ADMINISTRATION 900 Pennsylvania Avenue, 4th floor Charleston, WV 25302 INSTRUCTIONS FOR COMPLETING APPLICATION FOR RETAIL CLASS B LICENSE-OFF PREMISES PLEASE READ ALL THE INSTRUCTIONS CAREFULLY. ALL QUESTIONS ARE TO BE ANSWERED IN FULL. APPLICANT222S ACCURACY AND THOROUGHNESS IN COMPLETING THE APPLICATION FORM WILL ASSIST THIS OFFICE IN PROCESSING THE APPLICATION AND PREVENT UNNECESSARY DELAYS. Please find enclosed: 1.) Application for Retail License, Consumption off Premises, Class B (ABCA 226 192B) 2.) Release of Information & Waiver of Confidentiality of Records (ABCA-Lic. RIWCR.2) 3.) Floor Plan (ABCA-Lic.FP3), give dimensions of licensed premises 4.) Zoning Form (ABCA-Lic.Z.2) APPLICANTS MUST TYPE OR PRINT, IN INK, ALL ANSWERES ON FORMS INSTRUCTIONS All questions and/or descriptions must be answered. The application must be signed and notarized. If any questions/description cannot be completed in the available space on the application, please submit additional pages as needed. Each additional page submitted must include entity name, DBA name, and indicate which question applicant is answering. Applications must be completed correctly and all necessary paperwork included when mailed to the WVABCA. Failure to do so will result in the application being delayed and/or returned to the applicant for the necessary corrections. LEASE 226 Applicants must provide a copy of a valid lease if not the property owner. LICENSE FEES 226 License fees must be paid by Certified Check, Cashier222s Check, or money order. Personal checks, business checks, or cash will not be accepted. Make payable to the WVABCA. All retail licenses are valid from issue date to June 30th of the current licensing period. If applying for a license to be issued after December 31st, most license fees are semi-annually prorated to half the initial fee. American LegalNet, Inc. www.FormsWorkFlow.com LIVE SCAN FINGERPRINTING 226 All applicants must complete a Live Scan Fingerprint in order to obtain a valid license. IdentoGO by MorphoTrust will provide fingerprinting services for all WVABCA license applicants. Contact IdentoGO at 855-766-7746 or online at http://uenroll.identogo.com for information on fingerprinting, locations, scheduling appointments, and fee requirements. Fingerprint result reports MUST be sent to WVABCA directly from Morpho Trust. NO REPORTS WILL BE ACCEPTED DIRECTLY FROM LICENSE APPLICANTS. WV SECRETARY OF STATE 226 All Associations, Corporations, Limited Liability, Non-Profit Clubs, and Fraternal Organizations must be duly certified and registered with the WV Secretary of State. INSTRUCTIONS FOR SIGNING: a.) If an individual, by the owner b.) If a partnership, by each member of the partnership (Copy of Partnership Agreement to be submitted to WVABCA) c.) If an association, by each member of the governing board d.) If a corporation, by all officers, or by other persons specifically authorized by corporate resolution (copy of resolution must be enclosed) e.) If a limited liability company, by all members f.) Manager(s) must sign All applicants must apply for a 223Special Occupation Tax (TTB F 5630.5d)224 with the Alcohol and Tobacco Tax and Trade Bureau. Form and instructions are available through download at the following website: http://www.ttb.gov/forms/f56305d.pdf or by calling the toll-free number at 1-800-937-8864. WINE APPLICATIONS 226 Each type of specialty wine application license is described below: Wine Retail ($150.00) 226 223Wine Retailer224 means a person licensed to sell wine at retail to the public at his or her established place of business for off premise consumption. Wine Specialty Shop ($250.00)-223Wine Specialty Shop224 means a retailer who shall deal principally in the sale of table wine, non-fortified dessert wines, wine accessories and food or foodstuffs normally associated with wine and: (a) Who shall maintain representative number of such wines for sale in his/her inventory which are designated by label as varietal wine, vintage, generic and/or according to region of production and the inventory shall contain not less than fifteen percent vintage or vintage-dated wine by actual bottle count: (b) who, any other provisions of this code to the contrary notwithstanding, may maintain an inventory of Port, Sherry, Madeira wines having an alcoholic content not more than twenty-two percent alcohol by volume and which have been matured in wooden, barrels or casks. Wine Specialty Shop Tasting ($400.00) 226 This license is a combination of the Wine Specialty Tasting ($150.00) and the Wine Specialty Shop ($250.00) licenses. This license allows a wine specialty shop to serve complimentary samples of wine in moderate quantities for tastings. Such wine specialty shop shall organize a wine taster222s club, which has at least fifty duly elected members or approved dues-paying members in good standing. Such club shall meet on the wine American LegalNet, Inc. www.FormsWorkFlow.com specialty shop222s premises not more than one time per week and shall either meet at a time when the premises are closed to the general public, or shall meet in a separate segregated facility on the premises to which the general public is not admitted. Must have a Wine Specialty Shop license to obtain a Wine Specialty Shop Tasting License. Wine Specialty Shop Sampling ($150.00) 226 This license allows a wine specialty shop to conduct special wine sampling events at a licensed wine specialty shop location during regular hours of business. The wine specialty shop may serve up to three complementary samples of wine, consisting of no more than one ounce each, to any one consumer in one day. Must have a Wine Specialty Shop license to obtain a Wine Specialty Shop Sampling License. Note: A Wine Specialty Shop ($250.00) may add Wine Specialty Shop Tasting ($150.00) = $400.00, or add the Wine Specialty Shop Sampling ($150.00) = $400.00, or add both for a combined total of $550.00. Wine Tasting 223Farm Winery224 ($150.00) 226 This License allows a farm winery to attend fairs and festivals they have listed on Wine Tasting at a Festival, Fair or Special Event (ABC-Lic.w.1) form, that has been submitted to and approved by the WVABCA Commissioner. The license allows the approved farm winery to provide samples served in moderate quantities, which serving size will not exceed two ounces and bottles of wine sold for off-premise consumption. All wines Port, Sherry, or Madeira offered or sold at the fair or festival must be offered or sold by the farm winery which produced the product. BUSINESS CLOSURE The license may not be abandoned, rented, leased, given, loaned, or sold to another. Upon sale or closure of the applicant222s business, the license must be returned to the WVABCA Licensing Division. Please include reason for closure, date business closed, and signature on back of license. MAIL COMPLETED APPLICATION, FEES, AND REQUIRED ACCOMPANYING FORMS TO: West Virginia Alcohol Beverage Control Administration ATTN: Licensing Division 900 Pennsylvania Avenue, 4th Floor Charleston, WV 25302 IF YOU HAVE ANY QUESTIONS OR NEED ASSISTANCE PLEASE CALL THE ADMINISTRATION AT 1-800- 642-8208 OR (304) 356-5500 AND ASK FOR THE LICENSING DIVISION. American LegalNet, Inc. www.FormsWorkFlow.com CHECKLIST OF FORMS/PAPERS TO RETURN TO THE WVABCA, LICENSING DIVISION: Application Form Release of Information & Waiver of Confidentiality of Records Copy of Valid Lease (if not owner) License Fee(s) Floor Plan Zoning Form completed by applicant & municipality if within city limits or, Zoning Form completed by applicant & letter from County Commission if outside city limits Copy of TTB form Naturalization papers (if applicable) American LegalNet, Inc. www.FormsWorkFlow.com WEST VIRGINIA ALCOHOL BEVERAGE CONTROL ADMINISTRATION APPLICATION FOR RETAIL LICENSE CONSUMPTION 223OFF PREMISES224 CLASS B FOR FISCAL YEAR TO COUNTY: PLEASE CHECK ALL APPROPRIATE BOXES BELOW. BE SURE TO CHECK THE BOX(ES) BESIDE EACH (ALL) OF THE LICENSES FOR WHICH YOU ARE APPLYING. A. WINE APPLICATION Wine Retail...........................................................$150 Wine S