Download Free Print-Only PDF OR Purchase Interactive PDF Version of this Form
Mini Distillery Registration Non Retail Form. This is a West Virginia form and can be use in Alcohol Beverage Control Commission Statewide.
Loading PDF...
Tags: Mini Distillery Registration Non Retail, West Virginia Statewide, Alcohol Beverage Control Commission
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,
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