Application For Alcoholic Beverage Control Retail License (On Premises) Instructions

Rev-07/22/2014 INSTRUCTIONS FOR ON-PREMISES LIQUOR RETAIL APPLICATION Mail the application to: New York State Liquor Authority Church Street Station P.O. Box 3817 New York, NY 10008-3817 Applications may not be handwritten. Applications are available on our website as fillable forms. Print a completed copy of the application for submission to the Authority. Save a completed copy of the application to retain for your records. These instructions will assist you in filling out a complete application, resulting in quicker review and determination. Incomplete applications may be disapproved. You must present a clear explanation of what you intend to do and how you will accomplish this. Drawing your diagrams and reviewing your photographs will assist you in filling out a complete application. Please ensure you answer every question and submit all documentation required to support your application. STATUTORY DISQUALIFICATIONS The following are Statutory Disqualifications from holding an alcoholic beverage retail license under the A.B.C. Law: 1. Under the age of 21; 2. Not a U.S. citizen or alien admitted to the U.S. for permanent lawful residence; 3. Convicted of any felony, promoting or permitting prostitution, sale of liquor without an alcoholic beverage license; 4. Police officers/police officials; 5. A person whose liquor license was revoked; or 6. A person who has a wholesale license. If any apply to you, identify and explain in an attached statement. STANDARDIZED NOTICE FORM PROVIDING A 30-DAY NOTICE TO A LOCAL MUNICIPALITY OR COMMUNITY BOARD (page 2-3) · All on-premises applicants (whether applying for beer; beer & wine; or beer, wine & liquor) are required to notify the Municipality or Community Board at least 30 days prior to filing the application with the New York State Liquor Authority (section 110(b) ABC Law). · You must submit a copy of the completed and signed Standardized Notice Form with your application along with proof of mailing or hand delivery. This form is part of the On-premises application. LICENSE APPLICATION (pg 4-5) LINE 1 NAME OF APPLICANT · Enter sole proprietor's full name. · If a partnership, enter full name of each partner. · If a corporation, enter the corporate name. · If a Limited Liability Company (LLC) or Limited Partnership (LP), enter the company name. TRADE NAME · Enter your DBA ­ "Doing Business As" name. You must enter a trade name if you are to be known by any other name other than what is listed in "applicant name." This is the name that your business is known by, i.e. the name that appears on your building. · This must match the DBA listed on your Assumed Name Filing Receipt or Business Certificate. PREMISES STREET ADDRESS · Enter the full address and county of the premises you are seeking to license (911 street address where applicable). TELEPHONE NUMBER OF PREMISES · IMPORTANT: Enter telephone number of premises or a telephone number where we can contact you, the applicant, not your attorney or representative. 1 American LegalNet, Inc. www.FormsWorkFlow.com MAILING ADDRESS · List the address where you wish to have all correspondence regarding the liquor license to be mailed, such as Renewal Advisories or Certificates, if the premises address cannot receive mail or if you prefer to have the mail delivered elsewhere. E-MAIL ADDRESS · IMPORTANT: Enter the e-mail address of premises or an e-mail address where we can contact you, the applicant, not your attorney or representative. · This will make it easier for your examiner to correspond with you. LINE 2 ATTORNEY/REPRESENTATIVE CONTACT NAME · Enter the name, address, telephone number and email address of the attorney, representative or contact person for your application. Notices of incomplete applications will be mailed to the applicant, and to the attorney or representative, if applicable. As the applicant, you are responsible for the information provided in the application. LINE 3 FOR SEASONAL LICENSES ONLY · Provide the months the license will begin and end, in that order. Seasonal licenses start on the first day of the month selected and end on the last day of the month selected (you may not list partial months). · See fee schedule for beginning and ending months allowed for summer and winter seasonal licenses. LINE 4 LICENSE TYPE & CODE · Refer to the Retail Fee Chart for the license class and code number and enter these in the spaces on line 4. LINE5 NUMBER OF ADDITIONAL BARS · Enter the number of additional bars (bars for customers), if any. · A bar is any bar (whether there is seating or not) where customers may order, purchase, or receive alcoholic beverages. Each bar requires its own license. · A service bar is for wait staff use exclusively, and requires no additional fee. LINE 6 TOTAL PAYMENT DUE · Refer to the Retail Fee Chart for the specific license fee and complete the following fee payment work sheet. FEE PAYMENT WORKSHEET 1. License Fee $________________ 2. Filing Fee +________________ 3. Additional Customer Bars (if any) ________ x __________ # of bars license fee (fee from 1 above) +________________ 4. Additional Bar Filing Fee $20 x # of bars +________________ TOTAL PAYMENT DUE =________________ (sum of lines 1-4 above) (Enter this number on LINE 6, page 4 of the application) · Attach a personal check, certified check or money order payable to the New York State Liquor Authority for the total payment due. TEMPORARY RETAIL PERMIT FEE MUST BE A SEPARATE CHECK. If you are located in the five boroughs of New York City, you may only apply for this permit if purchasing an existing establishment from a current licensee. LIQUIDATOR'S PERMIT FEE ($36) MUST BE A SEPARATE CHECK. A Liquidator's Permit is required if there is a transfer of alcoholic beverages from seller to purchaser. If alcoholic beverages are not being transferred, a statement, signed by the seller must be submitted. · · LINE 7 FEDERAL TAX ID # · If applying as a sole proprietor, enter your Social Security Number. Others list Federal Identification Number. This is obtained from the IRS. If your Federal ID is pending, please indicate here. 2 American LegalNet, Inc. www.FormsWorkFlow.com LINE 7a CERTIFICATE OF AUTHORITY PERMIT # · All applicants must obtain a Certificate of Authority to Collect Sales Tax or an Exempt Organization Certificate from the NYS Department of Taxation & Finance before receiving a license. The permit number that appears on your certificate is to be reflected in the box provided. If your Ce