LIQUOR LICENSE APPLICATION SUPPORTING DOCUMENTS PACKAGE

COVER LETTER TO ALCOHOLIC BEVERAGE CONTROL AGENCY

Date: [__/__/____]

TO:
[________________________________]
State Alcoholic Beverage Control Board/Commission
[________________________________]
[________________________________]

FROM:
Applicant Name: [________________________________]
Business Name: [________________________________]
Business Address: [________________________________]
Mailing Address: [________________________________]
Contact Telephone: [________________________________]
Email Address: [________________________________]

RE: Supporting Documents for Liquor License Application
Application Number: [________________________________]
License Type Requested: [________________________________]

Dear Licensing Administrator:

Enclosed please find the supporting documents for the above-referenced liquor license application submitted on [__/__/____]. This package contains all required documentation to support the issuance of a [________________________________] license for the premises located at:

Premises Address: [________________________________]
City: [________________________________] State: [____] ZIP: [________________________________]

CHECKLIST OF SUPPORTING DOCUMENTS

Section A: Business Entity Documentation

☐ Articles of Incorporation/Organization
- Date Filed: [__/__/____]
- State of Formation: [________________________________]
- Filing Number: [________________________________]

☐ Certificate of Good Standing (dated within 90 days)
- Issuing State: [________________________________]
- Date Issued: [__/__/____]

☐ Operating Agreement/Bylaws
- Date of Current Version: [__/__/____]

☐ Foreign Entity Registration (if applicable)
- State Registered: [________________________________]
- Registration Number: [________________________________]

☐ Fictitious Business Name Statement/DBA Certificate
- DBA Name: [________________________________]
- Filing Date: [__/__/____]

Section B: Ownership and Financial Interest Disclosure

☐ List of All Owners, Officers, Directors, Partners, and Members

☐ Personal History Questionnaire for each person listed above

☐ Fingerprint Cards/LiveScan Confirmation for each person listed above
- LiveScan Service Provider: [________________________________]
- Date of Fingerprinting: [__/__/____]
- ATI Number (if applicable): [________________________________]

☐ Background Check Authorization Forms (signed by each applicant)

Section C: Proof of Source of Funds

☐ Bank Statements (covering previous 6 months)
- Bank Name: [________________________________]
- Account Type: [________________________________]
- Total Funds Documented: $[________________________________]

☐ Loan Documentation (if applicable)
- Lender Name: [________________________________]
- Loan Amount: $[________________________________]
- Loan Type: [________________________________]

☐ Gift Letter (if funds provided by third party)
- Donor Name: [________________________________]
- Gift Amount: $[________________________________]
- Relationship to Applicant: [________________________________]

☐ Real Estate Sale Documents (if funds from property sale)
- Property Address: [________________________________]
- Sale Amount: $[________________________________]
- Closing Date: [__/__/____]

☐ Investment Account Statements
- Institution: [________________________________]
- Account Balance: $[________________________________]

☐ Detailed Statement of Source of Funds
(See attached narrative)

Section D: Premises Documentation

☐ Lease Agreement/Deed of Trust
- Landlord Name (if leasing): [________________________________]
- Lease Term: [________________________________]
- Monthly Rent: $[________________________________]

☐ Landlord Consent for Liquor License
- Date Signed: [__/__/____]

☐ Floor Plan/Diagram of Premises
- Total Square Footage: [________________________________]
- Licensed Area Square Footage: [________________________________]
- Outdoor Area (if applicable): [________________________________]

☐ Photographs of Premises (interior and exterior)
- Number of Photos Enclosed: [____]

☐ Certificate of Occupancy
- Issuing Authority: [________________________________]
- Maximum Occupancy: [________________________________]
- Date Issued: [__/__/____]

Section E: Local Government Approvals

☐ Conditional Use Permit (CUP) or evidence of pending application
- CUP Number: [________________________________]
- Issuing Agency: [________________________________]
- Approval Date: [__/__/____]

☐ Zoning Verification Letter
- Current Zoning: [________________________________]
- Compatible with License Type: ☐ Yes ☐ No

☐ Local Business License
- License Number: [________________________________]
- Expiration Date: [__/__/____]

☐ Fire Marshal Approval/Inspection Report
- Inspection Date: [__/__/____]
- Status: ☐ Approved ☐ Pending ☐ Corrections Required

☐ Health Department Approval (for food service establishments)
- Permit Number: [________________________________]
- Approval Date: [__/__/____]

Section F: Distance/Location Compliance

☐ Diagram Showing Distance from Sensitive Uses
- Nearest School: [________________________________] feet
- Nearest Church: [________________________________] feet
- Nearest Playground: [________________________________] feet
- Nearest Hospital: [________________________________] feet

☐ Census Tract Information
- Census Tract Number: [________________________________]
- Undue Concentration Analysis (if applicable): ☐ Attached

Section G: Financial Documentation

☐ Personal Financial Statement (for each individual applicant)

☐ Business Financial Projections (if new business)

☐ Tax Returns (previous 3 years, if applicable)
- Year [____]: ☐ Attached
- Year [____]: ☐ Attached
- Year [____]: ☐ Attached

☐ Evidence of Tax Compliance
- Tax Clearance Certificate: ☐ Attached
- Outstanding Tax Liens: ☐ None ☐ Resolved (documentation attached)

Section H: Additional Requirements

☐ Menu (for restaurant/food service licenses)

☐ Entertainment Plan (if applicable)

☐ Security Plan (for late-night establishments)

☐ Training Certification (responsible beverage service)
- Program Name: [________________________________]
- Certificate Date: [__/__/____]

☐ Proof of Workers' Compensation Insurance
- Carrier: [________________________________]
- Policy Number: [________________________________]

☐ Public Notice Posting Affidavit
- Posted From: [__/__/____] To: [__/__/____]
- Location Posted: [________________________________]

STATEMENT OF SOURCE OF FUNDS

I, [________________________________], declare under penalty of perjury that the funds to be used for this liquor license application and the operation of the business are derived from the following sources:

Total Investment Amount: $[________________________________]

Narrative Explanation:
[________________________________]
[________________________________]
[________________________________]
[________________________________]
[________________________________]

I certify that all funds are from legitimate sources and that no hidden ownership interests exist beyond those disclosed in this application.

Signature: [________________________________]
Printed Name: [________________________________]
Date: [__/__/____]

STATE-SPECIFIC REQUIREMENTS

California (ABC)

☐ ABC-211 License Application
☐ ABC-217 Corporation Documents Questionnaire (for corporations)
☐ ABC-221 Premises Diagram
☐ ABC-227 Responsible Beverage Service Training Certification
☐ Live Scan fingerprinting through designated service provider

Texas (TABC)

☐ TABC Application Form
☐ Location Map showing distances to schools/churches
☐ Proof of Texas Residency (certain license types)
☐ Seller Training Certificate
☐ Local Option Election Verification

Florida (DBPR/ABT)

☐ DBPR ABT-6001 Application Form
☐ Sketch of Premises
☐ Surety Bond (certain license types)
☐ Manager's Background Check
☐ Financial Affidavit

New York (SLA)

☐ SLA Application (OP-200 Series)
☐ Community Board Notification
☐ 500-Foot Rule Compliance (for on-premises licenses)
☐ Questionnaire for Corporate Applicants
☐ Method of Operation

CERTIFICATION AND ACKNOWLEDGMENT

I, the undersigned applicant, hereby certify that:

1. All information provided in this application and supporting documents is true, complete, and correct to the best of my knowledge.

2. I understand that any false statement, misrepresentation, or omission of material facts may result in denial of this application and/or criminal prosecution.

3. I authorize the Alcoholic Beverage Control agency to verify all information provided and to conduct background investigations as required.

4. I understand that approval of this application is contingent upon compliance with all state and local laws and regulations.

5. I agree to comply with all conditions that may be attached to the license if issued.

6. I understand that this application does not grant any authorization to sell alcoholic beverages until a license is actually issued.

Applicant Signature: [________________________________]
Printed Name: [________________________________]
Title: [________________________________]
Date: [__/__/____]

Notary Acknowledgment (if required by state):

State of [________________________________]
County of [________________________________]

On [__/__/____], before me, [________________________________], Notary Public, personally appeared [________________________________], who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument.

I certify under PENALTY OF PERJURY under the laws of the State of [________________________________] that the foregoing paragraph is true and correct.

WITNESS my hand and official seal.

Notary Signature: [________________________________]
Commission Expires: [__/__/____]

[SEAL]

DOCUMENT SUBMISSION INSTRUCTIONS

Submit Documents To:
[________________________________]
[________________________________]
[________________________________]

Required Copies: [____] complete sets

Application Fee: $[________________________________]
Fee Payment Method: ☐ Check ☐ Money Order ☐ Credit Card ☐ Electronic Payment

Make Checks Payable To: [________________________________]

This template is designed to assist in organizing supporting documents for liquor license applications. Requirements vary by state and license type. Always verify current requirements with your state's Alcoholic Beverage Control agency.