Abc 239 Form PDF Details

In the streamlined world of business and regulation in California, the Abc 239 form occupies a crucial role in the realm of alcoholic beverage control. Crafted by the Department of Alcoholic Beverage Control, this form acts as the gateway for existing license holders to expand their service offerings through additional permits or licenses. Key elements of the form include detailed licensee information, from names and addresses to contact details, laying the groundwork for transparency and accountability. It further delves into the specifics of the additional permits or licenses sought, encompassing a range of options like caterer's permits, importer licenses for beer, wine, brandy, and distilled spirits, alongside provisions for event permits and more — each tailored to meet diverse business needs within the state's vibrant alcoholic beverage industry. The form encapsulates rigorous authentication processes, requiring notarization or witnessing by agency staff to ensure authenticity and compliance with state law. With sections meticulously designed to capture all necessary details, from basic identification to the specifics of the permit or license applied for, the Abc 239 form stands as a pivotal document, facilitating legal compliance, operational expansion, and the seamless interaction between the state's regulatory framework and the dynamic alcoholic beverage sector.

QuestionAnswer
Form NameAbc 239 Form
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesenter text abc, CERTIFICATION, abc239 form, Importer

Form Preview Example

Department of Alcoholic Beverage Control

State of California

ADDITIONAL LICENSE/PERMIT APPLICATION

(ABC Use Only)

LICENSE NUMBER

RECEIPT NUMBER

FEE PAID

$

DISTRICT CODE

GEO CODE

S E C T I O N 1 - L I C E N S E E I N F O R M A T I O N

1.

LICENSEE'S NAME

2. DOING BUSINESS AS (DBA)

3.

DATE

 

 

 

 

 

4.

PROPOSED PREMISES ADDRESS

 

5.

DISTRICT OFFICE

 

 

 

 

 

6.

MAILING ADDRESS

 

7.

LICENSEE'S PHONE NUMBER

( )

S E C T I O N 2 - A P P L I C A T I O N F O R P E R M I T / L I C E N S E

8. TYPE OF PERMIT/LICENSE

I/We apply for the permit/license(s) checked below .

9. NUMBER OF PERMITS/LICENSES

10.PRINCIPAL/MASTER LICENSE NUMBER

a. Caterer's Permit (Type 58)

b. Controlled Access Cabinet (Type 66) c. Portable Bar (Type 68)

d. Beer & Wine Importer (Type 09) e. Brandy Importer (Type 11)

f. Distilled Spirits Importer (Type 12)

g. Duplicate (Type 02) h. Duplicate (Type 47) i. Duplicate (Type 48)

j. Event Permit (Type 77)

k. Certified Farmer's Market (Type 79) l. Other

S E C T I O N 3 - S I G N A T U R E (Only one signature required. Extra line provided for your convenience if your entity requires two signatures.

11. CERTIFICATION FOR SIGNATURE OF A LICENSED PRINCIPAL

I declare under penalty of perjury that I am authorized to sign for the licensed entity identified in Item 1, above. I have read the foregoing and know the contents thereof. Signature must be notarized unless witnessed by ABC employee.

12. SIGNATURE

13. PRINTED NAME AND TITLE

14. DATE SIGNED

ABC USE ONLY

RECOMMENDATION

INVESTIGATOR'S SIGNATURE (If investigation required)

DATE SIGNED

 

 

 

RECOMMENDATION

SUPERVISOR'S SIGNATURE

DATE SIGNED

 

 

 

 

 

 

Distribution: Original to Headquarters Cashier

ABC-220 to follow

Conditions to follow; Hold in HQ until received

Copy to District file

Copy to Licensee

ABC-239 (11/03)

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Stage no. 1 for filling out abc239 form

2. After the first section is filled out, go on to type in the relevant information in these - RECOMMENDATION, INVESTIGATORS SIGNATURE If, DATE SIGNED, ABC USE ONLY, RECOMMENDATION, SUPERVISORS SIGNATURE, DATE SIGNED, Distribution Original to, ABC to follow, Conditions to follow Hold in HQ, Copy to District file Copy to, and ABC .

abc239 form completion process described (portion 2)

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