Form Abc 217 PDF Details

Form Abc 217 is a tax form that businesses in the United States use to report certain income and expenses. The form is used to calculate taxable net income, and it must be filed with the Internal Revenue Service (IRS) by each business that has taxable income for the year. The IRS provides detailed instructions on how to complete Form Abc 217, so taxpayers should carefully follow those instructions to ensure that their return is accurate.

QuestionAnswer
Form NameForm Abc 217
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesabc form 217, form abc 217, application questionnaire form, abc application form

Form Preview Example

Department of Alcoholic Beverage Control

APPLICATION QUESTIONNAIRE

Please read instructions, which includes Privacy Notice, before completing form.

State of California Gavin Newsom, Governor

1. APPLICANT'S NAME(S) (If an individual, first name, middle name, last name. Name of entity if corporation, limited partnership or limited liability company.)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

P-12 LICENSEE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Yes

 

No

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(If yes, complete form ABC-811)

2.

LICENSE TYPE(S) (Check appropriate items)

 

3. TRANSACTION TYPE (Check appropriate item)

 

 

 

 

 

 

20

Off-Sale Beer & Wine

 

 

 

 

 

 

Original (New)

 

 

 

 

 

 

21

Off-Sale General

 

 

 

 

 

 

Person-to-Person Transfer (check appropriate section):

 

 

 

 

 

 

40

On-Sale Beer

 

 

 

 

 

 

Section 24071 (Surviving spouse, corporations, fiduciaries, etc.)

 

 

 

41

On-Sale Beer & Wine Eating Place

 

 

Section 24071.1 (Corporate Stock/Limited Partnership)

 

 

 

 

 

 

42

On-Sale Beer & Wine Public Premises

 

 

Section 24071.2 (Limited Liability Company)

 

 

 

 

 

 

47

On-Sale General Eating Place

 

 

Premises-to-Premises Transfer

 

 

 

 

 

 

48

On-Sale General Public Premises

 

 

Exchange

 

 

 

 

 

 

Other

 

 

 

 

 

 

 

 

Other

 

 

 

4.

TEMPORARY PERMIT REQUESTED (Person-to-Person transfers only)

 

 

 

 

 

 

 

 

 

 

 

 

 

Yes

 

No

 

 

 

 

 

 

 

 

 

 

 

 

 

 

5.

PREMISES ADDRESS (Where license to be issued) (Street number and name, city, zip code)

 

 

County

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

6.

PREMISES TELEPHONE NUMBER

7. PREMISES ARE INSIDE CITY LIMITS

8. BUSINESS NAME (DBA) YOU WILL USE

 

 

 

 

 

 

 

 

 

 

 

 

Yes

 

No

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

9.

BUSINESS MAILING ADDRESS (Street number and name, city, state, zip code)

 

 

 

10. MAILING ADDRESS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Permanent

 

Temporary

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

11. ABC LICENSE COST (Item #33a on reverse)

 

12. SUBTOTAL (Item #33f on reverse)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

13. HAS THE APPLICANT(S) EVER BEEN

14. HAS THE APPLICANT(S) EVER VIOLATED ANY OF THE PROVISIONS OF THE ALCOHOLIC BEVERAGE CONTROL ACT OR REGULATIONS

 

 

CONVICTED OF A FELONY?

 

OF THE DEPARTMENT PERTAINING TO THE ACT?

 

 

 

 

 

 

Yes

 

No

 

 

Yes

 

No

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

15. IF YES TO ITEM 13 OR 14, PLEASE EXPLAIN

16. TRANSFEROR'S NAME (If an individual, last, first, middle. Name of entity if corporation, limited partnership or limited liability company.)

17. ABC LICENSE NUMBER

18.

TRANSFEROR'S PREMISES ADDRESS (Where license is now issued) (Street number and name, city, zip code)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

19.

PREMISES UNDER CONSTRUCTION

IF YES, LIST ESTIMATED COMPLETION DATE

 

 

 

 

 

20. FRANCHISE

 

 

 

 

 

Yes

 

No

 

 

 

 

 

 

 

 

 

 

 

Yes

 

No

21.

NAME OF PERSON WE MAY CONTACT (For the applicant)

22.

 

TITLE OF CONTACT PERSON

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

23.

CONTACT TELEPHONE NUMBER

 

24.

 

CONTACT E-MAIL ADDRESS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

25.

PREMISES IS CURRENTLY LICENSED

IF YES, TYPE OF LICENSE

26.

 

CURRENT LICENSE IS OPERATING

IF NO, DATE CLOSED

 

 

 

 

 

Yes

 

 

No

 

 

 

 

 

Yes

 

 

No

 

 

 

 

 

FINANCIAL INFORMATION

 

 

 

 

 

 

 

 

 

 

 

 

 

 

27.

ESCROW COMPANY'S NAME

ESCROW COMPANY'S ADDRESS

 

 

 

 

 

 

 

 

TELEPHONE NUMBER

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

28.

BOOKKEEPER/ACCOUNTANT'S NAME

BOOKKEEPER/ACCOUNTANT'S ADDRESS

 

 

 

 

 

 

 

 

TELEPHONE NUMBER

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

29.

LANDLORD'S NAME

LANDLORD'S ADDRESS

 

 

 

 

 

 

 

 

TELEPHONE NUMBER

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

30.

MONTHLY RENT

 

31. LEASE EXPIRATION DATE

 

32. INDICATE WHETHER LEASE OR RENTAL AGREEMENT INCLUDES FURNITURE OR FIXTURES

 

 

 

 

 

 

 

 

 

 

 

 

All

 

Some

 

 

None

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ABC-217 (rev. 01/19)

33. INVESTMENT INFORMATION

 

COST

 

 

 

 

a. ABC License

$

 

b. Furniture/fixtures

$

 

c. Inventory

$

 

d. Goodwill/non-compete

 

 

covenant

$

 

 

 

 

e. Leasehold and/or Improvements

$

 

f. SUBTOTAL (Usually should equal the recorded notice)

$

 

g. Fees for other licenses, permits, and deposits (approximate). Include Federal, State,

 

 

County or City license fees or permits; lease and utility deposits

$

 

h. Working capital (approximate)

$

 

i. Realty or interest therein

$

 

j. TOTAL INVESTMENT (Items f through i) (will equal total of amounts listed in item #33)

$

 

34. Source of Funds for Total Investment (item #33j) - identify amount(s), type(s) and explain source(s) and/or terms of Repayment

Amount

Type

Source and/or Terms of Repayment

$1,000

Gift

John Doe, Brother

$15,000

Promissory Note

to seller, payable @ $1,000 per month for 15 months

$10,000

Loan

from ABC Bank, @ 8.5% over 5 yrs; monthly payment = $2,052

35. LIST ALL BANK ACCOUNTS FOR THIS BUSINESS OPERATION

BANK NAME

a.

b.

BANK ADDRESS

ACCOUNT NUMBER

c. NAMES OF ALL PERSONS AUTHORIZED TO SIGN ON BANK ACCOUNT(S) (Print)

I understand that falsification of the information on this form may constitute grounds for denial or revocation of the license(s). For a period of 90 days from this date, I/we hereby authorize the Department of Alcoholic Beverage Control, or any of its officers, to examine and secure copies of financial records consisting of signature cards, checking and savings accounts, notes and loan documents, deposit and withdrawal records, and escrow documents of my/our financial institution(s) or any financial records established in connection with this business. This authorization to examine records at any financial institution may be revoked at any time. I/we also authorize the Department of Alcoholic Beverage Control, or any of its officers, to examine and secure copies of any business records or documents established in connection with this business including, but not limited to those on file with my/our bookkeeper. I/we also read all of the above and declare under penalty of perjury that each and every statement is true and correct.

36. APPLICANT SIGNATURE (Only one signature needed)

PRINTED NAME

DATE SIGNED

ATTEST (ABC Employee or Notary Public)

ABC-217 (rev. 01/19)

How to Edit Form Abc 217 Online for Free

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Step 1: Open the form in our editor by clicking the "Get Form Button" above on this page.

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When it comes to blanks of this precise PDF, this is what you need to know:

1. To begin with, when filling in the abc form 217, beging with the area containing subsequent fields:

Ways to prepare abc fill in part 1

2. Once your current task is complete, take the next step – fill out all of these fields - TRANSFERORS NAME If an individual, ABC LICENSE NUMBER, TRANSFERORS PREMISES ADDRESS, PREMISES UNDER CONSTRUCTION, IF YES LIST ESTIMATED COMPLETION, Yes, NAME OF PERSON WE MAY CONTACT For, TITLE OF CONTACT PERSON, FRANCHISE, Yes, CONTACT TELEPHONE NUMBER, CONTACT EMAIL ADDRESS, PREMISES IS CURRENTLY LICENSED, IF YES TYPE OF LICENSE, and CURRENT LICENSE IS OPERATING with their corresponding information. Make sure to double check that everything has been entered correctly before continuing!

Stage # 2 of submitting abc fill in

3. Throughout this part, check out MONTHLY RENT, LEASE EXPIRATION DATE, INDICATE WHETHER LEASE OR RENTAL, All, Some, None, and ABC rev. Every one of these should be filled in with highest precision.

Stage number 3 of filling out abc fill in

4. The subsequent paragraph comes with these blank fields to complete: INVESTMENT INFORMATION, a ABC License, b Furniturefixtures, Inventory, c d Goodwillnoncompete, covenant, e Leasehold andor Improvements, f SUBTOTAL Usually should equal, County or City license fees or, h Working capital approximate, i Realty or interest therein, COST, j TOTAL INVESTMENT Items f through, Amount, and Type.

Find out how to fill out abc fill in stage 4

It is possible to make an error while completing the i Realty or interest therein, hence be sure to go through it again before you finalize the form.

5. This form needs to be finished by filling in this section. Below there is a full list of form fields that need appropriate information in order for your document submission to be complete: LIST ALL BANK ACCOUNTS FOR THIS, BANK ADDRESS, ACCOUNT NUMBER, b c NAMES OF ALL PERSONS, I understand that falsification of, PRINTED NAME, and DATE SIGNED.

abc fill in completion process shown (step 5)

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