South Carolina Abl Form – Fill Out and Use This PDF

If you are a South Carolina corporation, Limited Liability Corporation (LLC), Limited Liability Partnership (LLP), or a Partnership, your entity must be registered with the South Carolina Secretary of State (SCSOS) for 30 days prior to applying. If you are a Sole Proprietor, you must be a resident of South Carolina for 30 days prior to applying.

Submit all of the following documents that apply:

1.Completed application, signed, and dated.

2.Permit fees

3.Completed ABL-946 for each principal

4.Competed ABL-920 if applying as a sole proprietor

5.Criminal record check (CRC) for all principals that is less than 90 days old.

•If the principal has lived in SC for two years or more, submit the CRC from SLED at www.sled.sc.gov.

•If the principal has lived in SC for less than two years, the statewide CRC must be submitted from the previous state of residency and from SLED at www.sled.sc.gov.

•If the principal is not a SC resident, the statewide CRC must be submitted from the current state of residency.

•Attach a disposition for any charge that does not list the court charges determination.

6.LLC Operating Agreement, Partnership Agreement or ABL-919

7.Brewer's Notice if applying as a brewery

8.Copy of Basic Permit issued by the Alcohol and Tobacco Tax and Trade Bureau (TTB)

Social Security Privacy Act Disclosure

It is mandatory that you provide your Social Security Number on this tax form if you are an individual taxpayer. 42 U.S.C. 405(c)(2)(C)(i) permits a state to use an individual's Social Security Number as means of identification in administration of any tax. SC Regulation 117-201 mandates that any person required to make a return to the SCDOR must provide identifying numbers, as prescribed, for securing proper identification. Your Social Security Number is used for identification purposes.

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PRINT ALL INFORMATION

1. Legal entity name or sole proprietor

5. Trade name (doing business as)

6. Business phone number

Principal's daytime phone number

2. Physical location of business (no PO box)

7. FEIN/SSN

8. Email

Street

Brewery

Winery

9. Check one:

City

State

ZIP

Beer producer/importer

Wine producer/importer

3. Mailing address

10. Does the applicant own or have a financial interest in a beer or wine

wholesaler/distributor or retail business in South Carolina?

Yes

No

Designated agent or compliance agent

If yes, explain:

Street

City

State

ZIP

4. Type of ownership

11. Does your TTB permit indicate that you are a wholesaler/distributor?

Sole Proprietor

Partnership

LLC/LLP

SC Corporation

Date of Inc.

Yes

No

Foreign Corporation

State of Inc.

Date of Inc.

If yes, submit a letter indicating you are the primary American source

or American producer.

Other (explain)

DESIGNATED AGENT

You must designate a person to receive all notices from the SCDOR concerning your license and/or permit. These notices will be sent to the person at the mailing address shown in question 3. It is your responsibility to keep the SCDOR advised of any change regarding this person or your mailing address as the law will presume you received all notices sent to the address you have given us.

Name of designated agent or compliance agent

Compliance agency name, if applicable

Applications take at least six to eight weeks to process. If the application is denied by the SCDOR, this process will be delayed.

Beer, wine, and liquor are governed by SC Code of Laws Title 61, Chapters 2, 4, and 6; Title 12 Chapters 21 and 33; Title 20 Chapter 7, and Title 33 Chapter 42. Regulations are found in Chapter 7 of the Code of Regulations. Read the full code sections at dor.sc.gov/policy.

I certify that this business meets the legal requirements under South Carolina law for the license and/or permit type for which this application is being filed. I understand that a misstatement or concealment of fact in an application is sufficient grounds for the revocation of the license and/or permit. Under penalties of perjury, I declare that I have read and understood this form and the information I have provided is true, correct, and complete.

Principal's Signature

Date

42701011

Mail to: SCDOR, ABL Section, PO Box 125, Columbia, SC 29214-0907
Email: ABL@dor.sc.gov
Alcohol Beverage License Number							Registered producer/importer name
Contact Person					Email			Phone
Address
			Street
	City						State			ZIP

INSTRUCTIONS:

•List all label(s) and/or brand(s) you intend to ship and the wholesaler(s)/distributor(s) you ship to. If you need additional space, submit additional copies of the ABL-569.

•Attach a copy of the Certificate of Label Approval (COLA) from the Tax and Trade Bureau (TTB) for each label and/or brand listed. If the alcohol content is less than 7%, attach a copy of the label or brand.

•Provide a copy of the label and formula approval from TTB for flavored malt beverages without a Certificate of Label Approval (COLA).

•You may only ship to the licensed South Carolina wholesaler(s)/distributor(s) listed.

•Provide a Letter of Authority from the product owner giving you authority to register their product.

•Beer must contain less than 14% alcohol by weight.

•Wine must not contain more than 21% alcohol by volume.

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What you need to know

•The SCDOR cannot issue a license and/or permit to anyone that owes delinquent taxes, penalties, or interest.

•If an entity who is not an individual applies for a license and/or permit, all principals of the entity must also apply. See SC Code Sections 61-2-160 and 61-2-100 at dor.sc.gov/policy.

•To apply, you must allow information about your South Carolina taxes to be shared with any party. The information that may be shared includes, but is not limited to, information about delinquent taxes, penalties and interest, outstanding liabilities, or information concerning failure to file returns.

•You are waiving your rights under SC Code Sections 12-54-240 and 30-2-1. You can read the full code sections at dor.sc.gov/policy.

•SCDOR has the right to share information with other principals or applicants to process the application or any renewal.

Complete an ABL-946 for each principal.

Legal entity name or sole proprietor

FEIN/SSN

Name

Home Address (No PO Box)

City

State

Zip

Month/Date/Year of SC Residency

Date of Birth

Have you as an individual, or as an organization in which you were a principal, had any license to sell beer, wine, or alcoholic liquors revoked or suspended in this state or any other state?

Yes No

Have you been convicted of a crime in South Carolina or any other state?

Yes

No If yes, you must attach an explanation.

I understand that a misstatement or concealment of fact in an application is sufficient grounds for the revocation of the license and/or permit. Under penalties of perjury, I declare that I have read and understood this form and the information I have provided herein is true, correct, and complete.

Signature of applicant

Printed Name

Date

Telephone number from 8 am to 5pm

Social Security Privacy Act Disclosure

It is mandatory that you provide your Social Security Number on this tax form if you are an individual taxpayer. 42 U.S.C. 405(c)(2)(C)(i) permits a state to use an individual's Social Security Number as means of identification in administration of any tax. SC Regulation 117-201 mandates that any person required to make a return to the SCDOR must provide identifying numbers, as prescribed, for securing proper identification. Your Social Security Number is used for identification purposes.

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