Tabc Form L Lrc – Fill Out and Use This PDF

LOCATION ADDRESS SALES INFORMATION

12.Provide the sales data for the last year of operation or projected annual sales at the proposed licensed premises:

Alcoholic Beverage Sales $

Food Sales $

Other Sales $

Total Sales $

13.Is the proposed location in a hotel or motel? Yes No

14.Will the license or permit embrace the entire building and grounds at the address shown? Yes No If “NO,” attach the required diagram.

LOCATION ADDRESS INFORMATION FOR

OWNERSHIP/LEASE/SUBLEASE/MANAGEMENT INFORMATION

15. Does the applicant own the land and building at this proposed licensed location? Yes

No

If “NO,” please complete Owner of Property (L-OP) and attach copy of your lease.

NOTE: Be prepared to provide additional information (such as a copy of your lease) if requested.

16.If operating under a lease at this location, indicate: Expiration date(s)/Options

Monthly rental amount $

Other fees and payments to landlord

17.Are you operating under any concession, service or management agreement(s) that contain terms for

services or management beyond property rental? Yes No

If “YES,” complete Sublessor (L-SL), indicate the following, and attach copy of agreement(s):

Expiration date(s)/Options

Monthly fee $

If you have a sublessor that differs from the management company enter sublessor name below and complete Form L-SL.

Sublessor Name

18.Are there any agreements, excluding the above, which require payment by the applicant in a dollar figure

or percentage of gross or net income of the business? Yes No If “YES,” attach a copy of agreement.

19.Do you share the premises with another business entity? Yes No

If “YES,” indicate the tradename(s) of business(es) and sales and use tax number(s) for other business(es):

Trade Name

Sales & Use Tax Number

20. Do you or anyone else at the location operate under a franchise agreement? Yes No

If “YES,” you MUST have exclusive control of all phases of the purchase, sale, and service of alcoholic beverages.

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Form L-LRC

LOCATION ADDRESS FINANCE INFORMATION

21.What is the amount of total investment from all sources for this location? $

Please be prepared to provide copies of all documents related to the financing of this location.

22.List any person, firm, or corporation that has advanced or will advance any money, that holds any mortgage or encumbrances against the assets of the proposed business location, or that has signed or co-signed, guaranteed or financially assisted this business location for which you are seeking a license/permit. If a partnership or corporation, list entity along with partners/officers.

	(If more space is needed, attach additional page.)
	SSN or FEIN		Issuing State/DL No.		Date of Birth (mm/dd/yyyy)		Amount
	-	-			/	/	$
	Name, Corporation, Partner/Officer				Terms
	SSN or FEIN		Issuing State/DL No.		Date of Birth (mm/dd/yyyy)		Amount
	-	-			/	/	$
	Name, Corporation, Partner/Officer				Terms
	SSN or FEIN		Issuing State/DL No.		Date of Birth (mm/dd/yyyy)		Amount
	-	-			/	/	$
	Name, Corporation, Partner/Officer				Terms
	SSN or FEIN		Issuing State/DL No.		Date of Birth (mm/dd/yyyy)		Amount
	-	-			/	/	$
	Name, Corporation, Partner/Officer				Terms
	SSN or FEIN		Issuing State/DL No.		Date of Birth (mm/dd/yyyy)		Amount
	-	-			/	/	$
	Name, Corporation, Partner/Officer				Terms
	SSN or FEIN		Issuing State/DL No.		Date of Birth (mm/dd/yyyy)		Amount
	-	-			/	/	$
	Name, Corporation, Partner/Officer				Terms
	SSN or FEIN		Issuing State/DL No.		Date of Birth (mm/dd/yyyy)		Amount
	-	-			/	/	$
	Name, Corporation, Partner/Officer				Terms
				Page 3 of 4			Form L-LRC

LOCATION ADDRESS MEASUREMENT INFORMATION

23.Making measurements from the door where the public enters your establishment to the nearest property line of a private/public school, will this location be within 1,000 feet of a private/public school?

Yes No

If “YES,” give written notice of this application to the school officials and attach a copy of the notice to this application.

24.Is any property line of your premises within 300 feet of a residential address or established neighborhood

association? Yes No

If “YES,” and if you are applying for an On-Premise License/Permit, and if a Food and Beverage Certificate is not applied for, notify each residential address and established neighborhood association. Attach a list of all addresses notified with a copy of the completed notice.

NOTE: Sample notice is located in the Application Guidelines.

ON-PREMISE LICENSES AND PERMITS ONLY

MEASUREMENT INFORMATION FOR APPLICANTS IN MUNICIPALITIES WITH A POPULATION OF

1,500,000 OR MORE ACCORDING TO THE LAST FEDERAL CENSUS

25.Will your business be located within 300 feet of residence, church, school, day care or social service facility when measuring in a straight line from the nearest point of the property line of the proposed location to the

nearest point of the property line of any of these facilities?

Yes

No

If “YES,” is 75% or more of the applicant’s actual or anticipated gross revenue from the sale of alcoholic

beverages? Yes

No

If answers to both of the above are “YES,” have you notified all tenants or property owners within five

	days of filing the original application that an application has been filed?					Yes	No
	WARNING AND		If Applicant Is/Must Sign
			Individual/Individual Owner		Corporation/Officer
	SIGNATURE		Partnership/Partner		Limited Liability Company/ Officer or Manager
			Limited Partnership/General Partner

EACH LICENSEE OR PERMITTEE SHALL HAVE EXCLUSIVE OCCUPANCY AND CONTROL OF THE ENTIRE LICENSED LOCATION WITH RESPECT TO SALE OF ALCOHOLIC BEVERAGES. ANY ARRANGEMENT THAT SURRENDERS SUCH CONTROL OF THE EMPLOYEES, PREMISES OR BUSINESS, INCLUDING PROFITS AND LOSSES, TO PERSONS OTHER THAN THE LICENSEE OR PERMITTEE IS UNLAWFUL.

WARNING: Section 101.69 of the Texas Alcoholic Beverage Code states: “…a person who makes a false statement or false representation in an application for a permit or license or in a statement, report, or other instrument to be filed with the Commission and required to be sworn commits an offense punishable by imprisonment in the penitentiary for not less than 2 nor more than 10 years.”

BY SIGNING YOU ARE SWEARING TO ALL INFORMATION AND ATTACHMENTS TO THIS PACKET.

PRINT			SIGN
NAME			HERE
			TITLE
Before me, the undersigned authority, on this				day of		, 20			, the

person whose name is signed to the foregoing application personally appeared and, duly sworn by me, states under oath that he or she has read the said application and that all the facts therein set forth are true and correct.

SIGN

HERE

NOTARY PUBLIC

S E A L

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Form L-LRC