APPLICATION FOR CHANGE IN
MANAGER/ASSISTANT MANAGER
INSTRUCTIONS
Please read and follow these instructions carefully. A
properly filed application will allow a determination of
your eligibility to be made without undue delay.
1.
The owner, a partner, an officer, or the general manager must complete
and sign page two (2) of this form. This signature must be notarized.
2.
The PERSONAL RECORD form must be completed by the person
applying for approval as a manager/assistant manager.
3.
A money order or cashier’s check for $24.00 made payable to the ABC-
FF, must be submitted with this application. NEITHER PERSONAL
CHECKS NOR CHECKS DRAWN ON THE COMPANY ACCOUNT CAN
BE ACCEPTED FOR THIS FEE. DO NOT SEND CASH.
4.
The two (2) enclosed fingerprint cards, properly executed, must be
submitted with this application. These cards may be completed by any
qualified police officer or sheriff’s deputy. The cards must be legible and
accurate and capable of being classified by the Federal Bureau of
Investigation.
5.
Your Mississippi State Income Tax filing status will be verified for the past
three (3) years. THIS OFFICE ALSO REPORTS TO THE INTERNAL
REVENUE SERVICE THAT YOU HAVE APPLIED FOR APPROVAL AS
MANAGER. If you have failed to file your federal or state tax returns
when due, you may contact the IRS and/or State Tax Commission office
in your area for assistance. When you have filed all late returns and paid
any taxes due, please request the State Tax Commission to contact our
office at (601) 856-1330 to verify that your filing status is current so that
processing of your application may continue.
6.
If you need assistance, call ABC Permit Department at (601) 856-1330.
7.
Mail your completed application to:
Alcoholic Beverage Control
Permit Department
P.O. Box 540
Madison, MS 39130-0540