Form Abc-835 - Non-Beverage Permit Application And Agreement
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1
2Kansas Department of Revenue
Alcoholic Beverage Control Division
915 S.W. Harrison Street, Room 214
Topeka, KS 66625-3512
Phone: 785-296-7015 Fax: 866-855-5025
Non-Beverage Permit Application and Agreement Instructions
This permit allows a one-time purchase of alcohol or wine for specific use. The fee for this permit is $2.00.
Who May Apply for a Non-Beverage Permit?
To apply for a Non-Beverage Permit, the applicant must be a college, hospital, sanatorium, school or other
institution caring for the sick. If the applicant does not fall within these categories, they must make application for
a Non-Beverage User’s License to purchase alcohol or wine for non-beverage use.
What can I do with the alcohol or wine that is purchased under this permit?
The alcohol or wine may only be used for scientific, chemical, experimental, mechanical or medicinal purposes. If
you are purchasing alcohol or wine as a manufacturing ingredient or for any other reason, you must make
application for a Non-Beverage User’s License.
Purchasing Alcohol or Wine:
You must provide two copies of your permit to the microbrewery, microdistillery, farm winery, manufacturer or
distributor from whom the alcohol or wine is purchased.
Reporting Your Purchase:
Within 10 days of your purchase, you must return your permit to the ABC and attach a copy of your invoice to the
permit.
Application Instructions:
1. Applicant type. Check one box.
2. Section 1 - Applicant Information. Complete the information requested. If the mailing address is different
from the applicant address, complete the mailing address section also.
3. Section 2 – Purchase Information.
a. Check one box to indicate the purpose of your purchase.
b. Check one box to indicate the license type whom you are purchasing from.
c. Check one box to indicate whether you are purchasing from a company that is located in-state or
out-of-state.
d. Enter the location where the alcohol or wine will be stored.
4. Read the application agreement.
5. Sign, date, print your name and enter your title.
6. Return the completed form and voucher with payment to the ABC Marketing Unit at the address on the form.
Approved Non-Beverage permits will be mailed to the address provided.
To
obtain
Non-Beverage
Permit
forms
and
other
information,
visit
our
website
at:
You may direct your questions to the Marketing Unit at 785-296-7015 or email to
ABC.Marketing.Unit@kdor.ks.gov
Detach and Return with Payment
KANSAS ALCOHOLIC BEVERAGE CONTROL DIVISION
Non-Beverage Permit Fee Voucher
Non-Beverage Permit Applicant Name: _____________________________________________________________________
$2.00 Non-Beverage Permit Fee Enclosed (CLPR)
ABC-835 (Rev. 7.1.12)
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