Form ABC-216 "Out-Of-State Beer Manufacturer's Certificate Application" - California

What Is Form ABC-216?

This is a legal form that was released by the California Department of Alcoholic Beverage Control - a government authority operating within California. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on August 1, 2020;
  • The latest edition provided by the California Department of Alcoholic Beverage Control;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form ABC-216 by clicking the link below or browse more documents and templates provided by the California Department of Alcoholic Beverage Control.

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Download Form ABC-216 "Out-Of-State Beer Manufacturer's Certificate Application" - California

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State of California
Department of Alcoholic Beverage Control
OUT-OF-STATE BEER MANUFACTURER'S CERTIFICATE APPLICATION
Complete and sign this form and return to:
ABC, Attention: Price Posting
(ABC Use Only)
3927 Lennane Drive, Suite 100, Sacramento, CA 95834.
FEE
Item 1: Enter the name of the applicant. For a general partnership, the names of the
individual partners. For a limited partnership, limited liability company, or a corporation,
$215.00
the name of the entity. Complete and include an ABC-256 for a limited partnership, an
FILE NUMBER
ABC-256-LLC for a limited liability company, or an ABC-243 for a corporation.
Fees: The fee for an Out-of-State Beer Manufacturer's Certificate is $215. This includes
RECEIPT NUMBER
a non-refundable application fee of $100 and the annual fee of $115.
1. APPLICANT(S) NAME
2. DOING BUSINESS AS (DBA)
3. PREMISES LOCATION (Where business will be conducted)
4. MAILING ADDRESS
5. TELEPHONE NUMBER
6. EMAIL ADDRESS
7. CALIFORNIA CERTIFICATE OF COMPLIANCE HELD
8. CALIFORNIA CERTIFICATE OF COMPLIANCE NUMBER
YES
NO
9. CONDITIONS FOR QUALIFICATION
As a condition for qualification of the certificate applied for, the applicant agrees to the following:
(a) That it and its agents and all agencies within this state controlled by it will comply with all laws of
this state and all rules of the department with respect to the sale of alcoholic beverages, including, but not
limited to, Chapter 12 (commencing with Section 25000) of Division 9, and Section 25509, to the same
extent as licensees.
(b) That it will make available, both in California and outside the state, for inspection and copying by the
department, all books, documents, and records, located both within and without this state, which are
pertinent to the activities of the applicant, its agents and agencies within this state controlled by it, in
connection with the sale and distribution of its products within this state.
Under penalty of perjury, each person whose signature appears below, certifies and says:
(1) He/She is the applicant, or one of the applicants, or an executive officer of the applicant corporation,
named in the foregoing application, duly authorized to make this application on its behalf;
(2) That he/she has read the foregoing application and knows the contents thereof and that each and all of the
statements therein made are true;
(3) That no person other than the applicant or applicants has any direct or indirect interest in the applicant's
or applicants' business to be conducted under the license(s) for which this application is made.
PRINTED NAME
SIGNATURE
DATE SIGNED
X
ABC-216 (rev. 08/2020)
State of California
Department of Alcoholic Beverage Control
OUT-OF-STATE BEER MANUFACTURER'S CERTIFICATE APPLICATION
Complete and sign this form and return to:
ABC, Attention: Price Posting
(ABC Use Only)
3927 Lennane Drive, Suite 100, Sacramento, CA 95834.
FEE
Item 1: Enter the name of the applicant. For a general partnership, the names of the
individual partners. For a limited partnership, limited liability company, or a corporation,
$215.00
the name of the entity. Complete and include an ABC-256 for a limited partnership, an
FILE NUMBER
ABC-256-LLC for a limited liability company, or an ABC-243 for a corporation.
Fees: The fee for an Out-of-State Beer Manufacturer's Certificate is $215. This includes
RECEIPT NUMBER
a non-refundable application fee of $100 and the annual fee of $115.
1. APPLICANT(S) NAME
2. DOING BUSINESS AS (DBA)
3. PREMISES LOCATION (Where business will be conducted)
4. MAILING ADDRESS
5. TELEPHONE NUMBER
6. EMAIL ADDRESS
7. CALIFORNIA CERTIFICATE OF COMPLIANCE HELD
8. CALIFORNIA CERTIFICATE OF COMPLIANCE NUMBER
YES
NO
9. CONDITIONS FOR QUALIFICATION
As a condition for qualification of the certificate applied for, the applicant agrees to the following:
(a) That it and its agents and all agencies within this state controlled by it will comply with all laws of
this state and all rules of the department with respect to the sale of alcoholic beverages, including, but not
limited to, Chapter 12 (commencing with Section 25000) of Division 9, and Section 25509, to the same
extent as licensees.
(b) That it will make available, both in California and outside the state, for inspection and copying by the
department, all books, documents, and records, located both within and without this state, which are
pertinent to the activities of the applicant, its agents and agencies within this state controlled by it, in
connection with the sale and distribution of its products within this state.
Under penalty of perjury, each person whose signature appears below, certifies and says:
(1) He/She is the applicant, or one of the applicants, or an executive officer of the applicant corporation,
named in the foregoing application, duly authorized to make this application on its behalf;
(2) That he/she has read the foregoing application and knows the contents thereof and that each and all of the
statements therein made are true;
(3) That no person other than the applicant or applicants has any direct or indirect interest in the applicant's
or applicants' business to be conducted under the license(s) for which this application is made.
PRINTED NAME
SIGNATURE
DATE SIGNED
X
ABC-216 (rev. 08/2020)

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