Alcoholic Beverage Control
109 SW 9
th
Street, 5
th
Floor
PO Box 3506
Topeka KS 66601-3506
Phone: 785-296-7015
Fax: 785-296-7185
www.ksrevenue.org/abcindex.html
ABC-894 (Rev. 03/20)
ENTITY NAME: FEIN:
DETERMINATION OF RETAILER SALES
This form applies only to Retailer applicants (Retail Liquor Stores).
☐ I am not applying for a Retailer license. Do not fill out this form.
Statement of Gross Sales (select one):
☐ I am applying for a new Retailer license. I understand sales of other goods and services must not exceed 20% of total gross sales. Sales
of alcoholic liquor, cereal malt beverage, non-alcoholic malt beverage, lottery, cigarette and tobacco
products are not to be included in this
20% other goods and services calculation.
☐ I am renewing my Retailer's license. Enter the following information for the 12 months prior to submitting your renewal application:
Total Gross Sales¹ $:
Other goods and Services Sales²: $
_________
_________
Month/Year to Month/Year
Other
goods and Services Sales is
¹Total Gross Sales – means the gross receipts of all sales on the licensed premises
²Other Goods & Services Sales – means the gross receipts of all sales on the licensed premises, excluding sales of alcoholic liquor, cereal
malt beverage, non-alcoholic malt beverage, lottery, cigarette and tobacco products.
% of my Total Gross Sales.
