Alcoholic Beverage Control
109 SW 9
th
Street, 5
th
Floor
PO Box 3506
Topeka KS 66601-3506
Phone: 785-296-7015
Fa
x: 785-296-7185
www.ksrevenue.org/abc.html
ESCROW BOND
FOR LIQUOR LICENSES ISSUED UNDER THE LIQUOR CONTROL ACT
Pursuant to K.S.A. 41-317
KNOW ALL MEN BY THESE PRESENTS:
That we
(Depositor)
☐ ☐ ☐ ☐ ☐
☐ ☐ ☐ ☐ ☐ ☐
, ,
, , , .
,
Notary
ABC Office Use Only
License Number(s): Rep’s Initials:
☐Bond Demand
☐Amount $
Date: Rep’s Initials:
FEIN: Date:
☐Bond Release
Date: Rep’s Initials:
and
(Escrow Agent)
do hereby enter into
this agreement in compliance with K.S.A. 41-317(b) and K.A.R. 14-7-4.
WHEREAS, the Depositor has applied for or has been licensed by the Director of the Alcoholic Beverage Control Division of the State
of Kansas
as a: Retailer Beer Distributor Spirits Distributor Wine Distributor Farm Winery
Microbrewery Microdistillery Manufacturer Non-Beverage User Special Order Shipping Producer
Depositor agrees to purchase and deliver to Escrow Agent a certificate of deposit issued by a Kansas bank or savings and loan
association in the amount of $ , which is the amount established by Kansas law as the required bond. Depositor
shall not assign, transfer, alienate, pledge as security for any loan, or otherwise encumber the certificate during the period of this
agreement.
Escrow Agent acknowledges receipt of the certificate of deposit numbered and shall not return said
certificate to Depositor nor permit said certificate to be assigned, transferred, alienated, pledged, or otherwise encumbered during the
period of this agreement except as provided below. Escrow agent shall remit interest on the certificate annually to Depositor.
Upon written demand from the Director of the Alcoholic Beverage Control, should Depositor default in payment of any fees, fines or
taxes to the Kansas Department of Revenue, Escrow Agent shall remit the value of the certificate and any unpaid interest accrued through
the date of notification to the Alcoholic Beverage Control. Upon remittance, this agreement shall be deemed terminated.
Upon written notice from the Director of the Alcoholic Beverage Control that a bond is no longer required for Depositor, Escrow Agent
shall release the certificate to Depositor. This agreement shall terminate upon such release.
Nothing in this agreement shall be construed to increase Escrow Agent’s liability beyond the amount of the certificate and the express
provisions of this agreement.
This bond shall be effective on and after the
(Day)
day of
(Month) (Year)
unless
terminated as specified above.
Witness our hands at
(City) (State)
this
(Day)
day of
(Month) (Year)
ESCROW AGENT (please print)
Signature of Escrow Agent
Escrow Agent’s Name
Mailing Address
Area Code and Phone Number
DEPOSITOR or AGENT (please print)
Signature of Depositor or Agent
Title of Depositor
Print Name of Signature Above
Mailing Address
Area Code and Phone Number
NOTARY
Subscribed and sworn to before me this day of
Public
My
commission expires:
ABC-803 (Rev. 04/19)
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