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Form L-W (3/2021)
WHOLESALER’S
DISTRIBUTOR’S
MANUFACTURER’S
PREQUALIFICATION
PACKET
L-W (3/2021
)
Submit this packet to the proper governmental entities to obtain certification for the type of license/permit for
which you are applying as required by Sections 11.37, 11.39, 11.46(b), 61.37, 61.38, 61.42 and Rule §33.13
Contact your local TABC office to verify requirements of Sections 11.391 and 61.381 as you may be required to
post a sign at your proposed location 60-days prior to the issuance of your license/permit.
All statutory and rule references mentioned in this application refer to and can be found in the Texas Alcoholic Beverage
Code or Rules located on our website. www.tabc.texas.gov/laws/code_and_rules.asp
LOCATION INFORMATION
1.
Application for:
Original Add a Subordinate License/Permit Number_______________
Reinstatement Reinstatement and Change of Trade Name License/Permit Number_______________
Change of Location Change of Location and Trade Name License/Permit Number_______________
2.
Type of Wholesaler’s, Distributor’s, and Manufacturer’s License/Permit
W Wholesaler’s Permit
X General Class B Wholesaler’s Permit
O Private Carrier’s Permit
L Private Storage Permit
K Public Storage Permit
GS Winery Storage Permit
GF Winery Festival Permit
DA Brewer’s Self Distribution Permit
DB Manufacturer’s Self Distribution License
G Winery Permit allows on-premise consumption
J Bonded Warehouse Permit
JD Bonded Warehouse Permit (Dry Area)
BB General Distributor’s License
BC Branch Distributor’s License
BI Importer’s License
BJ Importer’s Carrier’s License
BA Manufacturer’s License allows on-premise consumption
B Brewer’s Permit allows on-premise consumption
D Distiller’s and Rectifier’s Permit allows on-premise consumption
3.
Trade Name of Location (Name of distribution company, distillery, etc.)
4.
Location Address of Primary Permit
City
County
State
5.
Mailing Address
City
State
6.
Business Phone No.
Alternate Phone No.
E-mail Address
OWNER INFORMATION
7.
Type of Owner
Individual
Limited Liability Partnership
Joint Venture
Partnership
Corporation
Trust
Limited Partnership
Limited Liability Company
Other
8.
Owner of Business/Applicant (Name of Corporation, LLC, etc.)
PRIMARY CONTACT PERSON
The primary contact person should be a person who can answer questions TABC may have about the application. The contact phone
and email are mandatory and must be active and updated regularly. If additional information is needed, it will be requested from
this contact person. Delays in responding to requests may delay the processing and approval of your license/permit.
9.
Contact Person:
Relation to Business:
Phone (mandatory):
Email (mandatory:
TABC DATESTAMP
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Form L-W (3/2021)
10.
Are you, the applicant, a veteran-owned business? Yes No
11.
Are you, the applicant, a Historically Underutilized Business (HUB)? Yes No
12.
If Applicant is:
Who Must be Listed Below: (attach L-OIC if additional space is needed).
Individual
Individual Owner
Partnership
All Partners
Limited Partnership
All General Partners
Corporation
All Officers
Limited Liability Company
All Officers or Managers
Joint Venture
Venturers
Trust
Trustee(s)
Last Name
First Name
MI
Title
Last Name
First Name
MI
Title
Last Name
First Name
MI
Title
DISTILLER’S/RECTIFIER’S PERMIT (D), BREWER’S PERMIT (B), MANUFACTURER’S LICENSE (BA)
60-DAY SIGN INFORMATION
13.
As required under Section 11.391 and 61.381, provide the exact date the required
sign was posted at the location.
Exact Date (MM/DD/YYYY)
14.
Does the applicant, intend to sell for on-premise consumption during the life of this license/permit? Yes No
This permission will not b
e allowed without city/county certification to sell for on-premise consumption.
DISTILLERS (D)
15.
Does the applicant intend to sell commemorative bottles for off-premise consumption? Yes No
This permission will n
ot be allowed without city/county certification to sell for on-premise consumption.
MEASUREMENT INFORMATION
Section 109.31 et. seq
16.
Will your business be located within 300 feet of a church or public hospital? Yes No
NOTE:
For churches or public hospitals, measure from front door to front door, along the property lines of the street fronts and in a direct line
across intersections.
17.
Will your business be located within 300 feet of any private/public school
? Yes No
NOTE:
NOTE:
For private/public schools, measure in a direct line from the nearest property line of the school to the nearest property line of the place of
business, and in a direct line across intersections.
If located on or above the fifth story of a multistory building: measure in a direct line from the property line of the private/public school to
property line of your place of business in a direct line across intersections vertically up the building at the property line to the base of the
floor on which your business is located.
PUBLIC STORAGE PERMIT (K) OR WINERY STORAGE PERMIT (GS)
A Public Storage Permit (K) may only be issued in the same county as your primary permit as per Section 45.03. If applying for a Public Storage
Permit (K) or Winery Storage Permit (GS) include the Bonded Warehouse Permit (J) or Bonded Warehouse Permit (Dry Area) (JD) number. For the
location address of the storage facility indicate owner of the property on Owner of Property form (L-OP).
18.
Name of Public or Winery Storage Facility
19.
For Public Storage: Bonded Warehouse Permit
20.
For Winery Storage: Bonded Warehouse Permit (Dry Area)
J -
JD -
21.
Location Address of Storage Facility:
City:
County:
State:
Zip:
PRIVATE STORAGE PERMIT (L)
A Private Storage Permit (L) may only be issued in the same county as your primary permit as per Section 45.03.
For the location address of the Private Storage Permit (L) indicate owner of the property on Owner of Property form (L-OP).
22.
Location Address of Private Storage Permit
City
County
State
Zip Code
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Form L-W (3/2021)
ALL APPLICANTS
23. CHECK HERE IF NOT IN CITY LIMITS
I, the applicant, have confirmed I am not located in the city limits of any city and therefore no city certifications are required.
COMPLETE THE FOLLOWING CHECKLIST BEFORE SUBMITTING YOUR APPLICATION
Per Sec. 102.01, a tied house is defined as any overlapping ownership between those engaged in the alcoholic beverage industry at
different levels of the three-tier system. No person having an interest in a permit issued by TABC may secure or hold, directly or indirectly,
an ownership interest in a business on a different level.
Yes No
Yes No
Yes No
Yes No
Yes No
Yes No
Yes No N/A
Yes No N/A
All required forms have been completed.
I have reviewed all forms to ensure they are complete.
I have obtained all required local and state certifications (pages 3-6).
All application packets have been notarized.
Phone number and email address for contact person are up to date.
All additional documentation as required by the application packets is attached
If required, out of state criminal history checks are attached (PHS #7).
Certification of publication in local newspaper has been completed (page 7).
A copy of the newspaper publication is attached (page 7). Yes No N/A
WARNING AND
SIGNATURE
If Applicant Is/Must Sign
Individual
Individual Owner
Partnership
Partner
Limited Partnership
General Partner
Corporation
Officer
Limited Liability Company
Officer or Manager
WARNING: Section 101.69 of the Texas Alcoholic Beverage Code states: “…a person who knowingly makes a false statement or false representation in
an application for a permit or license or in a statement, report, or other instrument to be filed with the Commission and required to be sworn commits an
offense punishable by imprisonment in the Texas Department of Criminal Justice for not less than 2 nor more than 10 years.”
BY SIGNING YOU ARE SWEARING TO ALL INFORMATION AND ATTACHMENTS TO THIS PACKET.
PRINT
NAME
SIGN
HERE
TITLE
Before me, the undersigned authority, on this day of , 20 , the
person whose name is signed to the foregoing application personally appeared and, duly sworn by me, states under oath
that he or she has read the said application and that all the facts therein set forth are true and correct.
SIGN
HERE
NOTARY PUBLIC
S E A L
CERTIFICATE OF CITY SECRETARY FOR W, X, J, BB, BC & BI
Section 11.37 & 61.37
Not later than the 30
th
day after the date a prospective applicant for a license or permit requests certification, the city secretary or clerk shall certify
whether the location or address given in the request is in a wet area and whether the sale of alcoholic beverages for which the license or permit is sought
is prohibited by ordinance.
I hereby certify on this day of , 20 , that the location for which the license/permit is
sought is inside the boundaries of this city or town, in a “wet” area for such license/permit, and not prohibited by
charter or ordinance in reference to the sale of such alcoholic beverages.
OR
I hereby refuse on this ______ day of _______________, 20____ to certify this location.
SIGN
HERE , TEXAS
City Secretary/Clerk City
S E A L
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Form L-W (3/2021)
CERTIFICATE OF CITY SECRETARY FOR WINERY (G) APPLICANTS
Section 11.37
Not later than the 30
th
day after the date a prospective applicant for a permit requests certification, the city secretary or clerk shall certify whether the
location or address given in the request is in a wet area and whether the sale of alcoholic beverages for which the permit is sought is prohibited by
ordinance.
Per Sec. 16.011, “A winery permit may be issued for premises in an area in which the sale of wine has not been
authorized by a local option election…”
I hereby certify on this day of , 20 , that the location for which the
license/permit is sought
is is not in a “wet” area for such license/permit
and
is is not prohibited by charter or ordinance.
OR
I hereby refuse on this ______ day of _______________, 20____ to certify this location.
Winery permit is prohibited by ordinance
SIGN
HERE , , TEXAS
City Secretary/Clerk City
S E A L
CERTIFICATE OF CITY SECRETARY FOR B, D & BA
Section 11.37 & 61.37
Not later than the 30
th
day after the date a prospective applicant for a license or permit requests certification, the city secretary or clerk shall certify
whether the location or address given in the request is in a wet area and whether the sale of alcoholic beverages for which the license or permit is sought
is prohibited by ordinance.
I hereby certify on this day of , 20 , that the location for which the
license/permit is sought is inside the boundaries of this city or town, in a “wet” area for such license/permit and
not prohibited by charter or ordinance in reference to the sale of such alcoholic beverages, and
does does not
allow for on-premise consumption and
does does not
allow for off-premise consumption in accordance with 501.035 of the Election Code.
OR
I hereby refuse on this ______ day of _______________, 20____ to certify this location.
SIGN
HERE , TEXAS
City Secretary/Clerk City
S E A L
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Form L-W (3/2021)
CERTIFICATE OF CITY SECRETARY FOR L & K
ADDRESS FOR STORAGE PERMITS AND MANUFACTURER’S WAREHOUSE LICENSE
Section 11.37
Not later than the 30
th
day after the date a prospective applicant for a permit requests certification, the city secretary or clerk shall certify whether the
location or address given in the request is in a wet area and whether the sale of alcoholic beverages for which the permit is sought is prohibited by
ordinance.
CHECK HERE IF NOT IN CITY LIMITS
I hereby certify on this day of , 20 , that the location for which the
permit is sought is inside the boundaries of this city or town, in a “wet” area for such permit and not prohibited by
charter or ordinance in reference to the sale of such alcoholic beverages.
OR
I hereby refuse on this ______ day of _______________, 20____ to certify this location.
SIGN
HERE , TEXAS
City Secretary/Clerk City
S E A L
CERTIFICATE OF COUNTY CLERK FOR W, X, J, BB, BC & BI
Section 11.37 & 61.37
Not later than the 30
th
day after the date a prospective applicant for a license or permit requests certification, the county clerk shall certify whether
the location or address given in the request is in a wet area and whether the sale of alcoholic beverages for which the license or permit is sought is
prohibited by order.
I hereby certify on this day of , 20 , that the location for which the license/permit is
sought is in a “wet” area for such license/permit, and not prohibited by any valid order of the Commissioner’s
Court.
OR
I hereby refuse on this ______ day of _______________, 20____ to certify this location.
SIGN
HERE , TEXAS
County Clerk County
S E A L
CERTIFICATE OF COUNTY CLERK FOR WINERY (G) APPLICANTS
Section 11.37
Not later than the 30
th
day after the date a prospective applicant for a permit requests certification, the county clerk shall certify whether the location or
address given in the request is in a wet area and whether the sale of alcoholic beverages for which the permit is sought is prohibited by order.
Per Sec. 16.011, “A winery permit may be issued for premises in an area in which the sale of wine has not been
authorized by a local option election…”
I hereby certify on this day of , 20 , that the location for which the permit
is sought
is is not in a “wet” area for such license/permit
and
is is not prohibited by valid order of the Commissioner’s Court.
I hereby refuse on this ______ day of _______________, 20____ to certify this location.
Winery permit is prohibited by valid order of the commissioner’s court
SIGN
HERE , , TEXAS
County Clerk County
S E A L
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Form L-W (3/2021)
CERTIFICATE OF COUNTY CLERK FOR B, D & BA
Section 11.37 & 61.37
Not later than the 30
th
day after the date a prospective applicant for a license or permit requests certification, the county clerk shall certify whether
the location or address given in the request is in a wet area and whether the sale of alcoholic beverages for which the license or permit is sought is
prohibited by order.
I hereby certify on this day of , 20 , that the location for which the
license/permit is sought is in a “wet” area for such license/permit, and is not prohibited by any valid order of the
Commissioner’s Court, and
does does not
allow for on-premise consumption and
does does not
allow for off-premise consumption in accordance with 501.035 of the Election Code.
OR
I hereby refuse on this ______ day of _______________, 20____ to certify this location.
SIGN
HERE , TEXAS
County Clerk County
S E A
L
CERTIFICATE OF COUNTY CLERK FOR L & K
ADDRESS FOR STORAGE PERMITS AND MANUFACTURER’S WAREHOUSE LICENSE
Section 11.37
Not later than the 30
th
day after the date a prospective applicant for a permit requests certification, the county clerk shall certify whether the location
or address given in the request is in a wet area and whether the sale of alcoholic beverages for which the permit is sought is prohibited by order.
I hereby certify on this day of , 20 , that the location for which the
license/permit is sought is in a “wet” area for such license/permit, and is not prohibited by any valid order of the
Commissioner’s Court.
OR
I hereby refuse on this ______ day of _______________, 20____ to certify this location.
SIGN
HERE , TEXAS
County Clerk County
S E A L
COMPTROLLER OF PUBLIC ACCOUNTS CERTIFICATES FOR
W, X, B, D, G, BB, BC, BI & BA
This is to certify on this day of , 20 , the applicant holds or has
applied for and satisfies all legal requirements for the issuance of a Sales Tax Permit under the Limited Sales,
Excise and Use Tax Act or the applicant as of this date is not required to hold a Sales Tax Permit.
Sales Tax Permit Number Outlet Number
Print Name of Comptroller Employee
Print Title of Comptroller Employee
SIGN
HERE FIELD OFFICE
S E A L
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Form L-W (3/2021)
PUBLISHER’S AFFIDAVIT FOR W, X, B, D, G, BB, BC, BI & BA
Name of newspaper
City, County
Dates notice published in daily/weekly newspaper
(MM/DD/YYYY)
Publisher or designee certifies attached notice was published in newspaper stated on dates shown
Signature of publisher or designee
Sworn to and subscribed before me on this date
Signature of Notary Public
S E A L
ATTACH PRINTED COPY
OF THE
NOTICE HERE
Click here to see example
of newspaper publication
Page 1 of 1
Form L-OIC (3/2021)
OWNERSHIP INFORMATION
Continued for Prequalification Packet
L-OIC
(3/2021)
LOCATION INFORMATION
1.
Trade Name of Location
2.
Location Address
City
County
State
Zip Code
OWNER INFORMATION
3.
Type of Owner
Individual
Corporation
City/County/University
Partnership
Limited Liability Company
Other
Limited Partnership
Joint Venture
Limited Liability Partnership
Trust
Last Name
First Name
MI
Title
Last Name
First Name
MI
Title
Last Name
First Name
MI
Title
Last Name
First Name
MI
Title
Last Name
First Name
MI
Title
Last Name
First Name
MI
Title
Last Name
First Name
MI
Title
Last Name
First Name
MI
Title
Last Name
First Name
MI
Title
Last Name
First Name
MI
Title
Last Name
First Name
MI
Title
Last Name
First Name
MI
Title