Fillable STATE OF KANSAS INSTRUCTIONS KANSAS CEREAL MALT BEVERAGE (Kansas Department of Revenue)

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STATE OF KANSAS INSTRUCTIONS KANSAS CEREAL MALT BEVERAGE (Kansas Department of Revenue)

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A
LCOHOLIC BEVERAGE CONTROL
109 SW 9
th
STREET
P.O. B
OX 3506
T
OPEKA KS 66601-3506
STATE OF KANSAS
DEPARTMENT OF REVENUE
P
HONE: 785-296-7015
F
AX: 785-296-7185
www.ksrevenue.org/abc.html
KANSAS CEREAL MALT BEVERAGE (CMB) MONTHLY REPORT
INSTRUCTIONS
WHO IS REQUIRED TO USE THIS FORM?
All cities and counties are required to file this report on a monthly basis when a CMB license has been issued.
DUE DATE:
The monthly report and remittance is due by the 25
th
of the month following the report period. The report is only required
to be filed when a CMB license has been issued.
KANSAS CMB LICENSE INFORMATION:
Pursuant to K.S.A. 41-2702(c), Cereal Malt Beverage (CMB) applications for a license shall be made upon a form
prepared by the Office of the Kansas Attorney General and cannot be created or modified by the city or county. To obtain
detailed information and current forms provided by the Attorney General’s office, go to:
http://www.ksrevenue.org/abccmb.html
There are two types of licenses: On-Premise Consumption and Off-Premise Consumption. Each license type requires
a separate application, State CMB Stamp and License.
Cereal Malt Beverages cannot be sold without a valid CMB license that has been issued by the city or county where the
licensed premise is located. Cities and counties must verify each CMB application, collect the $25 State CMB Stamp
fee for each license and affix the
State CMB Stamp to the application and license. The State copy of the State CMB Stamp
is affixed to the ABC-307.
INSTRUCTIONS TO COMPLETE THE CEREAL MALT BEVERAGE MONTHLY REPORT (ABC-307):
1. To complete the ABC-307 Cereal Malt Beverage Monthly Report:
a. R
eport Month. Check the box for the month you are reporting.
b. Year. Enter the year you are reporting.
c. Complete the demographic information required on the form. Check the appropriate box if you are a city or
county office.
d. CMB Licenses Issued. Enter the information required on the form. Check the appropriate box if you have
issued an On-Premise or Off-Premise license.
e. Affix the State copy of the CMB Stamp to the “Affix CMB Stamp” box.
2. Read the statement, sign the form, then enter your title and the date you signed the form.
3. Make a copy of the completed report for your records.
4. Attach a copy of the completed Attorney General’s CMB application for each license on this report.
5. Attach the $25 State CMB Stamp fee for each license to your completed report.
6. File your report and remit your payment to the address on the form by the 25
th
of the following month.
CONTACT INFORMATION:
Questions may be directed to the ABC Marketing Unit.
Phone: 785-296-7015
Email: KDOR_ABC.Marketing.Unit@ks.gov
ABC-307 (Rev. 02/18)
STATE OF KANSAS
A
LCOHOLIC BEVERAGE CONTROL
109 SW 9
th
STREET
P.O. B
OX 3506
T
OPEKA KS 66601-3506
D
EPARTMENT OF REVENUE
P
HONE: 785-296-7015
F
AX: 785-296-7185
www.ksrevenue.org/abc.html
KANSAS CEREAL MALT BEVERAGE (CMB) MONTHLY REPORT
REPORT MONTH:
☐January
☐
☐February
☐
☐March
☐
☐April
☐
☐May
☐
☐June
☐
☐
☐
☐
☐
☐
☐
☐
☐
☐
☐
☐
☐
☐
☐
☐
☐
☐
July August September October November December
YEAR:
Office Name
City
County
Contact Person Name
Mailing Address City Zip Code
Telephone Number E-Mail Address
CMB LICENSES ISSUED:
Owner Name DBA Name
Location Address City County Zip Code
Telephone Number
On-Premise Retailer
Off-Premise Retailer
Special Event
Start Date Expiration Date
Affix CMB Stamp
Owner Name DBA Name
Loc
ation Address City County Zip Code
Telephone Number
On-Premise Retailer
Off-Premise Retailer
Special Event
Start Date Expiration Date
Affix CMB Stamp
Owner Name DBA Nam
e
Location Address City County Zip Code
Telephone Number
On-Premise Retailer
Off-Premise Retailer
Special Event
Start Date Expiration Date
Affix CMB Stamp
Owner Name DBA Name
Location Address City County Zip Code
Telephone Number
On-Premise Retailer
Off-Premise Retailer
Special Event
Start Date Expiration Date
Affix CMB Stamp
Owner Name DBA Name
Location Address City County Zip Code
Telephone Number
On-Premise Retailer
Off-Premise Retailer
Special Event
Start Date Expiration Date
Affix CMB Stamp
This report must be filed by the 25
th
day of the following month and submitted with payment and copies of each CMB application attached.
All records shall be maintained for three years and shall be available for inspection by the Director or any agent or employee of the Director or Secretary
upon request.
Under penalties of perjury, I declare the information contained in this document represents a true, accurate and complete disclosure of information. I
also authorize KDOR to send communications to the e-mail address provided on this form.
SIGNATURE TITLE DATE
Page of
ABC Office Use Only:
☐CMB STAMP FEE ENCLOSED Amount $ Associate Date
ABC-307 (Rev. 02/18)
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STATE OF KANSAS INSTRUCTIONS KANSAS CEREAL MALT BEVERAGE (Kansas Department of Revenue)

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Completed 24 August 2020

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