ALCOHOLIC BEVERAGE CONTROL
109 SW 9
th
STREET
P
.O. BOX 3506
TOPEKA KS 66601-3506
☐ ☐
STATE OF KANSAS
DEPARTMENT OF REVENUE
P
HONE: 785-296-7015
F
AX: 785-296-7185
www.ksrevenue.org/abc.html
REQUEST TO TRANSFER KEG TAGS
This request must be submitted AND approved prior to transfer of keg tags. Transfers of keg tags will
only be authorized between a licensee who is selling a business to another licensee who will be operating at
that same location or for emergency circumstances. If the transfer is not authorized, all keg tags must be
returned to the ABC at the address listed above before the date of the sale of the business.
Check one: Ownership Transfer Emergency Transfer
Transferring Owner Information
Owner Name:
DBA Name:
License Number / CMB Stamp Number / ATF Number:
Address:
City / State / Zip:
Phone: Fax:
Keg Tag Transfer Request:
I request permission to transfer the following keg tags to the licensee below:
Tag Number(s): Quantity:
Signature of Transferring Owner: Date:
Receiving Owner Information:
Owner Name:
DBA Name:
License Number / CMB Stamp Number / ATF Number:
Address:
City / State / Zip:
Phone: Fax:
ABC Office Use Only:
☐ Approved By: Date:
☐ Denied By: Date:
ABC-172 (Rev. 02/18)
click to sign
signature
click to edit
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