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Get SC DoR ABL-946 2020

STATE OF SOUTH CAROLINA DEPARTMENT OF REVENUE APPLICANT AND PRINCIPAL CONSENT AND WAIVER ABL-946 Rev. 1/28/14 SC Code Ann. Section 61-2-160 prohibits the issuance of any permit or license under Title 61 unless the South Carolina Department of Revenue determines that the applicant does not owe the State of South Carolina any delinquent taxes penalties or interest. 44221026 File Number Name of Sole Proprietorship Corporation Partnership LLC etc. FEI/SSN Name Home Address City State Zip Yr/Mo/Date of SC Residency Date of Birth Social Security No. Federal Employer Identification No. Percent of ownership Have you as an individual or as an organization in which you were a principal had revoked or suspended in this state or any other state any license to sell beer wine or alcoholic liquors Yes No If yes attach explanation. Have you been convicted of a crime in South Carolina or any other state set forth on the attached pages until revoked in writing by the ABL-946R completed by the applicant or a principal signing this Consent and Waiver or until the applicable permit or license is terminated or revoked. SWORN to and subscribed before me this day of year of Notary Public for My Commission Expires Notary L.S. Notary printed name Taxpayer s Signature IF MORE THAN TWO PRINCIPALS PLEASE SUBMIT AN ADDITIONAL ABL-946. If an application is made for a license or permit by a person other than an individual all principals of such applicant are deemed to be the applicant. S*C. Code Ann* Section 61-2-100 C. For purposes of processing this application or any renewals of permits or licenses issued under Title 61 the undersigned applicant or principal authorizes the Department of Revenue to release to any party person or entity information concerning the applicant s or principal s South Carolina taxes. The information that may be released includes but is not limited to information relating to delinquent taxes penalties and interest outstanding liabilities or information concerning failure to file returns. For purposes of processing this application and any renewals the applicant or principal waives the provisions of Sections 12-54-240 and 30-2-10 et seq. Further the applicant or principal authorizes S*C. Law Enforcement Division SLED to check examine and release to the Department of Revenue the criminal history record of the applicant or principal and further authorizes the Department of Revenue to share that information with other principals or applicants for purposes of processing the application or any renewal* This Consent and Waiver shall be effective as of the date set forth below and shall remain in effect until revoked in writing by the applicant or a principal signing this Consent and Waiver or until the applicable permit or license is terminated or revoked* Notwithstanding any other provisions the Department of Revenue can require a new Consent and Waiver any time it deems necessary. SOCIAL SECURITY DISCLOSURE In compliance with the Federal Privacy Act of 1974 the disclosure of an individual s social security number on this form is mandatory.

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