ABC-217 (rev. 06/2025): how to file the Application Questionnaire
The main questionnaire: license type, premises, contacts, lease, investment and source of funds. Filed with the license application at the ABC district office for the premises (by appointment or as the office directs), with the license fee; the office lists what goes in the packet.
- Agency
- California Department of Alcoholic Beverage Control
- Where it applies
- California
- How it's filed
- Filed in person
- Fee
- VariesThe license fee follows ABC's application and annual fee schedules for the license type; the forms themselves have no fee.
The form, line by line
| Line | What goes there |
|---|---|
| 1 | Applicant name(s): an individual's first, middle and last name, or the entity's name |
| 2 | License type41 On-Sale Beer & Wine Eating Place / 47 On-Sale General Eating Place / 40 On-Sale Beer / 42 On-Sale Beer & Wine Public Premises / 48 On-Sale General Public Premises / 20 Off-Sale Beer & Wine / 21 Off-Sale General / Other: describe |
| 3 | Transaction typeOriginal (new) / Person-to-person transfer / Premises-to-premises transfer / Exchange / Other: describe |
| 4 | Temporary permit requested (person-to-person transfers only)?Yes / No |
| Premises | Premises address (street number and name, city, ZIP code) |
| 5 | County |
| 6 | Premises telephone number |
| 7 | Are the premises outside city limits?Yes / No |
| 8 | Business name (DBA) you will use |
| 9 | Business mailing address (street, city, state, ZIP) |
| 10 | Is the mailing address permanent or temporary?Permanent / Temporary |
| 11 | ABC license cost (item 33a) |
| 12 | Subtotal (item 33f) |
| 16 | Transferor's name (transfers only) |
| 17 | Transferor's ABC license number |
| 18 | Transferor's premises address (where the license is now issued) |
| 19 | Are the premises under construction?Yes / No |
| 19 | If yes, estimated completion date |
| 20 | Is it a franchise?Yes / No |
| 21 | Name of person ABC may contact for the applicant |
| 22 | Title of contact person |
| 23 | Contact telephone number |
| 24 | Contact email address |
| 25 | Is the premises currently licensed?Yes / No |
| 25 | If yes, type of license |
| 26 | Is the current license operating?Yes / No |
| 26 | If not, date closed |
| 27 | Escrow company: name, address, telephone (one per line) |
| 28 | Bookkeeper or accountant: name, address, telephone (one per line) |
| 29 | Landlord: name, address, telephone (one per line) |
| 30 | Monthly rent |
| 31 | Lease expiration date |
| 32 | Does the lease include furniture or fixtures?All / Some / None |
| 33a | Investment: ABC license |
| 33b | Investment: furniture and fixtures |
| 33c | Investment: inventory |
| 33d | Investment: goodwill or non-compete covenant |
| 33e | Investment: leasehold and improvements |
| 33f | Subtotal (usually equals the recorded notice) |
| 33g | Fees for other licenses, permits and deposits (approximate) |
| 33h | Working capital (approximate) |
| 33i | Realty or interest therein |
| 33j | Total investment (items f through i) |
| 34 | Source of funds: one per line, 'amount, type, source and terms of repayment' |
| 35 | Bank accounts for this business: one per line, 'bank name, bank address' |
| 35c | Names of all persons authorized to sign on the bank account(s) |
| 36 | Printed name of the applicant signing |
Official links
Checked against the agency's own page.
Every filing links to the agency's own page, and every fact comes from an official form or agency page. Agency requirements change; check the agency's page before you file. How we source and check these guides
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