The Kansas LD 400 form is a Liquor Drink Tax Surety Bond required for establishments selling alcoholic beverages in Kansas. This bond ensures compliance with the Kansas Liquor Drink Tax Act and protects the state against any tax liabilities. For assistance in filling out the form, please click the button below.
The Kansas LD 400 form is an essential document for establishments seeking to operate under the Kansas Liquor Drink Tax Act. It serves as a surety bond, ensuring compliance with state regulations regarding the sale of alcoholic beverages. This form requires detailed information about the principal, which can be an individual, partnership, LLC, or corporation, as well as the surety company providing the bond. The bond amount must be clearly stated, and the effective date of the bond marks the beginning of tax coverage. Completing the form accurately is crucial; all fields must be filled out, and the legal name of the entity must match the liquor tax application precisely. Additionally, the address listed must be the physical location of the establishment, not a P.O. Box. This document establishes a continuing obligation, remaining in effect until it is canceled with proper notice. It is vital to follow the instructions carefully, as any errors may result in the bond being invalidated. For assistance, the Kansas Department of Revenue provides resources and contact information for inquiries, ensuring that applicants have the support they need to navigate this process smoothly.
Filling out the Kansas LD 400 form requires attention to detail and accuracy. Once completed, the form must be submitted to the Kansas Department of Revenue to ensure compliance with state regulations regarding liquor drink tax. Follow these steps to properly fill out the form.
When filling out the Kansas LD 400 form, it is important to follow certain guidelines to ensure accuracy and compliance. Below is a list of things to do and avoid.
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KANSAS DEPARTMENT OF REVENUE
CUSTOMER RELATIONS – MISCELLANEOUS SEGMENT
915 SW HARRISON ST.
TOPEKA, KANSAS 66612-1588
www.ksrevenue.org
Phone: (785) 368-8222
Fax: (785) 291-3968
Bond No.: _________________
Liquor Drink
Reg. No.
LIQUOR DRINK TAX SURETY BOND
KNOW ALL MEN BY THESE PRESENTS:
That we
,
(Underline one entity type– Individual Proprietorship, Partnership, LLC or Corporation)
with main office location at
(Street Address)
(City)
(State)
(Zip)
as Principal, and the
, a corporation authorized to transact business in Kansas, as
(Surety)
surety, are held and firmly bound unto the STATE OF KANSAS in the sum of
dollars
($
), lawful money of the United States, to the payment of which, well and truly to be made, we hereby bind ourselves, our
heirs, executors, administrators, assigns, and successors firmly by these presents.
WHEREAS, the above-named principal has made application to the Director of Taxation for a Liquor Drink Tax Certificate of Registration to
operate a licensed establishment selling alcoholic liquor at
(Street)
, Kansas, and is subject to the Kansas Liquor Drink Tax Act:
NOW, THEREFORE, the condition of this obligation is such that if the above-named principal shall well and faithfully comply with all of the provisions of the Kansas Liquor Drink Tax Laws, Rules and Regulations relating to the payments of liquor drink tax and penalty due under the laws of this State of Kansas, then this obligation shall be void and of no effect; otherwise it shall be and remain in full force and effect. Such principal hereby authorizes employees of the Kansas Department of Revenue to disclose to the surety herein a statement of account relating to the tax guaranteed by this bond.
This obligation shall be a continuing obligation and shall remain in full force and effect until canceled by the principal and surety after having given thirty (30) days written notice to the obligee at the address above.
This bond is effective on and after the _______________ day of ______________________________________, ____________.
(Year)
Witness our hands at ______________________________, Kansas, this _________________ day of ____________________________, ___________
___________________________________________________________
(Principal)
By ________________________________________________________
(Indicate Position: r President, r Vice-President, r Partner, r Owner)
(Print Name of Signature Above)
SEAL
(Surety Address)
(Surety Company Phone Number)
(Surety Signature)
LD-400
Its ________________________________________________________
(Rev. 6/13)
(Bond shall be accompanied by power of attorney for attorney-in-fact. A
Kansas licensed agent of the surety must countersign.)
LD-400 Liquor Drink Tax Surety Bond
(For Drinking Establishments, Class A Clubs, Class B Clubs, Caterers, Public Venues, Hotels, or other On-Premise Licensees)
PLEASE READ BEFORE COMPLETING THIS BOND FORM!
Bond Instructions:
You must complete the most current version of Form LD-400, Liquor Drink Surety Bond. The most current form can be found on our web site: www.ksrevenue.org
All fields on this form must be completed, except for the Liquor Drink Reg. No. field.
This bond must contain a bond number.
Line 1 of the bond must contain the legal name of the entity applying for or holding a Kansas liquor license and must match exactly the entity name listed on the liquor tax application.
The location address on this bond must match exactly the location address on the liquor application. This cannot be a PO Box.
The effective date is the date liquor drink tax coverage under this surety bond begins.
Signature lines:
O“Principal” is the entity being covered under this surety bond.
OAn owner or officer must sign this bond and mark the box indicating their position.
OThe owner/officer must print their name below the signature line.
O“Surety” is the name of the surety company providing the bond coverage.
OA complete mailing address of the surety company must be provided, along with a telephone number.
OA signature of an authorized attorney-in-fact is required. The bond must be accompanied by a power of attorney for the attorney-in-fact. A Kansas licensed agent of the surety must countersign.
OThe bond and power-of-attorney form must contain a seal.
Failure to complete the LD-400 properly will result in an invalid bond. The bond will be voided and kept in the customers file.
Original bonds cannot be returned.
Questions regarding this form should be directed to the Division of Taxation, Miscellaneous Tax Segment, at (785) 368-8222, option 5, then option 4.
Submit this form to:
Miscellaneous Tax
Kansas Department of Revenue
915 SW Harrison St.
Topeka, KS 66612-1588
Understanding the Kansas LD 400 form is crucial for any establishment involved in the sale of alcoholic beverages. However, several misconceptions can lead to confusion. Here are four common misunderstandings about this form:
This is incorrect. The LD 400 form is a mandatory requirement for establishments seeking a Liquor Drink Tax Certificate of Registration in Kansas. Without it, the application process cannot proceed.
In reality, the form must be signed by an authorized officer or owner of the business, and it must also include a signature from an authorized attorney-in-fact from the surety company. This ensures that both parties are legally bound to the terms of the bond.
This is misleading. The bond must contain a valid bond number; leaving it blank will result in an invalid bond. This number is essential for tracking and accountability.
This is false. The bond must be accompanied by a power of attorney for the attorney-in-fact who is signing on behalf of the surety company. Without this document, the bond is not legally valid.
The Kansas LD-400 form is a Liquor Drink Tax Surety Bond required for establishments selling alcoholic beverages in the state. Alongside this form, several other documents may be necessary to ensure compliance with state regulations. Here are a few commonly used forms and documents that often accompany the LD-400.
Gathering these documents can streamline the process of obtaining a liquor license and ensure compliance with Kansas laws. Always check for the latest requirements, as regulations may change over time.