Forms and Publications

General Forms

Surety Bond Form ABT-6032  – Submitted to the Division by a person or entity engaging in the manufacturing, distribution or bonded warehouse storage of alcoholic beverages, distributing agents or wholesale distributors of cigarettes and all wholesale dealers of tobacco products. No license or permit may be issued for these persons or entities without a properly executed surety bond for the payment of excise taxes. Instructions & Form in PDF-format PDF-format (form only) MS Word-format (form only)
Affidavit of Certification For Stand-Alone Bars and Stand-Alone Bars with Food DBPR ABT-4000A-040  – Annual affidavit used by a standalone bar to continue to qualify for a smoking designation. Instructions & Form in PDF-format
Delinquent Account Reporting Form ABT-6034  – Used by licensed distributors to notify the Division that a licensed vendor has not paid for alcoholic beverage purchases within the time prescribed by law.  Once your delinquent form(s) have been completed and saved, a copy of the form(s) should be sent to the following email address.  abtdelinquentaccount@dbpr.state.fl.us PDF-format (form only) MS Word-format (form only)
Delinquent Account Release Form ABT-6035  – Used by licensed distributors to notify the Division that a licensed vendor has paid an outstanding invoice.  Once your release form(s) have been completed and saved, a copy of the form(s) should be sent to the following email address.  releaseabtdelinquentaccount@dbpr.state.fl.us PDF-format (form only) MS Word-format (form only)

New Alcoholic Beverage License and Permit Forms

Alcoholic Beverage License / Tobacco Permit Application Form ABT-6001  – For obtaining a NEW wholesale or retail alcoholic beverage license (and a retail tobacco products permit, if applicable). NOTE: Do not use this form for a transfer of ownership of an existing license. Instructions & Form in PDF-format PDF-format (form only) MS Word-format (form only)
Application and Inspection Report for Off-Premises Storage Permit Form ABT-6017  – For obtaining a permit for an off-premise storage location in the same county as the master alcoholic beverage license. Instructions & Form in PDF-format PDF-format (form only) MS Word-format (form only)
Bottle Club License Application Form ABT-6036  – For obtaining a bottle club license (and retail tobacco products permit, if applicable) for a for-profit, commercial establishment, where alcoholic beverages are not sold, wherein patrons bring their own alcoholic beverages onto the premise for the patron’s consumption. MAY NOT be issued to a bona-fide restaurant, hotel, or motel. MAY NOT hold any other alcoholic beverage license for such premises. Other requirements apply. Instructions & Form in PDF-format PDF-format (form only) MS Word-format (form only)
Caterer’s Alcoholic Beverage License Application Form ABT-6011  – Used by food caterers licensed under Chapter 509, Florida Statutes, to obtain a license for selling or serving alcoholic beverages for consumption on the premises of a catered event at which the licensee is also providing prepared food. DOES NOT allow for the storage of any alcoholic beverages. May operate in any Florida county and cater multiple, concurrent events. Other requirements apply. Instructions & Form in PDF-format PDF-format (form only) MS Word-format (form only)
Common Carrier (Passenger Carrier) License Application Form ABT-6020  – Used by operators of railroads or sleeping cars; or by operators of steamship lines, buses and bus lines, airplanes and airlines engaged in interstate or foreign commerce or plying between fixed terminals and upon fixed schedules in Florida; to obtain a license for purchasing alcoholic beverages and selling or serving to their passengers. DOES NOT allow package sales. Other requirements apply. Instructions & Form in PDF-format PDF-format (form only) MS Word-format (form only)
Passenger Vessel Permit Application Form ABT-6021  – Used by the operator of a passenger vessel which has a cabin-berth capacity of at least 75 passengers, and which is engaged exclusively in foreign commerce, to obtain a permit allowing consumption on-board the vessel during certain periods of time. Other requirements apply. Instructions & Form in PDF-format PDF-format (form only) MS Word-format (form only)
Tax-Exempt Wine Permit Application Form ABT-6038  – Allows for excise-tax exempt purchases of wine by religious orders, monasteries, churches or other religious bodies or their representatives, for religious or sacramental purposes. Instructions & Form in PDF-format PDF-format (form only) MS Word-format (form only)

Quota Beverage License Drawing Entry Form ABT-6033 –

For entering the annual quota beverage license drawing for establishing the order of priority in which license applications will be considered for an available quota license in a particular county pursuant to Section 561.19, Florida Statutes
Instructions & Form in PDF-format

Alcoholic Beverage Importer, Broker, Sales Agent, Exporter and Brand Registration Forms

Importer, Broker or Sales Agent Application Form ABT-6008  – For obtaining a new license, transferring the ownership of an existing license, or making changes to an existing license as an importer, broker, or sales agent of alcoholic beverages. Importers may arrange for the storage of alcoholic beverages in Florida only in a state bonded warehouse. Brokers, or Sales Agents may not possess alcoholic beverages in Florida. Importers, Brokers and Sales Agents may arrange sales only to Florida-licensed manufacturers or distributors. Other requirements apply. Instructions & Form in PDF-format PDF-format (form only) MS Word-format (form only)
Exporters Registration Application Form ABT-6026  – Used by a person or entity in Florida to register as an exporter that arranges the sale of alcoholic beverages to persons or entities outside of the state or to a ship’s chandler or duty-free shop. Applicant must hold a federal license as an exporter. Instructions & Form in PDF-format PDF-format (form only) MS Word-format (form only)
Application for Malt FL-Florida Imprinting Exemption Form ABT 6019  – Used for Malt Beverage Manufacturers to apply for FL-Florida Imprinting Exemption. Instructions & Form in PDF-format PDF-format (form only) MS Word-format (form only)
Distributor Exclusive Sales Territory Form ABT 3
  – Used by manufacturer or importer and each distributor to apply for exclusive sales territory.
Instructions & Form in PDF-format PDF-format (form only) MS Word-format (form only)

Distributor's Salesperson of Wine or Spirits Form

Distributor’s Salesperson of Wine or Spirits Form ABT-6013  – Used by individuals employed by a wholesale distributor as a salesperson of wine or distilled spirits. Instructions & Form in PDF-format PDF-format (form only) MS Word-format (form only)

Forms for Making Changes, Transfers of Ownership, Modifications, or Additional Licensure of Existing Licensees

Application for Changes to Pool Buying Groups ABT-6010  – Used by the authorized pool group agent to record changes / additions or deletions to a pool buying group consisting of retail alcoholic beverage licensees. Instructions & Form in PDF-format PDF-format (form only) MS Word-format (form only)
Application for Delinquent Renewal ABT-6015  – Used by wholesale and retail alcoholic beverage licensees, and wholesale cigarette exporters or other tobacco products distributors, to renew a license or permit that was placed into a null and void status due to non-renewal. Instructions & Form in PDF-format PDF-format (form only) MS Word-format (form only)
Application for Escrow of an Alcoholic Beverage License ABT-6027  – Used to place a quota liquor license into escrow. This is necessary if the license is not in a location. Instructions & Form in PDF-format PDF-format (form only) MS Word-format (form only)
Application for Extension of Licensed Premises or Amended Sketch of Licensed Premises ABT-6029  – Used by an alcoholic beverage licensee to obtain approval for a temporary or permanent extension of a licensed premise; or to record an amendment to the existing sketch of the licensed premises. Instructions & Form in PDF-format PDF-format (form only) MS Word-format (form only)
Application for Lien / Mortgagee’s Interest in Spirituous Alcoholic Beverage License ABT-6022  – Used to record liens, assumptions or assignments, or the renewal or extension of a lien pledged against a retailer’s liquor license. A lien must be filed within 90 days of the dated, executed security agreement and promissory note. MAY NOT be used to file a lien against a beer, or beer and wine retail license. Instructions & Form in PDF-format PDF-format (form only) MS Word-format (form only)
Application for Transfer of Ownership ABT-6002  – Used to place a quota liquor license into escrow. This is necessary if the license is not in a location. Instructions & Form in PDF-format PDF-format (form only) MS Word-format (form only)
Application for Vehicle Permit ABT-6016  – (No longer required by Florida Statutes)
Used by retail vendors of alcoholic beverages to obtain a permit for a vehicle that is owned or leased by the licensed retailer. The retailer may deliver alcoholic beverages, or transport purchases from a licensed distributor to their licensed location or licensed off-premise storage facility in their vehicle with a valid vehicle permit. Licensed distributor’s salesperson of wine or spirits, and common carriers, ARE NOT required to have vehicle permits to transport alcoholic beverages.
(No longer required by Florida Statutes) (No longer required by Florida Statutes) (No longer required by Florida Statutes)
Change of Business Name or Change of Mailing Address Application ABT-6009  – Used to make business name or mailing address changes to existing licenses or permits. MAY NOT be used to change the license location of an existing license. Instructions & Form in PDF-format PDF-format (form only) MS Word-format (form only)
Change of Location / Change in Series or Type Application ABT-6014  – Used to obtain the Division’s approval of a location change, or change in license series or license type. Instructions & Form in PDF-format PDF-format (form only) MS Word-format (form only)
Change of Officer / Stockholder / Amended Corporate Name Application ABT-6004  – Used to file changes of officers, directors, members, or stockholders of corporations and other legal entities. May be used to record entity name changes filed with the Florida Department of State, but MAY NOT be used to transfer ownership. Instructions & Form in PDF-format PDF-format (form only) MS Word-format (form only)
Request for Cancellation of Permanent License ABT-6007  – May be used by the owner of an alcoholic beverage license to request cancellation of the permanent license. Instructions & Form in PDF-format PDF-format (form only) MS Word-format (form only)
Request for Withdrawal of Application ABT-6031  – May be used by an applicant to request the withdrawal of an application that has been filed with the Division. PDF-format (form only) MS Word-format (form only)
Notification of Election to Permit Smoking in the Licensed Premises ABT-6012  – Used by retailers to request designation as a “stand-alone bar” with respect to allowing indoor smoking by patrons on a licensed premise. PDF-format (form only) MS Word-format (form only)

Forms for Wholesale or Retail Cigarette and Tobacco Product Permits

Application for Retail Tobacco Products Dealer Permit ABT-6028  – Used by retailers to obtain a permit to sell cigarettes, cigars, and all other tobacco products to customers. This application SHOULD NOT be used by retail applicants wishing to obtain a license for alcohol AND tobacco. Instructions & Form in PDF-format PDF-format (form only) MS Word-format (form only)
Application for Tobacco Products Wholesale Dealer ABT-6005  – Used to obtain a permit to sell tobacco products (excluding cigarettes and cigars) to licensed retailers in Florida. Instructions & Form in PDF-format PDF-format (form only) MS Word-format (form only)
Application for Cigar Wholesale Dealer Permit ABT-6006  – Used to obtain a permit to sell cigar products to licensed retailers in Florida. Instructions & Form in PDF-format PDF-format (form only) MS Word-format (form only)
Application for Wholesale Cigarette Permit ABT-6024  – Used to obtain permits for cigarette distributors, exporters, importers, manufacturers, or distributing agents. Instructions & Form in PDF-format PDF-format (form only) MS Word-format (form only)

Forms for Temporary Permits

Application for Temporary Permits or Special Sales License ABT-6003  – May be used by bona-fide non-profit civic organizations to obtain temporary event permits that allow consumption-on-premise sales of alcoholic beverages. All profits must be retained by the bona-fide non-profit civic organization. May also be used to obtain a permit for off-premise, sealed container sales authorized under Chapter 561.20(12)(a), Florida Statutes. Instructions & Form in PDF-format PDF-format (form only) MS Word-format (form only)
Quota License Drawing Entry Form ABT-6033  – This application/entry form is only valid during the Quota Drawing period. The division accepts entry forms for 45 days beginning the third Monday in August. The division posts information regarding the Quota drawing each year on the website immediately prior to the drawing period. PDF-format (form only)

Alcoholic Beverage Conversion Chart

Alcoholic Beverage Container Chart  (for various container sizes) PDF-format

Alcoholic Beverage Manufacturers, Distributors, Importers, and Passenger Carrier Forms

ALCOHOLIC BEVERAGE MANUFACTURERS, DISTRIBUTORS, IMPORTERS, AND PASSENGER CARRIER FORMS

Notice of Differential Prices or Change of Prices (Malt Beverages)   Form ABT4000A-032e  (will be filed via EDS starting 8/28/2017) To be filed through EDS
Alcoholic Beverage Distributor’s Monthly Report (ABT4000A-100)
Beer Form ABT4000A-100-1b PDF-format MS Excel-format
Wine Form ABT4000A-100-1w PDF-format MS Excel-format
Liquor Form ABT4000A-100-1l PDF-format MS Excel-format
Monthly Report Summary ABT4000A-100-2 PDF-format MS Excel-format
Monthly Report Details ABT4000A-100-3 PDF-format MS Excel-format
Schedule of Licensed Salespersons ABT4000A-100-4 PDF-format MS Excel-format
  Liquor Manufacturer’s Monthly Report – Bulk Spirits Manufactured in Florida (ABT4000A-105)-NOTICE:As of 8/28/2017 this report should be filed electronically in EDS
Monthly Report Summary ABT4000A-105-1 PDF-format MS Excel-format
Monthly Report Details ABT4000A-105-2 PDF-format MS Excel-format
Summary of Deductions ABT4000A-105-3 PDF-format MS Excel-format
  Liquor Manufacturer’s Monthly Report – Spirits Bottled in Florida  (ABT4000A-110)-NOTICE:As of 8/28/2017 this report should be filed electronically in EDS
Tax Computation  ABT4000A-110-1 PDF-format MS Excel-format
Monthly Report Summary ABT4000A-110-2 PDF-format MS Excel-format
Monthly Report Details ABT4000A-110-3 PDF-format MS Excel-format
  Distillers and Rectifiers Report of Bottling Operations (ABT4000A-115) –NOTICE:As of 8/28/2017 this report should be filed electronically in EDS
Monthly Report Summary ABT4000A-115-1 PDF-format MS Excel-format
Monthly Report Details ABT4000A-115-2 PDF-format MS Excel-format
Details of Bulk Spirits Received ABT4000A-115-3 PDF-format MS Excel-format
Details of Bulk Spirits Shipped and Transferred  ABT4000A-115-4 PDF-format MS Excel-format
  Beverages Shipped To/Within Florida (ABT4000A-125)
Malt Beverages  ABT4000A-125-1 PDF-format MS Excel-format
Instructions
Wine ABT4000A-125-2 PDF-format MS Excel-format
Instructions
Spirits ABT4000A-125-3 PDF-format MS Excel-format
Instructions
Vendor’s Malt Manufacturing Return ABT4000A-130-1 PDF-format MS Excel-format
Brewer’s Production Record   ABT4000A-130-2 PDF-format
  Beer Manufacturer’s Monthly Report – Beer Manufactured in Florida (ABT4000A-135)
Tax Computation   ABT4000A-135-1 PDF-format MS Excel-format
Monthly Report Summary ABT4000A-135-2 PDF-format MS Excel-format
Monthly Report Details ABT4000A-135-3 PDF-format MS Excel-format
  Wine Manufacturer’s Monthly Report – Bulk Wine Manufactured in Florida (ABT4000A-140) –NOTICE:As of 8/28/2017 this report should be filed electronically in
EDS
Tax Computation   ABT4000A-140-1 PDF-format MS Excel-format
Monthly Report Summary ABT4000A-140-2 PDF-format MS Excel-format
Monthly Report Details ABT4000A-140-3 PDF-format MS Excel-format
  Bulk Wine Bottled Monthly Report (ABT4000A-145)–NOTICE:As of 8/28/2017 this report should be filed electronically in
EDS
Details of Bulk Wine Bottled ABT4000A-145-1 PDF-format MS Excel-format
Summary of Bulk Wine Bottled ABT4000A-145-2 PDF-format MS Excel-format
  Warehouse Report (ABT4000A-150)
Monthly Report Summary ABT4000A-150-1 PDF-format MS Excel-format
Monthly Report Details ABT4000A-150-2 PDF-format MS Excel-format
Common Carrier Report – Alcoholic Beverage Shipments Into Florida ABT4000A-155 PDF-format MS Excel-format
  Passenger Carrier Report (ABT4000A-160)
Report for Airlines and Railroads ABT4000A-160 PDF-format MS Excel-format
Report for Cruise Ships ABT4000A-160a

Cruise Ship report is now filed quarterly through EDS.

PDF-format MS Excel-format

Cigarette Distributing Agent, Wholesale Dealer, Exporter, Passenger Carrier and Vending Machine Forms

CIGARETTE DISTRIBUTING AGENT, WHOLESALE DEALER, EXPORTER, PASSENGER CARRIER AND VENDING MACHINE FORMS

Application for Credit or Refund of Cigarette Stamps ABT4000A-004 PDF-format MS Excel-format Electronic Submission
Requisition/Invoice for Cigarette Tax Indicia ABT4000A-006 PDF-format MS Excel-format Electronic Submission
Cigarette Distributing Agent’s Report (ABT4000A-200)
   Summary of Transactions Page 1 of 2 PDF-format MS Excel-format Electronic Submission
   Product Transactions – Detail Page 2 of 2 PDF-format MS Excel-format Electronic Submission
Taxable Cigarette Wholesale Dealer’s Monthly Report (ABT4000A-205)
   Tax Computation Page 1 of 6 PDF-format MS Excel-format Electronic Submission
   Monthly Report Summary Page 2 of 6 PDF-format MS Excel-format Electronic Submission
   Monthly Report Detail Page 3 of 6 PDF-format MS Excel-format Electronic Submission
   County Sales/Returns Page 4 of 6 PDF-format MS Excel-format Electronic Submission
   Off-Premise Storage Page 5 of 6 PDF-format MS Excel-format Electronic Submission
   Indian Coupon Usage Page 6 of 6 PDF-format MS Excel-format Electronic Submission
Cigarette Exporter’s Report (ABT4000A-210)
    Summary of Transactions Page 1 of 2 PDF-format MS Excel-format
    Product Transactions – Detail Page 2 of 2 PDF-format MS Excel-format
 Individual Cigarette and/or Tobacco Product Excise Tax Report (ABT4000A-215) PDF-format MS Excel-format
 Passenger Carrier Cigarette Report ABT4000A-220 PDF-format MS Excel-format
  Taxpaid Cigarette Wholesale Dealer’s Monthly Report (ABT4000A-225)
     Monthly Report Summary Page 1 of 2 PDF-format MS Excel-format Electronic Submission
     Monthly Report Details Page 2 of 2 PDF-format MS Excel-format Electronic Submission
  Common Carrier Cigarette Report (ABT4000A-235)
     Summary of Transactions Page 1 of 2 PDF-format MS Excel-format
     Product Transactions Page 2 of 2 PDF-format MS Excel-format
Monthly Changes of Vending Machine Locations ABT4000A-240 PDF-format MS Excel-format
Annual Schedule of Vending Machine Locations ABT4000A-241 PDF-format MS Excel-format

Cigarette Manufacturers and Cigarette Importer Forms

CIGARETTE MANUFACTURER AND CIGARETTE IMPORTER FORMS

Manufacturer’s Monthly Report for Distribution of Samples ABT4000A-245 PDF-format MS Excel-format Electronic Submission

In-state Cigarette Manufacturer’s Report (ABT4000A-250)

  Page 1 of 3 PDF-format MS Excel-format Electronic Submission
  Page 2 of 3 PDF-format MS Excel-format Electronic Submission
  Page 3 of 3 PDF-format MS Excel-format Electronic Submission

Out-of-state Cigarette Manufacturer’s Report (ABT4000A-251)

  Page 1 of 3 PDF-format MS Excel-format Electronic Submission
  Page 2 of 3 PDF-format MS Excel-format Electronic Submission
  Page 3 of 3 PDF-format MS Excel-format Electronic Submission

In-state Cigarette Importer’s Report (ABT4000A-255)

  Page 1 of 4 PDF-format MS Excel-format Electronic Submission
  Page 2 of 4 PDF-format MS Excel-format Electronic Submission
  Page 3 of 4 PDF-format MS Excel-format Electronic Submission
  Page 4 of 4 PDF-format MS Excel-format Electronic Submission

Out-of-state Cigarette Importer’s Report (ABT4000A-256)

  Page 1 of 3 PDF-format MS Excel-format Electronic Submission
  Page 2 of 3 PDF-format MS Excel-format Electronic Submission
  Page 3 of 3 PDF-format MS Excel-format Electronic Submission

Other Tobacco Products Forms

In-State Tobacco Products Wholesale Dealer’s Report (ABT4000A-300)
Monthly Report Summary Page 1 of 4 PDF-format MS Excel-format Electronic Submission
Product Transactions Page 2 of 4 PDF-format MS Excel-format Electronic Submission
Tax Paid Purchases From Other Florida Wholesale Dealers Page 3 of 4 PDF-format MS Excel-format Electronic Submission
Certificate of Tobacco Products Destroyed Page 4 of 4 PDF-format MS Excel-format Electronic Submission
  Out-of-State Tobacco Products Distributor’s Monthly Report (ABT4000A-305)
Monthly Report Summary Page 1 of 2 PDF-format MS Excel-format Electronic Submission
Monthly Report Details Page 2 of 2 PDF-format MS Excel-format Electronic Submission
  Tobacco Products Manufacturers and Importers Report (ABT4000A-310)
Summary of Transactions Page 1 of 3 PDF-format MS Excel-format Electronic Submission
Sales and Returns Page 2 of 3 PDF-format MS Excel-format Electronic Submission
Instate/Out of State Page 3 of 3 PDF-format MS Excel-format Electronic Submission

Miscellaneous Forms

Application for and Permit to Import Alcoholic Beverages (for personal consumption) ABT4000A-035 PDF-format MS Excel-format
Application for Tax Exempt Wine Permit (for Religious or Sacramental purposes) ABT4000A-038 PDF-format MS Excel-format
Certificate of Breakage and/or Spoilage of Alcoholic Beverages ABT4000A-034 PDF-format MS Excel-format
Certificate of Extraordinary Loss  ABT4000A-037 PDF-format MS Excel-format
Surety Bond Form ABT-6032 PDF-format MS Word-format
Delinquent Account Reporting form Used by licensed distributors to notify the Division that a licensed vendor has not paid  for alcoholic beverage purchases within the time prescribed by law. Once your delinquent form(s) have been completed and saved, a copy of the form(s) should be sent to the following email address:

abtdelinquentaccount@dbpr.state.fl.us

Delinquent Account Report New
Delinquent Account Release Form Used by licensed distributors to notify the Division that a licensed vendor has paid an outstanding invoice.   Once your release form(s) have been completed and saved, a copy of the form(s) should be sent to the following email address:

releaseabtdelinquentaccount@dbpr.state.fl.us

Release Report

Need Help?

All requests for publications, documents, forms, applications for licenses, permits and other similar certifications can be obtained by contacting the Customer Contact Center.

Thomas R. Philpot, Director 

Division of Alcoholic Beverages & Tobacco
2601 Blair Stone Road
Tallahassee, FL 32399-0791

Telephone: 850.487.1395
Facsimile: 850.922.5175