West Salem, WI · La Crosse County
Alcohol Beverage Individual Questionnaire
Form AB-100 collects business, personal, address-history, and criminal-history information from people involved in an alcohol beverage business who submit it with a license application or agent update.
- licensed online notary
- ~15 min average
- Notarized PDF emailed
What you’ll need
- Government-issued photo ID
- Webcam-enabled device (laptop or phone)
- This form, ready to upload as a PDF
What this form is
Each required individual completes a separate AB-100, providing information about themselves and the business, listing address history, answering criminal-history questions, and signing the attestation. Submit it with an alcohol beverage license application to the clerk of the municipality where the business is located, or with Form AB-101 to the clerk of the municipality that issued the license when updating the agent. The form instructions say an application is incomplete until all required questionnaires are submitted.
Who needs it
Sole proprietors, partners, and the listed officers, directors, members, managers, or agents involved in the applicant alcohol beverage business must complete a questionnaire.
Why it needs a notary
The form has a signature and date line for the attestation, but the supplied text shows no jurat or acknowledgment block and does not state that a notary must witness the signature.
How to get this notarized
- 1
Download The Form
Get Form AB-100 and its instructions from the Wisconsin Department of Revenue.
- 2
Complete Your Questionnaire
Fill in business and personal information, address history, and criminal-history answers; attach extra sheets if needed.
- 3
Sign And Date
Read the attestation, then sign and date the form. The supplied form does not show a notary block.
- 4
Submit To The Clerk
Send the completed form with the applicable license application or agent appointment form to the municipality’s clerk.
Preview the form
The blank PDF straight from West Salem. Look it over, then upload your filled copy to start the notary session.
You’ll need ID and a webcam.
A licensed online notary will join you on video, verify your government-issued ID, witness your signature, and apply their seal. You’ll receive the notarized PDF by email when the session ends.
Frequently asked questions
- Who must complete Form AB-100?
- Each sole proprietor, partner, and listed officer, director, member, manager, or agent involved in the applicant business must complete an individual questionnaire.
- Do I need to have Form AB-100 notarized?
- The supplied form shows a signature and date line but no jurat or acknowledgment, and its instructions do not specify notarization. Confirm with the city or village if unsure.
- How do I submit Form AB-100?
- For a retail license application, submit it with Form AB-200 or AB-220 to the clerk of the municipality where the business is located. For an agent update, submit it with Form AB-101 to the clerk of the municipality that issued the license.
- Can I sign an eligible document with an online notary?
- Wisconsin Stat. §140.145 authorizes remote online notarization by a commissioned online notary for eligible documents, with stated exclusions. This form does not indicate that notarization is required.