Washington > Statewide > Liquor Control Board > Miscellaneous
Franchise Affidavit LIQ 820 - Washington
| Franchise Affidavit Form. This is a Washington form and can be used in Miscellaneous Liquor Control Board Statewide . |
|
||||||
 Get this form for FREE as a print-only pdf |
|||||||
|
Licensing and Regulation Division PO Box 43098 Olympia WA 98504-3098 Phone: (360) 664-1600 FAX: (360) 753-2710 www.liq.wa.gov License Number Trade Name UBI Number Franchise Affidavit (RCW 66.24.010) This affidavit is in lieu of providing a copy of the franchise agreement to the Washington State Liquor Control Board for the below premises: Trade name: UBI No. Liquor license No. Address of real/personal property: Name of franchiser: Name of franchisee: Date franchise begins: No. of times franchise can be renewed: Fees: Franchise: Other fees: Premises use: Can franchise be assigned? With or without franchiser's written consent? $ $ Date franchise expires: Term of each renewal: Royalty: $ Training: $ Signature of franchiser Date I declare under penalty of perjury that all information provided on this form is true and complete to the best of my knowledge. I understand that untruthful, misleading, or incomplete answers whether through misrepresentation, concealment, inadvertence, or mistake are cause for denial of a license or revocation of any liquor licenses currently held. Signature of Applicant (Sole Proprietor, Partner, Officer, LLC Member/Manager) Date LIQ 820 - 1/10 American LegalNet, Inc. www.FormsWorkFlow.com
|
|||||||
