Summary Of Purchase Agreement {DLC 4243}

You may use this form to summarize your purchase agreement, however, a copy of your entire purchase agreement may be required during the review process. DBA Name:Permit Premises Address:City:ZIP Code:State: Sole Proprietor Name, Corporate or LLC entity, or Partnership Name:SECTION A. Liquor Permit Applicant Information: Township, if outside city limits:Purchase of Business Certification:The liquor permit applicant in Section A has entered into a purchase agreement with the permit holder listed in Section B to transfer the liquor permit business fixtures, equipment, inventory, and goodwill to the address listed in Section A for the sum of $ .Below is a list of the assets/inventory purchased or being purchased from the seller: (Attach separate sheet if necessary) FOR OFFICE USE ONLY:Permit # NewTransferRen 614 | 644 3155 Fax 614 | 644 3166 TTY/TDD 800 | 750 0750 www.com.ohio.govAn Equal Opportunity Employer and Service Provider6606 Tussing RoadPO Box 4005Reynoldsburg, OH 43068-9005 U.S.A.Rev. 5/13/2019 American LegalNet, Inc. www.FormsWorkFlow.com