Financial Verification Guide Document {DLC 4096}

AMOUNTSOURCE OF FUNDSDOCUMENTS TO BE SUBMITTED WITH APPLICATIONLoan(s) from a financial institution Attach signed copy of loan agreement, letter of commitment, or letter of credit.Installment contractAttach signed copy of agreement.Promissory note held by the SellerAttach signed copy of note.Assumption of seller's debtAttach copy of agreement, signed by buyer and seller, listing creditors, debts assumed, and amount still outstanding. YES NO The Division of Liquor Control requires applicants that have been in business one year prior to application to provide thethe amount and source of funds used to purchase and/or set up the business. This form is used to document that source, however, it also requires additional documentation based on the source of funds selected.Please list the total cost to buy and/or set up this business $. The amount listed must coincide with the amount listed in the purchase agreement if buying an existing business, unless excess funds are required for remodeling or additional operating revenue, etc. If so, you will be required to submit additional documentation as outlined below when identifying the "Source of Funds."Identify the amount and source of funds used to purchase and/or set up this business. Multiple sources may be used. Please make certain to include documents listed from the right column to back up your source. FOR OFFICE USE ONLY:Permit # American LegalNet, Inc. www.FormsWorkFlow.com