Form Dbpr Abt-6002 - Examination Application For Multiple License Locations Page 3
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13SECTION 4 – CONTRACTS OR AGREEMENTS
These questions must be answered about this business for every person or entity listed. Copies of
agreements must be submitted with this application.
Trade Name (D/B/A)
1.
Yes
No
Is there a management contract, franchise agreement, or service agreement in
connection with this business?
2.
Yes
No
Are there any agreements which require a payment of a percentage of gross or net
receipts from the business operation?
3.
Yes
No
Have you or anyone listed on this application accepted money, equipment, or
anything of value in connection with this business from a manufacturer or
wholesaler of alcoholic beverages?
SECTION 5 – CORPORATE FELONY CONVICTION
Trade Name (D/B/A)
Has the applicant corporation been convicted of a felony in this state, any other state, or by the United
States in the last 15 years?
Yes
No
If the answer is “Yes,” please list all details including the date of conviction, the crime for which the
corporation was convicted, and the city, county, state and court where the conviction took place.
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