Application For Alcoholic Beverage Control Manufacturer License(S) - Nys Liquor Authority Page 5
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18manu-rev120817
OFFICE USE ONLY
Date ________________
Original
Amended
174
RIGHT TO PREMISES
1. RIGHT TO PREMISES
1a. By what right does the applicant have possession of the premises?
Own
Lease
Sub-Lease
Binding contract to acquire real property
Written intent to Lease
Alternating Proprietorship agreement
Other (explain):
If leasing, the lease must run for the full term of the license period or at least be renewable to cover the full term.
Month to month leases or month to month renewal terms are not acceptable.
1b. Do the terms of the lease or other arrangement require the applicant to provide any
Yes
No
consideration based on a percentage of the receipts of the business?
If YES, list the section/page of the
lease this information can be found
2. OTHER INTERESTED PARTIES
Does or will anyone other than the applicant/principals share on a percentage basis or in any way in the receipts, losses
or deficiencies of the business to any extent whatsoever?
Yes
No
If YES, state the names and address of such persons, the nature and percent of their share and date acquired.
Name
Nature of interest
Address
Date Acquired
Name
Address
Nature of interest
Date Acquired
Name
Address
Nature of interest
Date Acquired
Name
Address
Nature of interest
Date Acquired
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