Registration And Or Biennial Renewal Application Of Business Opportunity - South Carolina Secretary Of State Page 2
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29.
Does the seller promise services to be performed in connection with placement of equipment, product
or supplies at various locations?
[] Yes
[] No
If yes, please submit your disclosure statement, setting forth full nature of these services, nature of
agreements to be made with owners or managers of these locations where the purchaser’s equipment,
product or supplies will be placed _______________________________________________________
10. Is the business opportunity seller required to secure a bond or establish a trust deposit pursuant to § 39-
57-40?
[] Yes
[] No
If yes, please complete either of the following:
a) “As required by South Carolina law, the seller has secured a bond issued by _________________
__________________________________________________________________________________
a surety company authorized to do business in this State. Before signing a contract to purchase this
business opportunity, you should check with the surety company to determine the bond’s current
status.” Or
b) “As required by South Carolina law, the seller has established a trust account number ___________
__________________________________________________________________________________
(please include name and address of the bank or savings institution)
11. If the seller fails to deliver the product, equipment or supplies necessary to begin substantial operation
of the business within forty-five days of the delivery date stated in your contract, you may notify the
seller in writing and demand that the contract be canceled.
12. Does the seller make any statement concerning sales earnings, or range of sales or earnings that may be
through this business opportunity?
[]Yes
[] No
If yes, please include disclosure of the following:
a) The total number of purchasers of business opportunities involving the product, equipment, supplies
or services being offered who to the seller’s knowledge have actually received earnings in the amount
or range specified, within three years prior to the date of the disclosure statement _________________
b) The total number of the purchasers of business opportunities involving the product, equipment,
supplies or being offered within three years prior to the date of the disclosure statement____________
DATE ______________________
_______________________________________
(Name of business Opportunity)
BY:____________________________________
(Signature)
___________________________________
(Name of Seller)
FILING INSTRUCTIONS:
1.
This form must be filed by the last day of the month in which the registration expires.
2.
If the space in this form in insufficient, please attach additional sheets containing a reference to the appropriate
paragraph in this form.
3.
Filing Fee (Payable to the Secretary of State at the time of filing this application)-$100.00.
Form Approved by South Carolina Secretary of State 4/98
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