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Cri <br /> SECTION 5—CONTRACTS OR AGREEMENTS Q� <br /> Business Name (D/B/A) <br /> cn <br /> These questions must be answered about this business for every person or entity listed as the applicant and <br /> copies of agreements must be submitted with this application. If the management, service, or other contractual '_`_:; <br /> agreement gives a person or entity control of the licensed premises or the sale of alcoholic beverages, <br /> disclosure of those persons must be made in the section labeled "DIRECT INTEREST" in the DISCLOSURE OF <br /> INTERESTED PARTIES section. They must also submit fingerprints and a related party Personal information <br /> sheet. <br /> 1. Yes ❑ No Is there a management contract, franchise agreement, or service agreement in <br /> connection with this business? <br /> 2. Yes ❑ No ❑ Are there any agreements which require a payment of a percentage of gross or net <br /> receipts from the business operation? <br /> 3. Yes ❑ No V Have you or anyone listed on this application, accepted money, equipment or <br /> anything of value in connection with this business from a manufacturer or <br /> wholesaler of alcoholic beverages? <br /> SECTION 6 SPECIAL LICENSE REQUIREMENTS <br /> DOES NOT.APPLYTO BEER AND WINE LICENSES <br /> Please check the appropriate"Special Alcoholic Beverage License" box of the license for which you are <br /> applying. Fill in the corresponding requirements for each Special License type. <br /> ❑ Quota Alcoholic Beverage License ❑ Special Alcoholic Beverage License <br /> ❑ Club Alcoholic Beverage License <br /> This license is issued pursuant to Florida Statutes or Special Act, and as such we <br /> acknowledge the following requirements must be met and maintained: <br /> Please sign and date: <br /> Applicant's Signature: Date: <br /> Auth.61A-3.020&61A-5.0017,FAC 4 Eff. 7/30/12 <br />