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1. Fingerprints are required for each person as defined in new application guide, found on our website under <br /> "Licensing Tab"in"Guidelines/Brochures". See Form 147 for further information,this form MUST be included with <br /> your app tion. <br /> 2. Enclose application fee of $400 (nonrefundable), check made payable to the Nebraska Liquor Control <br /> Commission or you may pay online at www.ne.uov/go/NLCCuavport. <br /> 3. _Enclose the appropriate application forms; / <br /> 1 Individual License(requires insert form j) 1 <br /> Partnership License(requires insert form 2) <br /> Corporate License(requires insert form 3a&3c) <br /> Limited Liability Company(LLC)(requires form 3b&3c) <br /> 4. If building is being leased send a copy of signed lease. Be sure the lease reads in the name of the individual(s), <br /> corporation or Limited Liability Company(LLC)making application. Lease term must run through the license year <br /> being applied for. <br /> 5. ✓ If building is owned or being purchased send a copy of the deed or purchase agreement in the name of the <br /> applicant. <br /> 7 6. If buying the business of a current liquor license holder:- <br /> a. Provide a copy of the purchase agreement from the seller(must read applicants name) <br /> f b. Provide a copy of alcohol inventory being purchased(must include brand names and container size) <br /> c. Enclose a list of the assets being purchased(furniture,fixtures and equipment) <br /> 7. If requesting to operate on current liquor license;enclose Temporary Operating Permit(TOP)(form 125). <br /> n 8. /Enclose a list of any inventory or property owned by other parties that are on the premises. <br /> ( ✓ For citizenship enclose U.S.birth certificate;U.S.passport or naturalization paper <br /> a. For residency enclose proof of registered voter in Nebraska t I CA Q� <br /> b. See guideline for further assistance htt p://www.lcc.nebraska.Qov/brochures.html "l461(- V <br /> 10. _Corporation or Limited Liability Company(LLC)must enclose a copy of articles of incorporation;as filed with <br /> the Secretary of State's Office.This document must show barcode. <br /> • /Submit a copy of your business plan. (r✓(//t,( ..-3 <br /> I acknowledge that this application is not a guarantee that a liquor license will be issued to me,and that the average <br /> processing period is 60 days. Furthermore, I understand that all the information is truthful and I accept all <br /> responsibility for any false documents. <br /> Qi thai <br /> signature <br /> 1, /6x aoiq <br /> ` ra <br /> 4 <br /> FORM 100 <br /> REV MAY 2015 <br /> PAGE 2 <br />