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APPLICATION SIGNATURE SHEET ('SIGN ON')

State of California Department of Alcoholic Beverage Control APPLICATION SIGNATURE SHEET (" sign ON"). 1. OWNERSHIP TYPE (Check one). Read instructions on reverse before completing. Sole Owner Partnership-Ltd All signatures must be witnessed by an ABC. employee or notarized in accordance with laws Partnership Corporation of the State where signed. Married Couple Limited Liability Company Domestic Partner Other 2. FILE NUMBER (If any) 3. LICENSE TYPE 4. TRANSACTION TYPE. Original Person to Person Transfer Exchange Premise to Premise Transfer Other 5. APPLICANT(S) NAME (Last, first, middle). 6. APPLICANT'S MAILING ADDRESS (Street box, city, state, zip code). 7. PREMISES ADDRESS (Street address, city, zip code). APPLICANT'S CERTIFICATION.

License Type (Item #3) - Enter the numeric designation for the license (e.g., Type 21) or description (e.g., Off-Sale General). Transaction Type (Item #4) - Check the box for the type of transaction. Applicant(s) Name (Item #5) - Enter the name of the applicant. For a general partnership, the names of the individual partners.

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  Applications, Sheet, Sign, Signature, Numeric, Application signature sheet, Sign on

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