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VAS JCI1C aliu <br />Part 1 General Information (off Sale Intoxicating) <br />13. If the building is owned by the individual applicant, partnership, <br />corporation or association, state: <br />(a)Date Purchased <br />(b)Name and address of person purchased from <br />(c)Purchase price Amount of down payment <br />(d)hfio currently holds the mortgage - Name and Address <br />W Amount of contract for deed <br />(f)t,'ho currently holds contract for deed Name and Address <br />(g)Term of mortgage <br />(h)Term of contract for deed <br />(i)Rate of interest on mortgage <br />(j)Rate of interest on contract for deed <br />(k)State the monthly payment at which the mortgage and/or contract <br />for deed is b_ing liquidated <br />(1)Are the payments on the mortgage and/or contract for deed up to <br />date? <br />14. (&)State the total cost of assets acquired to start this business <br />including the business premesis, if purchased, fixtures, furniture, <br />equipment, merchandise for resale, cash for working capital, prepaid <br />insurance and any other assets. (If acquired from predecessor, at- <br />tach purchas agre ment.) <br />