Fill - Free fillable PERSONALINFORMATIONFORMLIQUORLICENSEAPPLICATION Inorderforyourliquorlicenseapplicationtobeprocessedquicklyandthoroughly,itisnecessarythatthisform becompletedinfull.Pleasefillinallblanks. AFALSEORMISLE PDF form



10 S. Municipal Drive

Sugar Grove, IL 60554

www.sugar-grove.il.us

phone 630-466-4507

fax 630-466-4521

PERSONALINFORMATIONFORMLIQUORLICENSEAPPLICATION

Inorderforyourliquorlicenseapplicationtobeprocessedquicklyandthoroughly,itisnecessarythatthisform

becompletedinfull.Pleasefillinallblanks.

AFALSEORMISLEADINGANSWERMAYRESULTINDENIALOFYOURAPPLICATIONFORALIQUORLICENSE.

ALL

INFORMATIONMUSTBEPRINTEDORTYPEDLEGIBLY.



BUSINESSNAME_____________________________________________________________________________ 

BUSINESSADDRESS__________________________________PHONENO_______________________________



APPLICANTNAME____________________________________________________________________________

HOMEPHONE_______________________________________CELL_______________________________

CURRENTHOMEADDRESS

STREET_____________________________________________________________________________________

CITY_____________________________________________STATE_________ZIP_____________ ___________

PREVIOUSADDRESS 

STREET_____________________________________________________________________________________

CITY_____________________________________________STATE_________ZIP_____________ ___________

DRIVER'SLICENSENO(includecopy) _____________________________________________________________

DATEOFBIRTH_____________________________PLACEOF

BIRTH___________________________________

SEX________ EYECOLOR_______________________HAIRCOLOR__________________________________

CITIZEN?

YES NOIFNO,PLACE&DATEOFCITIZENSHIP____________________________________

HAVEYOUEVERBEENFINGERPRINTED?

YES NO

IFYES,WHY?_____________________________________________________________________________

HAVEYOUEVERBEENCONVICTEDOFAFELONY?

YES NO

IFYES,EXPLAIN_____________________________________________________________ _______________

HAVEYOUEVERBEENARRESTED?

YES NO

IFSO,PLEASEPROVIDETHEFOLLOWINGINFORMATION:

DATE CHARGE LOCATION DISPOSITION



HAVEYOUEVERMADEAPPLICATIONFORANYLICENSE(S)INTHEVILLAGEOFSUGARGROVEOTHERTHANTHE

ONEFORWHICHTHISLICENSEISBEINGSOUGHT?

YES NO

IFYES,WHATWASTHEDISPOSITIONOFTHEABOVEAPPLICATION?



HAVEYOUEVERHADALICENSEREVOKED?

YES NOIFYES,EXPLAIN 



HAVEYOUHELDORDOYOUPRESENTLYHOLDALICENSEWITHSUGARGROVE?

YES NO

IFYES,LISTPLACEOFBUSINESS,TYPEOFLICENSEANDPERIODOFTIMELICENSE

HELD:FROM/TO_______________________BUSINESS_____________________TYPEOFLICENSE__________





AFFIDAVIT



I,______________________________________________________________________________

HAVEPERSONALLYREADANDANSWEREDEACHANDEVERYQUESTIONINTHISLICENSEAPPLICATIONANDIDO

SOLEMNLYSWEARTHATEACHANDEVERYANSWERISFULL,TRUE,COMPLETE,ANDCORRECTIN EVERY

RESPECT.IUNDERSTANDTHATIFTHISAPPLICATIONCONTAINSANYFALSEORMISLEADINGINFORMATION

OFANYMATERIALFACT,

ITISGROUNDSFORDENIALOFALICENSE.



ITISTHERESPONSIBILITYOFTHEAPPLICANTTONOTIFYTHEVILLAGEOFSUGARGROVEOFANYCHANGEIN

THEBUSINESSOFFICERS(MANAGERS,OWNERS,PARTNERS,ANDCORPORATEMEMBERS)ANDALSOINANY

CHANGEOFINFORMATIONPERTINENTTOTHISAPPLICATION.



IFURTHERAUTHORIZE

THEVILLAGEOFSUGARGROVEAND/ORITSAGENTSTOCONDUCTATHOROUGH

ANDCOMPLETEINVESTIGATIONINTOMYBACKGROUND.



____________________________________________________________________________

SIGNATUREDATE



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PERSONALINFORMATIONFORMLIQUORLICENSEAPPLICATION Inorderforyourliquorlicenseapplicationtobeprocessedquicklyandthoroughly,itisnecessarythatthisform becompletedinfull.Pleasefillinallblanks. AFALSEORMISLEADINGANSWERMAYRESULTINDENIALOFYOURAPPLICATIONFORALIQUOR

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