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PERSONAL INFORMATION <br />Page 4 <br /> <br />Yes No <br /> <br />If yes, list names, addresses, and interest: <br /> <br />10. <br /> <br />11. <br /> <br />Are you the spouse of a person who would be ineligible for a license? (Refer to City Code, Section <br />724.16, for persons ineligible for license): Yes No <br /> <br />What is the amount of investment that you will have in the business, building, premises, fixtures, <br />furniture, stock in trade, etc.? State the source of such money: (You must be prepared to furnish <br />proof of the source of such money.) <br /> <br />12. <br /> <br />Have you had any interest in any previous pawnbroker license that was revoked, suspended or not <br />renewed? Yes No If yes, explain in detail: <br /> <br />13. <br /> <br />Have you ever individually, or with others, made application for a pawnbroker license and had <br />such application denied? Yes No If yes, state circumstances: <br /> <br />14. <br /> <br />Have you or your spouse ever filed for bankruptcy either as individuals, jointly, or in connection <br />with any business you have had an interest in? Yes No If yes, explain in detail: <br /> <br />15. <br /> <br />List the names, dates of birth, residence and business addresses of three residents of three <br />residents of Minnesota of good character, not related to the applicant or financially interested in <br />the premises or business, who may be referred to as to the applicant's character: <br /> <br /> <br />