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Trade Name of Proposed Business <br /> <br />STATEMENT OF PLANNED OPENING INVESTMENT FOR PROPOSED BUSINESS <br /> <br />Made a part of License Application <br /> dated: <br /> <br />INTENDED USE OF FUNDS FROM OPENING INVESTMENT <br />AND OTHER SOURCES LISTED BELOW: (Round to nearest hundred dollars) <br /> <br />Operating capital for daily needs, such as, but <br />not hmited to the opening checking account <br />balance, cash register change, sufficient money <br />to carry an average amount of accounts receivable <br />(if credit is extended to customers), insurance, <br />rent and other expenses which must be paid in <br />advance ....................................................................................... $ <br /> <br />Merchandise for resale (stock in trade) ...................................... <br /> <br />Business Property: <br /> <br />Land and buildings used for the business (enter <br />zero if rented) .................................................................. <br /> <br />Equipment and other furnishings .................................. <br /> <br />Other uses of funds, if any (describe each) <br /> <br />TOTAL REQUIREMENTS ........................................................................................ <br /> <br />SOURCES OF FUNDS TO PROVIDE FOR BUSINESS <br />REQUIREMENTS ABOVE: <br /> <br />Indebtedness owed to the seller if apphcant purchases <br />an existing business with the seller financing part <br />of the price after the closing date ........................................ $ <br /> <br />Loans from financial institutions, banks and other <br />such lenders ......................................................................... <br /> <br /> <br />