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IN THE DISTRICT COURT OF OKLAHOMA COUNTY, OKLAHOMA STATE OF OKLAHOMA } OKLAHOMA COUNTY }ss. CASE NO:

IN THE MATTER OF THE OF THE APPLICATION OF

For a Low-Point Beer Permit APPLICATION OF CORPORATE APPLICANT TO SELL LOW POINT BEER TO THE COURT CLERK OF SAID COUNTY: I I am the being first duly sworn upon oath state that of the Corporation of doing business as

doing business at hereby make application for a license at the location described above to sell low-point beer containing more than one-half of one percent (1/2 of 1%) alcohol measured by volume, and not more than three and two-tenths percent (3.2%) of alcohol measured by weight, for consumption or use in accordance with the provisions of 37 O.S. §§163.1-163.11. I hereby certify that I am a person of good moral character; I have /have not been convicted of a felony in Oklahoma or any other state. If convicted, I certify that I have /have not been pardoned, OR it has /has not been more that ten (10) years since the completion of the sentence imposed for the felony; I further certify that I have /have not violated any laws any laws pertaining to the use, possession, or sale of drugs and narcotics or the violation of narcotics laws of the State of Oklahoma or the United States. I hereby certify that I have /have not been convicted of violating any of the laws prohibiting the traffic in any spirituous, vinous, fermented or malt liquors, or any of the gambling laws in Oklahoma or any other state of the United States, within /have not been convicted three (3) years immediately proceeding the date of this application. I further certify that I have of violating any of the laws commonly called "prohibition laws", or had any permit or license to sell low-point beer revoked in any county of this state within the last twelve (12) months. I hereby certify that such corporation is duly authorized to transact business in the State of Oklahoma and that the agent or employees managing or in charge of the place of business for which the permit is sought is maintaining and residing in Oklahoma County or in county an adjoining county. And that such corporation consents that any and all notices required to be served under the provision of 37 O.S. §163.1 et seq may be served on such resident agent or employees. I further certify that I shall keep accurate records of all sale of beverages to consumers and users, and of all purchases of such beverages from wholesalers or otherwise; and such records shall be preserved for a period of not less than three (3) years from and after the date of the permit or license to be issued under this application, which shall be open to inspection at all times by the Oklahoma Tax Commission or any of its employees. I certify that the above and foregoing is true and correct to the best of my knowledge. Name: Home Address: Date of Birth: Social Security Number: Phone Number:

Dated this

day of

, 2006. Applicant

Subscribed and sworn to before me this

day of

, 2006

By: COURT CLERK OR NOTARY

AFFIDAVIT OF CORPORATE APPLICANT TO SELL LOW-POINT BEER I, of doing business at and that said location of the building in which low-point beer is to be sold is not prohibited by the provisions of 37 O.S. § being first duly sworn upon oath state that I am the doing business as

163.27. That said organization is a corporation organized and , and has been duly authorized to

existing by virtue of the laws of the State of

transact business in the State of Oklahoma. That its agent or employee managing the place of business for which license is herein applied is address is that said Manager is a resident of Oklahoma County, or in County, an adjoining county and that said corporation whose

consents and agrees that any and all notice required to be served under the provision of 37 O.S. §163,1 et seq. may be served on such resident agent or employees. Dated this day of , 2006.

Subscribed and sworn to before me this Patricia Presley Court Clerk Oklahoma County, Oklahoma By Deputy

Applicant day of

, 2006.

Notary My Commission Expires