14 Ill. Adm. Code 200.APPENDIX C
C Escrow Forms
Section 200.APPENDIX C
Escrow Forms
Section 200.ILLUSTRATION B Franchisor's
Petition for Release of Escrowed Funds
)
)
SS
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IN THE MATTER OF:
FRANCHISOR:
FRANCHISEE:
BEFORE
THE ATTORNEY GENERAL OF ILLINOIS
AS
ADMINISTRATOR OF THE FRANCHISE DISCLOSURE ACT
The undersigned
franchisor hereby requests the Administrator to authorize release from
escrow the sum of
, plus accrued interest
representing the franchise fee paid by
on the
day of
,
.
The undersigned
franchisor hereby represents that it has fulfilled the initial obligations owed
to the franchisee under the franchise and other agreements and that the
franchisee has commenced doing business.
Franchisor
By:
Escrowee
Bank
Name
and Title
Address
of Bank
Printed
Name of Franchisee
Phone
Number of Bank
Address
of Franchisee