C Escrow Forms

Section 200.APPENDIX C   Escrow Forms Section 200.ILLUSTRATION C   Franchisee's Petition For Release of Escrowed Funds ) ) SS ) IN THE MATTER OF: FRANCHISOR: FRANCHISEE: BEFORE THE ATTORNEY GENERAL OF ILLINOIS AS ADMINISTRATOR FOR THE FRANCHISE DISCLOSURE ACT The undersigned franchisee hereby requests the Administrator to authorize release from escrow the sum of $ , plus accrued interest representing the franchise fee paid by me on the day of , . The undersigned franchisee hereby represents that the franchisor has not fulfilled the initial obligations owed to me under the franchise and other agreements and that I have not commenced doing business. Franchisee Signature Printed Name of Franchisee Address of Franchisee Subscribed and sworn to before me this day of , . Notary Public