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Application for Liquor License

Application for City of Geneseo, Illinois Liquor License

Application for City of Geneseo, Illinois Liquor License

Applicant - Corporate Information

Contact Information

Status of Buisness

Checkboxes

Ownership Information

Address
Address
City
State/Province
Zip/Postal
Country
Add Another Owner

Ownership Information

Address
Address
City
State/Province
Zip/Postal
Country
Add Another Owner 2

Ownership Information

Address
Address
City
State/Province
Zip/Postal
Country
Percentage

Business Premises Information

Enter the name of the business. NOTE: THIS NAME WILL APPEAR ON YOUR LIQUOR LICENSE AND MUST BE CONSISTENT WITH THE NAME PRINTED ON YOUR ILLINOIS DEPARTMENT OF REVENUE SALES TAX CERTIFICATE. If operating under an assumed name, attach written proof that the Illinois Assumed Business Name Act has been satisfied.
Buisness Type
Enter the 14-digit Henry County Property Tax Identification Number. Attach a copy of the deed of ownership.
Landlords Name
Landlords Address
Diagram of Premise
Maximum upload size: 104.86MB
Attach an accurate diagram of the business premises SHOWING ALL EXITS AND LOCATIONS WHERE LIQUOR WILL BE STORED, DISPENSED, SOLD, OR CONSUMED.

Fee Section

Fee Submittted With Application - Liquor License Fee
Other Fees First Time Applicants

Eligibility Questions

These questions apply to any person listed under question 3. These questions must be answered or the application will be rejected. If any question is checked YES, a detailed, written explanation is required and must be attached to this application.
BEEN CONVICTED OF A FELONY?
BEEN CONVICTED OF A GAMBLING OFFENSE?
EVER APPLIED FOR AND BEEN DENIED A LIQUOR LICENSE?
EVER HAD ANY PREVIOUS LIQUOR LICENSE OF WHICH HE/SHE WAS A PART OF THE APPLICATION REVOKED?
BEEN CONVICTED OF A VIOLATION OF ANY FEDERAL OR STATE LAW CONCERNING THE MANUFACTURE, POSSESSION, OR SALE OF ALCOHOLIC LIQUOR OR FORFEITED A BOND TO APPEAR IN COURT TO ANSWER CHARGES FOR ANY SUCH VIOLATION?
BEEN CONVICTED OF A VIOLATION OF ANY FEDERAL OR STATE LAW CONCERNING THE MANUFACTURE, POSSESSION, OR SALE OF ALCOHOLIC LIQUOR OR FORFEITED A BOND TO APPEAR IN COURT TO ANSWER CHARGES FOR ANY SUCH VIOLATION?
CURRENTLY SERVING IN AN ELECTED POSITION OR AS A LAW ENFORCEMENT OFFICIAL IN ANY GOVERNMENTAL ENTITY?
NOT A CITIZEN OF THE UNITED STATES OF AMERICA?
ARE YOU OR YOUR PARTNER(S) CURRENTLY NOT CITIZENS OF THE UNITED STATES OR RESIDENT ALIENS WITH LEGAL STATUS?

Resident Manger or Sole Proprietor Information

Attach a copy of Drivers License
Maximum upload size: 104.86MB
HAVE YOU EVER BEEN CONVICTED OF A FELONY?
HAVE YOU EVER BEEN CONVICTED OF A GAMBLING OFFENSE?
HAVE YOU EVER APPLIED FOR AND BEEN DENIED A LIQUOR LICENSE?
HAVE YOU EVER HAD ANY PREVIOUS LIQUOR LICENSE OF WHICH YOU WERE A PART OF THE APPLICATION REVOKED?
ARE YOU CURRENTLY SERVING IN AN ELECTED POSITION OR AS A LAW ENFORCEMENT OFFICIAL IN ANY GOVERNMENTAL ENTITY?
WERE YOU BORN OUTSIDE OF THE UNITED STATES OF AMERICA?
ARE YOU A CITIZEN OF THE UNITED STATES OF AMERICA?
Date of Naturalization City and State
Printed Name and Dated is your Electronic Signature

BASSETT TRAINING LIST Per City of Geneseo Liquor Ordinance Section 110.17Q

Bassett Training Certificates
Maximum upload size: 104.86MB