Fill and Sign the Of Lawful Age Being First Duly Sworn Upon My Oath Depose and Form

IN THE DISTRICT COURT OF COUNTY RE: APPLICATION OF NO. for Permit to Sell NonintoxicatingBeverages PROOF OF POSTING I, the undersigned, of lawful age, being duly sworn, on oath, say that on , I posted a true and correct copy of the attached Public Notice on the front of the building in which nonintoxicating beverages are to be conducted in the City of , County, State of Oklahoma. Subscribed and sworn to before me on . Court Clerk By: Deputy (SEAL)STATE OF OKLAHOMA ) ) SS COUNTY ) AFFIDAVIT OF MAILING NOTICE I, the undersigned, of lawful age and being first duly sworn, on oath depose and state that on , I mailed, postage prepaid, a copy of the attached Public Notice to each of the following:To the District Attorney of County, OklahomaTo the Sheriff of County, OklahomaTo the Chief of Police (Town Marshal) of , Oklahoma Subscribed and sworn to before me on . Court Clerk By: Deputy STATE OF OKLAHOMA ) IN THE OFFICE OF THE COURT ) SS. CLERK IN AND FOR SAID COUNTY OF ) COUNTY AND STATEIN THE MATTER OF THE APPLICATION )OF ) CASE NO. FOR COUNTY NONINTOXICATING )BEVERAGE LICENSE PETITION AND APPLICATION FOR A PERMIT TO SELL NONINTOXICATING BEVERAGES FOR ON-PREMISES CONSUMPTION I, (WE), , doing business as at Oklahoma, being first duly sworn, state(s) as follows: 1.That I am (we are) a person(s) of good moral character.2.That I (we) have never been convicted of violating any of the laws prohibiting the traffic in any spirituous, vinous, fermented or malt liquors, or of any of the gambling laws in Oklahoma or any other state for the past three (3) years.3. That I (we) have not had any permit or license to sell nonintoxicating liquors revoked in any county of this state for the past twelve (12) months.4. That I (we) have not held, nor do I currently hold, a retail liquor dealer's permit or license from the United States government to engage in the sale of intoxicating liquor.5. That no permit or license to sell nonintoxicating liquor has been issued by the United States government at the address stated above.6. That the location is not located within three hundred (300) feet from any public school or church property primarily and regularly used for worship services and religious activities.7.If the applicant(s) is (are) incorporated,that the 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 are maintaining and residing in a residence located in the licensing county, or an adjoining county; and that the corporation consists to the service of any and all notices required to be served pursuant to 37 O.S. §§ 163.1 et seq. upon the resident agent or employee.8.If the applicant(s) is (are) not incorporated,that each applicant for the permit or other individual having a beneficial interest in the business for which a permit is sought, has for at least one (l) year next preceding the filing of the application maintained a bona fide residence in the State of Oklahoma, and is at the time of making the application maintaining and actually residing in a residence in the county, or adjoining county, in which said application is made.Dated at , Oklahoma, this day of , 20 . Signature Subscribed and sworn to before me this day of , 19 . Court Clerk, Deputy Court Clerk STATE OF OKLAHOMA )IN THE OFFICE OF COURT CLERK ) SS.IN AND FOR SAID COUNTY AND COUNTY )STATEIN THE MATTER OF THE )APPLICATION OF ) CASE NO. FOR COUNTY NONINTOXICATING )BEVERAGE LICENSE AFFIDAVIT IN SUPPORT OF APPLICATION FOR A PERMIT TO SELLNONINTOXICATING BEVERAGES FOR ON-PREMISES CONSUMPTION. To the Court Clerk of said County: I (We), , doing business as , doing business at , Oklahoma, being first duly sworn on oath, states that the building at which the nonintoxicating beverages are to be sold for on-premises consumption is located at . I/We further state that said building is not located within three hundred (300) feet from any public school or church primarily and regularly used for worship services and religious activities. Dated at , Oklahoma this day of , 20 . Signature Subscribed and sworn to before me this day of , 20 . Court Clerk, Deputy Court Clerk or Notary (SEAL) IN THE DISTRICT COURT OF COUNTY RE:APPLICATION OF No. FOR PERMIT TO SELL NONINTOXICATING BEVERAGES PUBLIC NOTICE NONINTOXICATING BEVERAGE PERMIT NOTICE is hereby given that has filed an application in accordance with the provisions and requirements of 37 O.S. Supp. 1991, §163.11 for a NONINTOXICATING BEVERAGE PERMIT in County, State of Oklahoma. Action will be taken on said application on at . If there are no protests and theapplication is sufficient on its face, a permit will be granted to the applicant by the court. Dated . Court Clerk By Deputy IN THE DISTRICT COURT OF COUNTY, STATE OF OKLAHOMA IN RE: INITIAL APPLICATION OF No. FOR PERMIT TO SELL NONINTOXICATING BEVERAGES ORDER Now on this day of , 20 , the undersigned judge, pursuant to an application filed in this matter, conducted a hearing concerning said application. The court finds that the application was duly and regularly filed; that the required fees have been paid to the Court Clerk; that fifteen (15) days notice of said hearing was posted on the building in which nonintoxicating beverages will be sold; that copies of notices were mailed by the Court Clerk to the District Attorney, Sheriff and Chief of Police of the County Seat; and that no protests have been lodged and that it appears the applicant is qualified.IT IS THEREFORE ORDERED, ADJUDGED AND DECREED that a permit to sell nonintoxicating beverages be issued by the District Court of County.This license shall be valid for three (3) years from the date of issuance, , through the last day of business on . Judge IN THE DISTRICT COURT OF COUNTY, STATE OF OKLAHOMA IN RE: RENEWAL APPLICATION OF No. FOR PERMIT TO SELL NONINTOXICATING BEVERAGES ORDER Now on this day of , 20 , the undersigned judge, pursuant to an application filed in this matter, conducted a hearing concerning said application. The court finds that the application was duly and regularly filed and that the required fees have been paid to the Court Clerk.IT IS THEREFORE ORDERED, ADJUDGED AND DECREED that a permit to sell nonintoxicating beverages be issued by the District Court of County.This license shall be valid for three (3) years from the date of issuance, , through the last day of business on . Judge