Tax records (required)

• Attach two years of 1040 federal tax forms for each person providing funding or
• Corporate tax records, if applicable.

Funds from savings, investments or corporate holdings (required)

• Attach three months of bank statements that show the money is available in all three months
• Alcohol Establishments must also attach three months of bank statements from one year earlier

Loans from a lending institution

• Attach a copy of the loan closing document that shows the amount loaned. Include a copy of any promissory note or
• If you are eligible for a loan when you receive license, attach a letter of loan amount. You must give us the loan closing document when it's completed.

Loans from individuals

• If you receive a loan from friends or relatives, they must give us the same information listed above. This includes tax forms, savings account statements, or loan documents. 
• If the lender is not an owner, you must give us a notarized statement stating the lender does not have an operational, financial or management interest in the business.

Landlord or construction financing

• A landlord must give us the same information listed above. This includes tax forms, savings account statements, or loan documents. We can accept corporate account statements and
• Attach a statement about payment terms.

Part I: Costs

Applicant's name: __________________________________Business name: __________________________________

Building expenses (lease, equipment purchases, down payments, asset agreement, etc.)

$__________________ for __________________________________

$__________________ for __________________________________            Subtotal $___________________

Construction expenses (upgrading cooking equipment, installation, remodeling, etc.)

$__________________ for __________________________________

$__________________ for __________________________________            Subtotal $___________________

Professional expenses (attorney fees, architect fees, consultant fees, etc.)

$__________________ for __________________________________

$__________________ for __________________________________            Subtotal $___________________

Start-up costs (insurance, license fees, inventory, etc.)

$__________________ for __________________________________

$__________________ for __________________________________            Subtotal $___________________

Other expenses (payroll, insurance, SAC charges, other)

$__________________ for __________________________________

$__________________ for __________________________________            Subtotal $___________________

Total costs for pursuing this license

Attach plans, leases, contracts, statements from vendors or credit institutions and other documentation you have to support the above figures.

Part II: Funds (example below)

Total Cost to Start the Business (As listed above.) $300,000
Savings Account Money: $100,000
Attached: Bank Statements from Jan, Feb, Mar 2013 and 2014

Bank Loan: $100,000
Attached: Loan Closing Documents from First Bank and Trust

Loan from Parents: $100,000
Attached: Stock Dividend Statement 2013 and 2014; Tax Records 2013 and 2014; Promissory Note: Notarized Statement of Loan Terms

Total: $300,000