§200.ILLUSTRATION B. Franchisor's Petition for Release of Escrowed Funds

	)
	)	SS
	)

 

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

 

(Source:  Amended at 23 Ill. Reg. 11561, effective September 7, 1999)