Department of Alcoholic Beverage Control State of California ARNOLD SCHWARZENEGGER, Governor LEGAL TENANCY STATEMENT - PRIORITY This form is used when a priority applicant is applying for both an original and an intercounty transfer of a license of the same type (for example, an original and an intercounty Off-Sale General license). DISTRICT OFFICE DATE PRIORITY APPLICANT NAME (Last) (First) (Middle Initial) (Street Number and Name) (City) (State) LICENSE TYPE PROPOSED PREMISES ADDRESS (Zip Code) I understand that I must submit evidence that I have legal tenancy of both premises to be licensed. Such written evidence is to be in the form of a written lease, deed or escrow to purchase the property, and I will furnish this to the Department prior to the date of the priority drawing. I am also aware that failure to produce the above documentation prior to the drawing will preclude me from seeking any change of location after the drawing. APPLICANT'S SIGNATURE(S) x x x ABC-264 (12/03) American LegalNet, Inc. www.FormsWorkflow.com