Section 200.APPENDIX C Escrow Forms

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

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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)