Irrevocable Letter Of Credit (For Conduct Surety Purposes Only) {2-61.4}

Page 1 of 1 Form 2-61.4 (0/201) IRREVOCABLE LETTER OF CREDIT (For Conduct Surety Purposes Only) -61.4(0/201) Irrevocable Letter of Credit No. (1) Obligation of this security is for compliance with the Alcoholic Beverage Code and Rules of the Texas Alcoholic Beverage Comm ission. Title 3, Subtitle A, Chapter11, Subchapter A, Sec. 11.11 and Subtitle B, Chapter 61, Subchapter A, Sec. 61.13 of the Alcoholic Beverage Code 1995, As Amended. We hereby establish our irrevocable letter of credit in favor of the State of Texas for the account of (2) doing business as (3) located (4) , (5) , Texas , under (6) license/permit (7) This letter of credit is effective u p to the aggregate amount of (8) This letter of credit shall remain in effect until the (9) is released or discharged by the Texa s Alcoholic Beverage Commission or until the expiration date of (10) . This is your authority to draw drafts for the full amount of (8) . The condition of the obligation of this letter of credit is such that the permittee or licensee shall faithfully conform with the Texas Alcoholic Beverage Code a nd rules of the commission. If the holder of this permit or license violates a law of the state relating to alcoholic beverag es or a rule of the commission, the amount of the letter of credit shall be paid to the state. under Letter of Credit No. (1) FOR BANK SIGN HERE (Signature of Bank Officer) (Title of Bank Officer) Name of Bank Address City, State, Zip Area Code + Phone No. Before me, the undersigned authority, on this day of A.D., the bank officer whose name is subscribed to the foregoing instrume nt personally appeared, and acknowledged to me that he or she executed the same as the act and deed of the above referenced bank, for the purposes and considerations therein expressed and in the capacity therein stated. SIGN S E A L HERE: (Notary Pub lic in and for the State of Texas) FOR APPLICANT SIGN HERE (Signature of Applicant) Before me, the undersigned authority, on this day of A.D., the applicant whose name is subscribed to the foregoing instrument personally appeared, and acknowledged to me that he or she executed the same for the purposes and considerations therein expres sed. SIGN S E A L HERE (Notary Public in and for the State of Texas) INSTRUCTIONS (1) Irrevocable Letter of Credit number (2)Name of Applicant: IF: Corporation ----------- Corporate name must be shown Partnership ----------- mes must be shown Limited Partnership - Name of limited partnership and general partner must be shown Private Club ---------- Name of the club must be shown (If Corporation - Corporate name) Proprietorship -------- Name of individual must be shown (6)Type of Permit - (Mixed Beverage Permit, All Types of Private Club Permits, Package Store Permit, Wine Only Package Store Permit, Wine and Beer - Premise - Premise Permit, - Railway Car, Wine & - Excursion Boat) Limited Liability Partnership must be shown Limited Liability Company ----- Name of limited liability company must be shown (3)Trade Name of Business (4)Actual Business Address (Not Mail Address) (5)City of Business Location (7)License/Permit Number, If Issued (8)Amount ($5,000/$10,000) (9)Name of Bank (10)Expiration Date (Mus t be 42 months from date of issue) THIS FORM WILL NOT BE ACCEPTED WITH ANY WHITEOUTS OR ALTERATIONS. NOTARIZED AMENDMENTS FROM BANK WILL BE ACCEPTED TO CORRECT ERRORS NOTED BY THE COMMISSION. TABC USE ONLY Date/Signature of Personnel Verifying Bank Info rmation: Name of Bank Personnel Contacted: American LegalNet, Inc. www.FormsWorkFlow.com