Financial Affidavit In Support Of Application {17A-2} | Pdf Fpdf Docx | California

 California   Statewide   Board Of Pharmacy 
Financial Affidavit In Support Of Application {17A-2} | Pdf Fpdf Docx | California

Last updated: 12/10/2024

Financial Affidavit In Support Of Application {17A-2}

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Description

17A-2 - FINANCIAL AFFIDAVIT IN SUPPORT OF APPLICATION. This form is required by the California State Board of Pharmacy for entities applying for a pharmacy license. It collects financial information about the applicant, including the sources of investment, details of funding, financial institution accounts, and individuals authorized to sign on business accounts. Applicants must provide supporting documentation, such as unredacted bank statements showing business funding and transaction history. The form also requires information about the bookkeeper/accountant and estimated annual sales and purchases. Signatories must certify the truthfulness of the information provided under penalty of perjury, ensuring compliance with licensing requirements. www.FormsWorkflow.com

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