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Home My WebLink About830305.tiffRE: ESTABLISHING COMMISSIONER HEARING DATE ATION, D/B/A LICENSE RESOLUTION THE NEIGHBORHOOD TO BE SERVED, DESIGNATING A TO MAKE ON -SITE INSPECTION AND SETTING THE CONCERNING THE APPLICATION OF MUSKET CORPOR- LOVE'S COUNTRY STORES, FOR A 3.2% BEER WHEREAS, the Board of County Commissioners of Weld County, Colorado, pursuant to Colorado statute and the Weld County Home Rule Charter, is vested with the authority of administering the affairs of Weld County, Colorado, and WHEREAS, the Board of County Commissioners of Weld County, Colorado, conducted a public hearing on the 3rd day of August, 1983, and heard evidence to assist said Board in establishing the neighborhood make the on -site the application for a 3.2% beer WHEREAS, to be served, designating the Commissioner to inspection and set the hearing date concerning of Musket Corporation, D/B/A Love's Country Stores, license for consumption off the presmises only, and the Board did determine that the following described real estate should comprise the neighborhood to be cerning said application, to wit: That part of Sections 2, 3, 10 and 11, located in Township 2 North, Range 68 West of the 6th P.M., Weld County, Colorado, and that part of Section 34, located in Township 3 North, Range 68 West of the 6th P.M., Weld County, Colorado served con - NOW, THEREFORE, BE IT RESOLVED by the Board of County Com- missioners of Weld County, Colorado that the above described real estate be, and hereby is, declared to be the neighborhood to be served concerning the application of Musket Corporation, dba Love's Country Stores, for a 3.2% beer license for con- sumption off the premises only. BE IT FURTHER RESOLVED by the Board that Commissioner John T. Martin shall be designated to make the on -site inspection for Musket Corporation, dba Love's Country Store. BE IT FURTHER RESOLVED by the Board that the hearing date concerning the application of Musket Corporation, dba Love's Country Store, for a 3.2% beer license for consumption off the premises only, be, and hereby is, scheduled for September 14, 1983, at the hour of 2:00 o'clock p.m. 830305 Page 2 RE: APPLICATION FOR 3.2% BEER LICENSE - MUSKET CORPORATION The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 3rd day of August, A.D., 1983. BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO ATTEST: "Ai ilkv„,4etAlit42ta;i Weld County Clerk and Recorder and erk to the Boardz uty County Clerk APPROV 1 AS T 4. County Attorney ck Carlson, C�iairman T,? n T. Martin, Pro-Tem EXCUSED Gene R. Brantner EXCUSED DATE OF SIGNING (YEA) Norman Carlso cque ne one son DAY FILE: AUGUST 8, 1983 N- N J i W J a O 5� W 0 J LL 2z H w co y CC ¢ r - W w > a 03 C 0)) O zQ 5 (=u- s. MI- o ^ z W CI_ W cc PS Form 0911, July 1994 dd APG 8 19;3 a/r -3/// y RETURN REZERfT COLORADO mEmORAMU To THE BOARD Date August 2, 1983 From THE CLERK TO THE BOARD OFFICE soniecr APPLICATION FOR A 3.2% BEER LICENSE - MUSKET CORPORATION Please schedule the public hearing on this matter for September 14, 1983, at 2:00 P. M. We will publish the legal notice on August 11, 1983. Attached please find a copy of your resolution which set the neighborhood for the Stuckey's Store, Inc. The Stuckey's Store, Inc. hearing has been scheduled for August 31, 1983, at 2:00 P. M. You may wish to set the same neighborhood for this application since they are located so close to each other. Thank you, DATE: August 4, 1983 WELD COUNTY PLANNING DEPARTMENT: WE HAVE RECEIVED AN APPLICATION FOR A 3.2% RERR FOLLOWING DESCRIBED PROPERTY: LICENSE AT THE A tract of land located in the SEa of Section 3, Township 2 North, Range 68 West of the 6th P. M. Weld County, Colorado, MUSKET CORPORATION DEA LOVE'S COUNTRY STORES c— c qc AUG 41983 Weld Co. Planning Commissimi PLEASE INDICATE THE NECESSARY INFORMATION AT THE BOTTOM OF THIS MEMO AND RETURN TO US. C-3 WHAT IS THE CURRENT ZONING AT THE ABOVE SITE? IS THIS TYPE OF REQUEST PERMITTED IN THE'ABOVE ZONING? WELD DATED: NIN ARTMENT COUNTY OF WELD APPLICATION FOR MALT, VINOUS AND SPIRITOUS LIQUOR LICENSE TO THE BOARD OF COUNTY COMMISSIONERS OF WELD COUNTY, COLORADO The undersigned hereby makes application for a County Malt, Vinous and Spiritous Liquor' License: 1. Name of Applicant(s) Musket Corporation 2. Home Address of Applicant (s) P. O. Box 26210 Okla. City, Oklahoma 73126 3. Trade Name Love's Country Store #204 4. Business Telephone 303L7,n-=Pt4 5. Home Telephone Number(s) 6. Business Address 776 ?39c) 3851 Highway 119 7. If Partnership, give names of partners; if a Corporation or Club, give names of principal. officers Tom E. Love, Pres. - L. M. Dillard Vice Pres. Jim R. Rager, Finance VP, Judith M. Love - Sec. Tres. 8. Type of license (circle) Retail Liquor Store Tavern License Restaurant License Extended Hours (Convenience store/truck st Liquor Licensed Drug Club License Arts License Race Track License (check one) XFor Sales for consumption OFF the premises of licensee only. For Sales for consumption ON the premises of licensee only. For Sales for consumption ON and. OFF the oremises of licensee. 9. Is establishment managed by other than licensee? If so, give name: no 10. EXACT LOCATION OF PREMISES. Give street and number, Lot and Block number or Range, Township and Section (if possible give quarter of Section). 3851 Highway 119, Range 68 West, Section 3 Township 2 North. SE quarter of section 3 11. Do you have legal possession of the premises for which this application for license is made? yes 12. Are the premises owned or rented? owned If rented, from whom? 13. la, State nature of business conducted: groceries and gasoline and diesel If restaurant, state whether other businesses conducted except sale of food, meals, drinks and tobaccos: N /.� 15. If club, state whether operating or a n tional, social, fraternal, patriotic political or athletic nature: ,�/�4 If club, state whether the property and advantages of club belong to .tembers:.Ai R I_ club, state whether it is for pecuniary gain: A ,ls applicant(s) or allofficersof of the corporation or club a citizen(s) of the United States? yes 19. Has applicant(s) a state license for the sale of Malt, Vinous and Spiritous Liquor? not for this location 20. Has applicant(s) ever been convicted of a felony? no 21. If answer to question 20 is "yes", give full details: 22. Has applicant been adjudged guilty by a court of record of violating the laws covering the prevention of gambling under the laws of the State. of Colorado, or under the laws of the United States? No 23. If answer to question 22 is "yes", give full details: 24. W511 acplicant(s) permit any wholesaler or manufacturer to be interested financially by loan or otherwise, in applicant's business? no 23. If answer to question 24 is "yes", give full details: 25. Fill applicant(s) use any equipment, fixtures, chattles, decorations or furnishings supplied or loaned by any manfacturer or wholesaler? no 27. If answer to question 26 is "yes", explain: The applicant hereby agrees, if license is issued for sale of Malt, Vinous or Spiritous liquor, as herein requested, the place of business used therefor :will be conducted in strict conformity with all laws of the State of Colorado, and the rules and regulations of the Board of County Commissioners of Weld County, Colorado, relating thereto, and any conviction of violations of said laws, rules and/or regulations shall be cause for revocation of such license, without further hearing thereon. The applicant(s) further agrees that e, she (they) has full knowledge of the aforesaid state laws and Board rules and regulations existing at the date of this application and agrees he, she (they) will keep advised as to all subsequent state law, Board rules and regulations, that may be hereafter passed relating thereto during the term of said license. MUSKET CORPORATION dba Love's I -Stop #204 Oklahoma Applicant(s) STATE OF )ss L. M. Dillard - Vice President OU"1TY OF NSW Okla. L. M. Dill . - Vice Pres. being first duly sworn on oath, desposes and says: That he, she (they) is/are the applicant(s) above named: That he, she (they) has/have read the above and foregoing application and the answers made :hereto, and well knows the contents hereof, and that the answers made to the _-t:terragatories therein set forth are true to(S)her (their) own knowledge. MUSKET CORPORATION dba Love's I -Stop #204 • :scribed and sworn before me this 11th o f July , A.D. 19_83 /l ' Deputy County Clock Reba J. Baker - Notary Notary Public L. M. Dillard - Vice President S7'A T. •OF COLORADO DEP,4RTMENT OF REVENUE LIQUOR ENFORCEMENT SECTION APPLICATION FOR A FERMENTED MALT BEVERAGE LICENSE Date of Issuance: FMB License Number: Expiration Date: This application, and all applicable fees and attachments, must be filed with the Colorado Department of Revenue, Liquor Enforcement Division, State Capitol Annex, 1375 Sherman Street, Denver, Colorado, 80261, (303) 866-3741 Each applicant (including all general and over 5% limited partners of partnership and all officers, directors and over 5% stockholders of 'a corporation) and managers must complete and file form ORL 404-1 "Individual History Record" in duplicate, with this application. For those retail licenses described in Column A, below, this application must FIRST BE FILED WITH AND APPROVED BY THE LOCAL LICENSING AUTHORITY. IMPORTANT: Check the appropriate box for the type of license(s) being applied for. This is an original application and a copy must be kept in your files for reference when applying for renewal licenses. You may attach separate sheets or additional documents if necessary to fully complete this application. COLUMN A State Fees Local Fees COLUMN B State Fees RETAIL 3.2% BEER: FERMENTED MALT BEVERAGE LICENSE —City ❑RETAIL 3.2% BEER: FERMENTED MALT BEVERAGE LICENSE —County $46.25 $67.50 $ 3.75 $ 7.50 ❑WHOLESALE 3.2% BEER LICENSE' $100.00 ❑MANUFACTURER'S 3.2% BEER LICENSE' $100.00 ❑CHANGE OF CORPORATE STRUCTURE OR LOCATION OTHER (Specify) The undersigned hereby makes application for a state license as indicated above, under the provisions of Title 12, Article 46, CRS 1973, as amended, and for that purpose makes the following answers to the questions contained in this application. Every applicable question must be answered. Any false answer or statement made by the applicant herein or in an attachment hereto constitutes perjury and the person making such false statements subjects any license issued herein to revocation. ALL ANSWERS MUST BE PRINTED IN BLACK INK (or typewritten) 1. Name of Applicant(s): Musket Corporation Social Security or Taxpayer I.D. Number: 73-0741221 2. Trade Name of Establishment: Love's Country Stores Business Telephone: 405/751-9000 3. Address of Premises: (Exact location of premises must be given. Give street and number, when possible. If place to be licensed Is located In a town or rural district where It Is Impossible to give street and number, the lot and block number or part of section where located must be given.) 3851 Highway 119, I-25 and SH 119 CITY, Longmont COUNTY: Weld 4. Mailing address: (Number and Street) P. C. Box 1046 City : Longmont STATE: Colorado State Colorado ZIP CODE: 80501 Zip Code : 80501 5. Are these premises now licensed under the State Liquor or Beer Code? If answer is "yes", to whom is the license issued? EYES ENNO Trade Name of Establishment : State License No.: Type of License: Expiration Date: 6. Does the applicant have legal possession o1 the premises for which this application for license is made? If answer is "no", explain in detail: pl AYES ENO 7. Arethepremises owned or leased? if teased, from whom? L OWNED ❑LEASED Attach copy of deed, lease or contract, and interior plans and specifications of building, if built, or if not built, attach plot plan, interior sketch and architect's drawing of the building to be constructed. 8. if this is a transfer of location, on what date do you plan to move? 9. Has the applicant filed a Form 11 with the Internal Revenue Service? If answer is "no", explain in detail. . YFS ENO 10. Is applicant; or ail over 5% partners; or officers, over 5% stockholders or directors of the corporation; citizens of tn. United States? If answer is "no''.give name and Alien's Registration Card Number and Premanent Residency Card number. ®YES ONO 11. Is the applicant; or any of the over 5% partners; or officers, over 5% stockholders or directors of said applicant (if a corporation); or manager or appiice'r,, under the age of eighteen years? EYES IlNO me. .. _ Dom: 403IRe%. 10 'P` Page 1 12. Has the applicant; or any of the over 5% partners; or officers, over 5% stockholders or directors of said applicant (if a corporation); or employees of applicant; or persons lending assistance or financial support to the applicant; ever been convicted of a crime? If answer is "yes", explain in detail. EYES ®NO 13. Has any Person, as applicant, partner, officer, Difactor, stockh�er or employee, ever: (a) been denied an alcoholic beverage license? YES X NO (b) Had an alcoholic beverage license suspended or revoked? CITES !IOW If the answer is "yes" explain in detail; (Attach separate sheet if necessary.) 14. Does the applicant have a Colorado State Sales Tax Account? If answer is "yes", give the Account number. ®y ES dvo 09-30081 15. Do the applicable zoning laws permit the sale of alcoholic beverages on 15. Has a Fermented Malt Beverage license for the same location the licensed premises? E YES EitNO been refused within the preceding one year? 17YES ER NO 17.Ooes or did the applicant; or any of the partners; or officers, directors or stockholders of said applicant (If a corporation), have a direct or indirect interest in any Colorado Liquor or Fermented Malt Beverage License (include loans to or from any licensee, or interest in a loan to any licensee)? If the answer is "yes" , explain in detail. OYES ®NO 18. Identify the persons, firms or corporations who now or will have, a financial interest, evidenced either by loans or equity ownership in the business for which this license is requested. State the names and addresses, and the amount and source of such financial Interest expressed in dollars or other items of value, such as inventory, furniture or equipment. (Use separate sheet if necessary) NAME: ADDRESS: INTEREST: 19. List the names and addresses of all businesses in which any of the persons in the previous question are materially interested. (Use separate sheet if necessary): NAME: BUSINESS: ADDRESS: Attach copy of all notes and security instruments, and any written agreement or details of any oral agreement, by which any person (including a corporation) will share in the profit or gross proceeds of this establishment, and any agreement relating to the business which is contingent or conditional in any way by volume, profit, sales, giving of advice or consultation. 20. if the applicant is an individual or partnership, answer the following: (Attach separate sheet if necessary) INDIVIDUAL PARTNERSHIP (a) Name of individual or name and class of each Partner: none Home address and city: Date of Birth. 'u of ownership: (b) Name of Manager: Home address and city: Date of Birth: (C) If partnership, when did said partnership commence doing business? (Attach a copy of the partnership agreement (except husband and wife) and trade name affidavit) 21.If the applicant is a corporation, answer the following: (a) Corporation is organized under the laws of the State of: Oklahoma (b) Principal business is conducted at: Oklahoma City (c) Date of filing lest annual corporate report to the secretary of state: County of: Oklahoma Date: 1/17/64 State of: Oklahoma (d) Name of each officer listed below: President: Tom E. Love HomeAddress and City: 6824 N.W. Grand Blvd, Okla. City, Okla. Date of Birth: Vice -President: L. M. Dillard Treasurer: Judith M. Love Secretary: 308 Woodhollow Trail, Edmond, Okla. 6824 N.W. Grand Blvd, Okla. City, Okla. e pa9. 2' (e} (f) List all stocknu lours: I ncruQe actual owner or Name of Stockholder: Tom E. & Judith M. Love pleogee. ruse separate annul , neucaa,"• Home Address and City: 6824 N.W. Grand Blvd., % of stock, 100% Date of Birth: Names of all Directors or Trustees of Corporation: Tom E. Love .4 Home Address and City; 6824 N.W. Grand Blvd, Okla. City, Ok. Date of Birth: i Attach a copy of the certificate of incorporation, the articles of incorporation, stock certificates, the authority to transact business in Colorado (if a foreign corporation), and the corporate minutes authorizing the filing of this application and electing the current officers and directors, or trustees). When did applicant purchase this business, or if new, when does applicant plan to begin operating this business? If purchased, from whom? in operation If the applicant is a manufacturer, or wholesaler, answer the following; (a) Does applicant own lease or operate any warehouse or storage plant in connection with its business? (If "yes", give full address) EYES NO lb) (b) If the applicant is a manufacturer, does any owner, part owner, shareholder, director or officer have any direct or indirect financial interest in an importer, manufacturer, wholesaler or retailer already licensed by the State of Colorado to sell fermented malt, malt, vinuous or spirituous liquor? If answer is "yes" attach explanation in detail. EYES ENO (c) If the applicant is a wholesaler, does any owner, part owner, shareholder, director or officer have any direct or indirect financial interest in a wholesaler, retailer, manufacturer or importer already licensed by the State of Colorado to sell fermented malt, malt, vinuous or spirituous liquor? If answer is "yes" attach explanation in detail. EYES riNO (dI If the applicant is a foreign wholesaler to what licensed wholesaler in Colorado does he intend to ship his merchandise? (e) Does the applicant have a valid Federal Basic Permit? If "yes", attach a copy of the permit; if "no", explain in detail. EYESry+NO AFFIDAVIT This affidavit is to be signed and acknowledged by individual, each general partner or partnership and by corporate applicants. STATE OF C0klahoma COUNT COUNTY OF Oklahoma L. M. Dillard SS AND being by me first duly sworn, if for himself, deposes and says: that he is the applicant above named, or a partner, or that he is (t.:(e) Vice President of the above named corporation; that he has read the foregoing application and attachments, and tr;at he knows the contents thereof, and that all matters and things therein set forth are true of his own knowledge and he agrees to conform to all the rules and regulations promulgated by the State Department of Revenue in connection therewith. SUBSCRIBED AND SWORN TO ME INDIVIDUALS AND ALL GENERAL PARTNERS OF PARTNER- SHIP MUST SIGN HERE: This 28th day of September 19 83 S;;^,ature c' Not ry P b! Reba J. �?acer - Notary (ATTACH SEAL) February, 29, 1984 My ccmmissi)n expires: CORPORATION SIGN HERE: MUSKET CORPORATION (Corporate Seal) / Bv: . ..� t Vii— C �t L (P M.deDII aras'dnkr rcV"Pfrdident Pape 3 REPORT AND APPROVAL OF LOCAL LICENSING AUTHORITY (MANUFACTURERS AND WHOLESALERS DISREGARD THIS SECTION) The foregoing application has been examined and the premises, business conducted and character of the applicant is satisfactory, and we do report that such license, if granted, will meet the reasonable requirements of the neighborhood and the desires of the inhabitants, and complies with the provisions of Title 12, Article 46, CRS 1973 as amended. CRS 1973, as amended, 12-46-117 - CHECK ONE (1) (a) The local licensing authority shall restrict the use of said license to: (I) Sales for consumption "off" the premises of the licensee; or I VI (III Sales for consumption "on" the premises of the licensee; or (III) Sales for consumption "both on and off" the premises of the licensee a (b) The provisions of paragraph (1) (a) shall not apply to any license issued or applied for under this article prior to July 1, 1967, nor to any renewal or reissuance thereof. THEREFORE THIS APPLICATION IS HEREBY APPROVED. DATED A AT: BY: (Name of t ATTEST: A Ladi THIS /Z Cit.,And County) r� airman of Q , A.D. 19 ..a_ Boa rd and of co nty siooers or other title of the licensing authority.) / d-1.7 (Clerk, secrYary or other officer having the official seal of the licensing authority.) If the premises are located within a town or city, the above approval should be signed by the mayor and clerk; if in a county, then by the chairman of the board of county commissioners and the clerk to the board. If, by ordinance or otherwise, the local licensing authority is some other official, then such approval should be given by such official.) Page d a , COLORADO OFFICE OF BOARD OF COUNTY COMMISSIONERS PHONE (303) 356-4000. EXT. 4200 P.O. BOX 758 GREELEY, COLORADO 80632 Septanber 22, 1983 Musket Corporation Love's Country Stores P. O. Box 26210 Oklahana City, Okla. 73126 Gentlemen: On the 14th day of September, 1983, the Bnard of County Commissioners approved your request for a 3.2% beer license for your facility located at 3851 Highway 119, P. O. Box 1046, Longmont, Colorado 80501. Please find a resolution enclosed reflecting the Beard's action. Your application was then forwarded to Colorado Department of Revenue, Liquor Division, for their consideration. The State Liquor Enforcement Officer, Dave Sauter, on the 21st day of September, returned your application to us and requested that the States application form be completed on the proper State form before they will consider the application. Therefore, we are returning the incorrect (green form) to you as well as the proper form for your cupletion. Please complete the application for a fermented malt beverage license as soon as possible so we may return it to the Colorado Department of Revenue, Liquor Division, for their consideration. If you have any questions, please notify us immediately. Thank you for your fine cooperation regarding this matter. Sincerely, IN 'CLERK TO THE BOARD closures: 2 1 OIL . ''6404 (AEV. 6/791 STATE OF COLORADO DEPARTMENT OF REVENUE/LIQUOR ENFORCEMENT APPLICATION FOR A LIQUOR LICENSE This application, and all applicable fees and attachments, must be filed with the Colorado Department of Revenue, Liquor Enforcement Division, State Capitol Annex, 1375 Sherman Street, Denver Colorado 80261, (303) 839-3741. Each applicant (including all general and over 5% limited partners of partnership and all officers, directors and over 5% stockholders of a corporation) and managers must complete and file form DR 404-I, "Individual History Record" with this application. t DATE OF ISSUANCE OF LICENSE: LIQUOR LICENSE NUMBER: tEke"0 d3 Cucn FY. COLO. For those retail licenses described in Column A, below, this application must FIRST BE Fl LED WITH AND APPROVED BY THE LOCAL LICENSING AUTHORITY. IMPORTANT: Check the appropriate box for the type of licenses) being applied for. This is an original application and a copy must be kept in your files for reference when applying for renewal licenses. You may attach separate sheets or additional documents if necessary to fully complete this application. COLUMN A O RETAIL LIQUOR STORE LICENSE -City ❑ RETAIL LIQUOR STORE LICENSE -County ❑ LIQUOR LICENSED DRUGSTORE -City ❑ LIQUOR LICENSED DRUGSTORE -County _ ❑ BEER & WINE LICENSE -City ❑ BEER & WINE LICENSE -County ❑ BEER & WINE LICENSE -Resort Hotel ❑CLUB LICENSE O HOTEL & RESTAURANT LICENSE -City & County ❑TAVERN LICENSE -City & County O RACE TRACK LICENSE ❑ARTS LICENSE ❑EXTENDED HOURS SPECIAL LICENSE (Beer and Wine, Hotel and Restaurant, Club, Tavern, and Arts) El TRANSFER OF OWNERSHIP OR LOCATION Q OTHER .5. State Local Fees Fees $17750—$ 22.50 262.50 37.50 177.50 22.50 262.50_ 37.50 152.50 22.50 237.50 37.50 170.00 _ 30.00 110.00 15.00 301.25 48.75 301.25_ 48.75 301.25 48.75 110.00 15.00 170.00_ 30.00 COLUMN B • O LIMITED WINERY LICENSE ($10,000 bond required) WINERY LICENSE ($10,000 bond required ❑WHOLESALE BEER LICENSE (May require bond) WHOLESALE LIQUOR LICENSE ($10,000 bond required) MANUFACTURER LICENSE ($10,000 bond required) IMPORTER'S LICENSE BREWERY (BEER) LICENSE PUBLIC TRANSPORTATION LICENSE _each (Plane, bus, car) State Fees $ 25.00 250.00 500.00 1,000.00 1 000.00 250.00 250.00 25.00 The undersigned hereby makes application for a state license as indicated above, Under the provisions of Title 12, Article 47, CRS 1973 as amended, and for that purpose makes the following answers to the questions contained in this application. Every applicable question must be answered. Any false answer or statement made by the applicant herein or in an attachment hereto constitutes perjury and the person making such false statements subjects any license issued herein to revocation. ALL ANSWERS MUST BE PRINTED IN BLACK INK OR TYPEWRITTEN 1. Name of Applicant(s): Musket Corporation Social Security or Taxpayer I.D. No.: 73-0741221 2. Trade Name of Establishment: )Business Telephone: Lovers Country Stores 405/751-9000 3. Address of Premises: (Exact location of premises must be given. Give street and number, when possible, If place to be licensed is located in a town or rural dis- trict where it is impossible to give street and number, the lot and block number or part of section where located must be given.) 3851 Highway 119 4. Mailing Address: (Number and Street) P. O. Box 1046 county: Weld State: Colorado city or Town Longmont zip Code: 80501 5. Are these premises now licensed under the State Liquor or Beer Code? If answer Is "yes", to whom is the license issued? ❑YES ®NO Trade Name of Establishment: State License No.: Type of License: Expiration Date: 6. Does the applicant have legal possession of the premises for which this application for license is made? If answer is "no", explain in detail. OYES NO Page Page 1/4 Continuec 7. Are the premises owned or leased? If leased, from whom? EIOWNED LEASED Attach copy of deed, lease or contract, and interior plans and specifications of building, if built, or if not built, attach plot plan, interior sketch and architect's drawing of the building to be constructed 8, If this is a transfer of location, on what date do you plan to move? 9. Has the applicant filed a Form 11 with the Internal Revenue Service? If answer is "no", explain in detail. ®YES NO 10, Is applicant; or all over 5% partners; or officers, over 5% stockholders or directors of the corporation; citizens of the United States? If answer is "no", give name and Alien's Registration Card Number and Premanent Residency Card number. ®YES ONO 11. Is the applicant; or any of the over 5% partners; or officers, over 5% stockholders or directors of said applicant (if a corporation); or manager of applicant; under the age of twenty-one years? YES ®NO 12. Has the applicant; or any of the over 5% partners; or officers, over 5% stockholders or directors of said applicant (if a corporation); or employees of applicant; or persons lending assistance or financial support to the applicant; ever been convicted of a crime? If answer is"yes", explain in detail, OYES NO Attach copies of all notes and security instruments, and any written agreement or details of any oral agreement, by which any person (including a corporation) will share in the profit or gross proceeds of this establishment, and any agreement relating to the business which is contingent or conditional in any way by volume, profit, sales, giving of advice or consultation. 13. Has the applicant; or any of the over 5% partners; or officers, directors or over 5% stockholders of said applicant (if a corporation); or employees of applicant; ever: Ola) been denied an alcoholic beverage license? no O (b) had an alcoholic beverage license suspended or revoked. 11O If answer is "yes", explain in detail; (Attach separate sheet if necessary.) 14. Does the applicant have a Colorado State Sates Tax Account? If answer is "yes", give AccOunt number. ®YES ONO 09-30081 15. Do the applicable zoning laws permit the sale of alcoholic beverages on the licensed premises? ®YES ONO 17. Does or did the applicant; or any of the partners; or officers, directors or stockholders of said applicant (if a corporation), have a direct or indirect interest in any other Colorado Liquor license (include loans to or from any licensee, or interest in a loan to any licensee)? If the answe/ is "yes", explain in detail. 16. Has a retail liquor license for the licensed premises been refused within the preceding two years? YES ®NO no 18. Identify the persons, firms or corporations who now or will have, a financial interest, evidenced either by loans or equity ownership in the business for which this license is requested. State the names and addresses, and the amount and source of such financial interest expressed in dollars or other items of value, such as inventory, furniture or equipment, (Use separate sheet if necessary) Name: Address: Interest: none 19. List the names and addresses of all businesses in which any of the persons in the previous question are materially interested, (Use separate sheet if necessary): Name: none Business: Address: 20. Are the licensed premises located within 500 feet of any premises occupied by a public or parochial school, or the principal campus of any college, university or seminary? if answer is "yes", answer in detail. YES ® NO 21. Does the applicant for a Liquor Licensed Drug Store have a Drug Store License issued by the Colorado Board Of Pharmacy? If answer is "no", explain in detail. ®YES ONO 22. Is the applicant, or does the applicant for a Liquor Licensed Drug Store employ a Registered Pharmacist in the state of Colorado? If "yes", give License No. OYES ONO 23, If the applicant is an individual or partnership, answer the fallowing: (Attach separate sheet if necessary) OINDIVIDUAL PARTNERSHIP (a) Name of individual or name and class of eacn partner: Home Address and City: Date of Birth: % of ownership: (b) Name of Manager: • Home Address and City: Date of Birth: lc) If partnership, when did said affidavit) Pape 3/4• • partnership commence doing business? (Attach a copy of the partnership agreement (except husband and wifel and trade name ' Attach the management agraem�,� e+rve: tten, or ,f none, attach a ttat?ment setting fort, duties. terms and compensation of the manag Continued - 5 Ls404 (Bo.rinuad) 24.1f the applicant is a corporation, answer the following: (a) Corporation is organized under the laws of the State of: Oklahoma (b) Principal business is conducted at: Oklahoma City (c) Date of filing last annual corporate report to the secretary of state: County of: Oklahoma State of: Oklahoma /16/64 April, 17 DJ (d) Name of each officer listed below: President: Tom E. Love Home Address and City: 6824 N.W. Grand Blvd., Okla. City, Okla. 73116 Date of Birth: (e)List all stockholders: Include actual owner or Name of Stockholder: Tom E. and Judith M. Love pledgee. (Use separate sheet if necessary) Home% 6Address and 824N. W. Grand Okla. City, Okla. 73116 of stock: 100% DMA Name8 of all Directors or Trustees of Corporation: Tom E. Love Home Address and City: 6824 N.W. Grand Blvd., Okla. City, Okla. 73116 Date of Birth: 10/ , and the IAttach a copy of the certificate of incorporation, the articles of incorporation, the authority to transact business in Colorado (if a foreign corporate minutes authorizing the filing of this application and electing the current officers and directors, or trustees). 25. When dio applicant purchase this business, or if new, when does applicant plan to begin operating this business? If purchased, from.whom? July 25. 1983 purchased :property from Clarence J. Evers 26. If this application is fpr a Club Liquor License, answer the following: (a) Complete 'terns 24 (a) through -4d) and (f) and?fiattachments described under item 25. A//l (b) Is the applicant organization operate solely for a national, social, fraternal, patriotic, political or athletic purpose and not for pecuniary gain? YES ENO N /4 (c) How long has the club been incorpp rated? (d) How long has applicant occupied the premises to be licensed as a club? 27. If the applicant is a manufacturer, importer or wholesaler, answer the following: (a) Does applicant own, lease or operate any warehouse or storage plant in connection with its business7(If "yes", give full address) (b) lithe applicant is an importer or manufacturer, does any owner, part owner, shareholder, director or officer have any direct or indirect financial interest in an importer, manufacturer, wholesaler or retailer already licensed by the State of Colorado to sell malt, vinuous or spirituous liquor? If answer is "yes", attach explanation in detail. YES ONO (c) If the applicant is a wholesaler, does any owner, part owner, shareholder, director or officer have any direct or indirect financial interest in a wholesaler, retailer, manufacturer or Importer already licensed by the State of Colorado to sell malt, vinuous or spirituous liquor? If answer is "yes", attach explanation in detail. YES ONO (d) If the applicant is an importer or manufacturer, to what Colorado licensed wholesaler do you Intend to ship your merchandise? YES ONO Al (a) If the applicant is an importer, are you the primary source of supply in the U.S.? El YES NO (f) Does the applicant have a valid Federal Basic Permit? If "yes", attach a copy of the permit; if "no", explain in detail. Page 3/4 YES �NO ' Attach the management agreement, if written, or if none, attach a statement setting forth the duties, terms and compensation of the manager. Continued AFFIDAVIT This affidavit is to be signed and acknowledged by individual, each general partner or partnership and by corporate applicants. STATE OF =IN Oklahoma SS. COUNTY OF Oklahoma L. M. Dillard and being by me first duly sworn, if for himself, deposes and says: that he is the, or a partner of, the applicant above named, or that he is (title) Vice President of the above named corporation; that he has read the foregoing application and attachments, and that I knows the contents thereof, and that all matters and things therein set forth are true of his own knowlegde and he agrees to conform to all thc rules and regulations promulgated by the State Department of Revenue in connection therewith. Subscribed and sworn to me this 3th day of Jul (Signs NftaryEid, iI - Notary (ATTACH SEAL) My commission expires: February 29, 1984 INDIVIDUALS AND ALL GENERAL PARTNERS OF PARTNERSHIPS MUST•SIGN HERE: CORPORATIONS SIGN HERE: MUSKET CORPORATION - (Corporate Se By (President, Vice -President, or Secreteryl L. M. Dillard - Vice President REPORT AND APPROVAL OF LOCAL LICENSING AUTHORITY The foregoing application has been examined and the premises, business conducted and character of the applicant is satisfactory, and we do re- port that such license, if granted, will meet the reasonable requirements of the neighborhood and the desires of the inhabitants, and complies with the provisions of Title 12, Article 47, CIS 1973 as amended. THEREFORE THIS APPLICATION IS HEREBY APPROVED. DATED AT: BY L this )day of (Name oitc)wn, City and County).' /f A" 7 V`" AD 1911 (May6r, Chairman of Board of county commissioners or other title of the licensing authority.) ATTEST: t 7�"l,4 1 (Clerk, secretly of other officer having the official seahe.ensing authority.) i If the premises are located within a town or city, the above approval should be signed by the mayor and clerk; if in a county, then by the chair man of the board of county commissioners and the clerk to the board, If, by ordinance or otherwise, the local licensing authority is some other official, then such approval should be given by such official.) a. • Page 414 - . • 04 ( • f1LEY. 6/79) STATE OF COLORADO DEPARTMENT OF REVENUE/LIQUOR ENFORCEMENT APPLICATION FOR A LIQUOR LICENSE For those retail licenses described in Column A, be ow, this application must FIRST BE FILED WITH AND APPROVED BY THE LOCAL LICENSING AUTHORITY, This application, and all applicable fees and attachments, must be filed with the Colorado Department of Revenue, Liquor Enforcement Division, State Capitol Annex, 1375 Sherman Street, Denver Colorado 80261, (303) 839.3741. Each applicant (including all general and over 5% limited partners of partnership and all officers, directors and over 5% stockholders of a corporation) and managers must complete and file form DRL 404-I, "Individual History Record" with this application. COLUMN A' State .'Local Fees Fees crl FY, COLO "'11 IMPORTANT: Check the appropriate box for the type of license(s) being applied for. This is an original application and a copy must be kept in your files for reference when applying for renewal licenses. You may attach separate sheets or additional documents if necessary to fully complete this application .F ,,{ • .,,., : COLUMN B State Fees OR STORE LICENSE -City ❑ RETAIL LIQUOR STORE LICENSE -County ❑ LIQUOR LICENSED DRUGSTORE -City ❑ LIQUOR LICENSED DRUGSTORE -County ❑ BEER & WINE LICENSE -City ❑ BEER & WINE LICENSE -County ❑BEER & WINE LICENSE -Resort Hotel ❑ CLUB LICENSE ` )❑ HOTEL & RESTAURANT LICENSE -City & County ❑ TAVERN LICENSE -City & County 0 RACETRACK LICENSE ❑ ARTS LICENSE , f- - ad ,. , 110.00 -15.00 ❑EXTENDED HOURS SPECIAL LICENSE (Beer and Wine, 170.00' 30.00 Hotel end Restaurant, Club, Tavern, and Arts) m^ 6xs ❑ TRANSFER OF OWNERSHIP OR LOCATION ��,•, BOTHEB/ 7.2. R/7.a,C•.C•�•✓a �LC.IiY1,C.L• 5177.50_$22.50. 262.50 - 37.50 177.50 - 22.50 262.50_ 37.50 152.50 - : 22.50 237.50 . 37.50 ' 170.00_ '30.00 110.00 :••'15.00 301.25 48.75 if 301.25 48.75 301.25 48.75 ❑ LIMITED WINERY LICENSE -- $ -25.00 ($10,000 bond required) ❑WINERY LICENSE ($10,000 bond required ❑ WHOLESALE BEER LICENSE - (May require bond) O WHOLESALE LIQUOR LICENSE ($10,000 bond required) • ❑ MANUFACTURER LICENSE ($10,000 bond required) O IMPORTER'S LICENSE ❑ BREWERY (BEER) LICENSE O PUBLIC TRANSPORTATION LICENSE -,.,Wr(Plane, bus, car).,b 500.00 41 00000 50.00 The undersigned hereby makes application fora state license as indicated above, Under the provisions of Title 12, Article 41, CRS 1973 as amended, and for that purpose makes the following answers to the questions contained in this application. Every applicable question. Must answered, Any false answer or statement made by the applicant herein or in an attachment hereto constitutes perjury and the person making such false statements subjects any license Issued herein to revocation ALL ANSWERS MUST BE PRINTED IN BLACK INK OR TYPEWRITTEN 1. Name of A F;•a A w -r, 5,Musket Corporation Social Security or Taxpayer 1.0. NO.: 74. 2. Trade Name of Establishment: Business Telephone: gi Love's Country Stores ', ` `° 405/751-9000 ` kW 3. Address of Premises: ( Exact location of premises must be given. Wye street and number, when possible. if place to be licensed Is located in a town or rural die. ' trl t where it le , Impossible to give street and number, the lot and block number or part of section where located must be given) . q r- �iU:,f, ere ..-.,....., ..... .... •�.. ,:: +._te ...rb:c `:... '.', s: � �;:::..,ti .<.,As:'; .a„ '•.: 3851 Highway 119 ` 4. Mailing Address ( N umber and Street) l.y«tehx :;aip 0, Box 1046 County: $ .^31s - S. Arethese premises now licensed under the State Liquor or Beer Code? If answer Is yes to '3 We1d State:..:: Colorado hom is the license issued? City or Town Longmont Zip Code: 44 r:" kr' 80501 Trade Name of Establishment: •� _ , Stan License Nrb'erl�i'`W4'.fctLu Type of License: 'i7t r 3 't+4Siht "tT N :poets the applicant have legal possession �tof the premises for�kw,,hich this applicadon for license s made? If answer is no , explain In tletall YES *an NO r`k`tzi,tk+ +�f i xd era 4Pokl'.i�r� .. •n s y, . T. 2, � M r v w E3 Continued Page 1/4 t 7. Ars the premises owned or leased? If leeeed, from whom?.Ea OWNED _ LEASED «,•••!-•yr;r; : , AA' � F;f . ? ir., Attach copy of deed, lease or contract, and interior plans and specifications of building, If built, or If riot built, attach plot plan, interior sketch and architect'sl-..si-•' drawing of the building to be constructed ••;c' : i:i.. • .. .x1'•0' rJ+.l l:tit�M'.• �' .. i �:._•.. :i=2rr li hy:;. �..,.. �. 8. If this is a transfer of location, on what date do you plan to move?;":.,;; . '.Y.. ,�•��. 9, Has the applicant filed a Form 11 with the Internal Revenue Service? If answer is "no", explain in detail. ®YES ONO '.. :. `; '' r;'"`t..': : .',:.a?';.: •..,.'f +_. . i. ...t."; 10. Is applicant; or all over 5% partners; or officers, over 5% stockholders or directors of the corporation; citizens of the United States? If answer is "no", give name and Alien's Registration Card Number and Premanent Residency Card number ".:t.`::'."' vi.j.%;.:.;; 's' 4 i' Fjj'5S'. ®YES ONO .4.5„ j` 11. Is the applicant; or any of the over 5% partners; or officers, over 5% stockholders or directors of said applicant (if a corporation); or manager of applicant; under s.5.. • /+�YnN +,.,44.'f'. {�r ,.� OYES ®NO .. i..:. a K :: 7,:.:',)•;1„V:;,1::',.'11, ..'...;: .,r' , • .. ^T 12. Has the applicant; or any of the over 5% partners; or officers, over 5% stockholders or directors of said applicant (if a corporation); or employees of applicant; or persons lending assistance or financial support to the applicant; ever been convicted of a crime? If answer is "yes", explain in deta(l,..: ;,;, : , • AYES ®NO _'. b ^`i'.•,,': f,...• Attach copies of all notes and security instruments, and any written agreement or details of any oral agreement, by which any person (including a corporation) will - share in the profit or gross proceeds of this establishment, and any agreement relating to the business which is contingent or conditional In any way by volume., .. . profit, sales, giving of advice or consultation. i :.. _•::.:..:.-:::.:. .:.:,. • '-;•-r;:.., ':-a 13. Has the applicant; or any of the over 5% partners; or officers, directors or over 5% stockholders of said applicant (If a corporation); or employees of applicant; ever:' • O(a) been denied -en alcoholic beverage license? DO OM) hid an alcoholic beverage license suspended or revoked. 11O. If answer is "yes", explain In detail; (Attach separate sheet if necessary:) ;...: .. .�.•:, -i. '•'•'.1:: ir'<..;: _ •y _ ;(i.:j _:: .;:.j.;,sS:r.11..:'f;:6'11:'i' ,..•mr's r 14. Does the applicant have a Colorado State Sales Tax Account? if answer is "yes", give Account number. ..�Cxp•.Mp.•.a,�'sea•r, •,,.. ;nyw V::.rsrr rauw •sw•.w..:: _.; � :iT •..d>4A:tr !qr.. ,:,:,4:: ;'. x.. .,.. ... Pita ONO ::: 09-30081 • • 16. Do the applicable zoning laws permit the sale of alcoholic beverages on the 16. Has a retail liquor license for the licensed premises been refused within the : licensedpremisesiti, • =sSe•; : preceding two years? OYES •••'. 17. Does Or did the applicant; or any of the partners; or officers, directors or stockholders of said applicant (if a corporation), have a direct or indirect interest in any other Colorado Liquor license (include loans to or from any licensee, or interest in a loan to any licensee)? if the answe? is "yes", explain in ,. •.. •*:,a_ • • 18. Identify the persons, firms or corporations who now or will have, a financial interest, evidenced either by loans or equity ownership in the business for which this license is requested. State the names and addresses, and the amount and source of such financial interest expressed in dollars or other items of value, such as inventory, furniture or equipment, (Use separate sheet if necessary) Address: Interest: none 19. List the names and addresses of all businesses in which any of the persons in the previous question are materially interested. (Use separate sheet if necessary). . Name: none Businessi x • • Address "•A!+ ____..___... .._. �. .. .,: •Ms..�„ .. .. :.... ,, ..•.•.. M1.ti ris,4n •,..a .rsr�WWrf• • 20. Are the licensed premises located within 500 feet of any premises occupied by a public or parochial school, or the principal campus of any college, university or seminary? If answer is "yes", answer In detail. ; ' YES ©NO _+ : f'= 21. Does the applicant for a Liquor. Licensed Drug Store have a Drug Store License issued by the Colorado Board of Pharmacy? If answer is "no", explain in detail: ®YES 22. Is the applicant, or does the applicent for a Liquor Licensed Drug Store employ a Registered Pharmacist in the State of Colorado? If "yes", give License No. DYES 0 N j,... 23. If the applicant is an individual or partnership, answer the following: (Attach separate sheet if necessary) oINDIVIDUAL.... QPARTNERSHIP la) Name of (ndivldusi or name and class of eecn partner: Home Address end City: ; • Date of Birth: (b) Name of Manager: • Home Address and City:,, % of ownershIp7 Date of Birth:,:; (c) 1f partnership, when did said partnership commence doing business? (Attach a copy of the partnership agreement (except husband and w fe1 and trade name affidavit) �`�.,... . _. Pee a - ' Attach the management agreeme• Yf written, or if none, sttach a statement setting fonts" duties, terms Continued 4 _� and compensation of the mar J. the age of twenty-one years? • Di'(L 84 (Continued) •' fr24Af the applicant is a corporation, answer the following: t.,. (e) Corporation is organized under the laws of the State of: Oklahoma lb) Principal business is conducted at: Oklahoma City (c)Date of filing last annual corporate report to the secretary of state: County of: Oklahoma State of:, Oklahoma Date: /16/64 _ .,... 'tin- i.., ..,.. (d) Name of each officer listed below. ;,president. - Tom E. Love Home Address end City: 6824 N.W. Grand Blvd., Okla. City, Okla. 73116 (e) List all stockholders: Include actual owner or ^'•� '' Name of Stockholder ' '. Tom E. and Judith M. Love pledgee. (Use separate sheet if necessary) Home Address and City. 6824 N.W. Grand Okla. Cit Okla. 73116 % of stock: 100% j ,5{t� [ (f) Names of all Directors or Trustees of Corporation Tom E. Love Home Address and City: 6824 N.W. Grand Blvd., Okla. City, Okla. 73116 -a 4i ,' Date of Birth -, i. 'Judith M. Love N. . ran• v• . ,. Okla. City, Okla. 73116 " v �"`� , Attach a col�y of Qieicjrtfip Of incorporation, the articles of incorporation, the authority to transact business in Colorado (if a fgitibe eo •.• ritlo Ei itr corporatW'` tLtgaeuthe4zirtg tkfiling of this application and electing the current officers and directors, or trustees). t. Yak . i - {Y-'(4 Sr , . 25 Whe�da�p /p rate. ,s iusinesa or if new, when does applicant plan to begin operating thu business? If purchaatl bdmsyhom? w JU7N1:D25c 1983`Durchased property from Clarence J Evers 26 If t s aPfjlidSipQ �•fpr a7Glyb Lq.ior License, answer the ollowing: . :0:41 ry^` y7J(� �j I r F�,,t��• t (a) .E°(npibte ttArtT2A (,cthi'ough d) and (f) an`f7 IA attachments described under item 25. '? _ �I(/ ( �i a ! ('lIC ( �f r ,vNit `t f411NIlIIfllTti� .,(b) lsiha/•.d0Y arsf VgPnPz: fret PPerate solely f r a national, social, fraternal, patriotic, political or athletic purpose and not for pecuniary gam? 4rvF G, q . How IondNgq flAtpUt�ee (p n incor"pp rated? (d) How long has applicant occupied the premises to be licensed as a club? si4.1 R *.. • •.t,, 27, If the applicant is a manufacturer,importer or wholesaler, answer the following: ., I E a). Does applicant own, lease or operate any warehouse or storage plant in connection with its business?(if "yes", give full address) :. Vii.❑YES ONO /V//7 (b) If the applicant is an importer or manufacturer, does any owner, part owner, shareholder, director or officer have any direct or indirect financial interest in an importer, manufacturer, wholesaler or retailer already licensed by the State of Colorado to sell malt, vinuous or spirituous Ilqu9r7 If answer Is "yes", ;':attach explanation In detail s' ' r .E,,. r •�f".x f ti YES ..� ❑NO _; . , - __ ,, (c) It the applicant is a wholesaler, does any owner, part owner, shareholder, director or officer have any direct or Indirect financial interest in a wholesaler, retailer, manufacturer or Importer already licensed by the State of Colorado to sell malt, vinuous or spirituous liquor? If answer Is es", attach explanation '.in ayeetall..: -' , F ..: 4t' �'"t'fiir`T° t�s'; w. f " ru.r❑YES = �NO.. .:, (p) If the applicant is an Importer or manufacturer, to what Colorado licensed wholesaler do you Intend to snip your merchandlse - . .. :.. ... :.. .. ., ., ,,, -A• .". t:`:'i •'r=M•�r''. ,� .. ,, ..arxtr yes v:..$+. .(a) If the applicant is an importer, are you the primary source of supply In the U.S.? Do the 1 4t) Does thapplicant have a valid Federal Basic Permit? If "yes", attach a copy of the _Flpermit no', explain in detail. ti � /.,'tom' + it ',: Page 3/4 .7 Attach the management agreement, if written, or If none, attach a statement setting forth the duties, terms and compensation of the manager. ,t* I Y47i Continued AFFIDAVIT This affidavit is to be signed and acknowledged by individual, each general partner or partnership and by corporate applicants. STATE OF Oklahoma COUNTY OF Oklahoma L. M. Dillard ands.... - being by me first duly sworn, if for himself, deposes and says: that he is the, or a partner of, the applicant above named, or that he is (title) Vice President of the above named corporation; that he has read the foregoing application and attachments, and that he knows the contents thereof, and that all matters and things therein set forth are true of his own knowlegde and he agrees to conform to all the rules and regulations promulgated by the State Department of Revenue in connection therewith. Subscribed and sworn to me this (Signa rvSt ‘c13otary Vli„ t '�.1(, tAr rpcstAL) • m co m s o E itsrti �, r Falk Mil kill 0414fitth4 INDIVIDUALS AND ALL GENERAL PARTNERS OF PARTNERSHIPS MUST -SIGN HERE: Lf CORPORATIONS SIGN HERE: By' (President, Vice -President, or Secre L. M. Dillard — Vice r:y "'Ad. REPORT AND APPROVAL OF LOCAL LICENSING AUTHORITY 1' n ;.... The foregoing application has been examined and the premises, business conducted and character of the applicant is satisfactory, and we do re-, port that such license, if granted, will meet the reasonable requirements of the neighborhood and the desires of the inhabitants, and complies with the provisions �of Title 12, Article 47, CRS 1973 as amended. THEREFORE THIS APPLICATION IS HEREBY APPROVED. ioi 1 . DATED AT: (Name ojil'ywn, city. and Count :. BY. ATTEST: ,AD 191) (May3r, Chairman of Board of forty kommissioners or other title of the licensing authority.) sea (Clerk, secre4y,of other officer having the official sea , nsl� thority.) , If the premises are located within a town or city, the above approval should be signed by the mayor and clerk; if in a county, then by the chair- man of the board of county commissioners and the clerk to the board, If, by ordinance or otherwise, the local licensing authority is some other official, then such approval should be given by such official.)_; Y Pager - s - 18 19 12 30 7 DEED OF TRUST 409 which has the address of IF THIS FORM IS USED IN A CONSUMER CREDIT TRANSACTION, CONSULT LEGAL COUNSEL The printed portions of this form approved by the Colorado Real Estate Commission (TD 71-2-81) THIS IS A LEGAL INSTRUMENT. IF NOT UNDERSTOOD, LEGAL TAX OR OTHER COUNSEL SHOULD BE CONSULTED BEFORE SIGNING. THIS DEED OF TRUST is made this 20th day of December 19 82 between MUSKET CORPORATION, (Borrower), whose address is an Oklahoma Corporation and the Public Trustee of the County in which the Property (see paragraph 1) is situated (Trustee); for the benefit of C1 arence J. Evers and Vivian P. Evers, as joint tenants whose address is 1203 Princeton Court, Longmont, Colorado 80501 Borrower and Lender covenant and agree as follows: I. Property in Trust. Borrower, in consideration of the indebtedness herein recited and the trust herein created, hereby grants and conveys to Trustee in trust, with power of sale, the following described property located in the said Weld State of Colorado: A Tract of land located in the SE>„ of S of the 6th P.M., Weld County, Color Southeast corner of said Se ion 3 feet to a point' thence Nor 4101 thence South 89°34'30" West Highway #119 a distance of 10 01031' East, a distance of 632. ction 3, Township 2 North, Range 60 West described as follows: Beginning at the e South 89031' West a distance of 499,0 st a distance of 41.25 feet to a point: present North right of way line o fo .rado t to true point of beginning; et to a point; thence South 89 distance of 345 feet to a point; thence South 01031' East a dist feet to a point on the North fight of way of Colorado Highway #11 Easterly along said right y 345 feet to a point of beg' ing portion conveyed to The t of Highways, State of Colo :do December 2, 1970 in Book 6 Receptitsiil No. 1553306. (Lender) County of �3V `lN LPN 19• v• itt to 19 (Street) thence .rth 1' a 632.5 ce EFT that deed recor (City) Colorado (Property Address), together with all its Zip Code) appurtenances (Property). 2. Note; Other Obligations Secured. This Deed of Trust is given to secure to Lender: A. the repayment of the indebtedness evidenced by Borrower's note (Note) dated Dacambar 20 19 R7 in the principal sum of MTNFTV—nNF THOUSAND AND NO/loo * * * * * * * * * * * * * * * * * * * * * * * * * * * * * U.S. Dollars, with interest on the unpaid principal balance from December 20 19 82 until paid, at the rate of 12 94 perannum, with principal and interest payable atl2,Q3 Princeton Ct.. Longmont, CO 80501 or such other place as the Lender may designate, in nna (1 ) // payment' of NINETY—ONE THOUSAND FOUR * Dollars (U S $ 91, 418.85 ) due on the 3rd day of eaW / January 19 Al • e'qL$ hdideM4/tb,46aii(rbd L.dtf1 Ada/dn4ifel i4u6db(IdhAs4/ehiHAr/& U U lid kiile/it ttu /piJiet li e4 r%i lhar/p/aW The entire principal amount outstanding and accrued interest thereon, shall be due and payable on January 3 1q 3 and Borrower is to pay to Lender a late charge of t ive (5) % ly of any payment not received by the Lender within£ive days after payment is due; and Borrower has the right to prepay the principal amount outstanding under said Note, in whole or in part, at any time without pe- nalty/skeky * HUNDRED EIGHTEEN AND 85/100 * * * * B. the payment of all other sums, with interest thereon at 18 % per annum, disbursed by Lender in accordance with this Deed of Trust to protect the security of this Deed of Trust; and C. the performance of the coneenents end agreements of Borrower herein contained. 3. Title. Borrower covenants that Borrower owns and has the right to grant and convey the Property, and warrants title to the same, subject to general real estate taxes for the current year, easements of record or in existence, and recorded declarations, restrictions, reservations and covenants, if any, as of this date and da/cbdt/ 4. Payment of Principal and Interest. Borrower shall promptly pay when due the principal of end interest on the indebtedness evidenced by the Note. and late charges as provided in the Note and shall perform all of Borrower's other covenants contained in the Note. 5. Application of Payments. All payments received by Lender under the terms hereof shall be applied by Lender first in payment of amounts due pursuant to paragraph 24, Escrow Funds for Taxes and Insurance, then to amounts disbursed by Lender pursuant to paragraph 9, Protection of Lender's Security, and the balance in accordance with the terms and conditions of the Note. e. Prior Mortgages and Deeds of Trust; Charges; Liens. Borrower shall perform all of Borrower's obligations under any prior deed of trust and any other prior liens. Borrower shall pay all taxes, assessments and other charges, fines and impositions attributable to the Property which may have or attain a priority over this Deed of Trust, and leasehold payments or ground rents, if any, in the manner set out in paragraph 24, Escrow Funds for Taxes and Insurance, or, if not required to be paid in such manner, by Borrower making payment, when due, directly to the payee thereof. Despite the * * * * * * * * * * * * * * * * * * * * * * * * * * :O.L NHIf1LHH M 0 0 W H a O d W co and is duly recorded in book CO for record in my office at 0 klflaaa AgaJaq I Palg SEM Iuauml1sul 2 a 0 OadilO'O3 dO RIMS so 3SH 3H.L Rod '+1 £snxi JO liana E 0985 REC 01912307 12/27/82 12:05 $12.00 2/004 F 0050 MARY ANN F:'I:i:UI: RS'rr::I:N CLERK & RECORDER WEL..I) CO, CO 7. Property Insurance. Borrower shall keep the improvements now existing or hereafter erected on the Property insured against loss by fire or hazards included within the term "extended coverage" in an amount at least equal to the lesser of (1) the insurable value of the Property or (2) an amount sufficient to pay the sums secured by this Deed of Trust as well as any prior encumbrances on the Property. All of the foregoing shall be known as "Property Insurance". The insurance carrier providing the insurance shall be qualified to write Property Insurance in Colorado and shall be chosen by Borrower subject to Lender's right to reject the chosen carrier for reasonable cause. All insurance policies and renewals thereof shall include a standard mortgage clause in favor of Lender, and shall provide that the insurance carrier shall notify Lender at least ten (10) days before cancellation, termination or any material change of coverage. Insurance policies shall be furnished to Lender at or before closing. Lender shall have the right to hold the policies and renewals thereof. In the event of loss, Borrower shall give prompt notice to the insurance carrier and Lender. Lender may make proof of loss if not made promptly by Borrower. Insurance proceeds shall be applied to restoration or repair of the Property damaged, provided such restoration or repair is economically feasible and the security of this Deed of Trust is not thereby impaired. If such restoration or repair is not economically feasible or if the security of this Deed of Trust would be impaired, the insurance proceeds shall be applied to the sums secured by this Deed of Trust, with the excess, if any, paid to Borrower. If the property is abandoned by Borrower, or if Borrower fails to respond to Lender within 30 days from the date notice is given in accordance with paragraph 16 by Lender to Borrower that the insurance carrier offers to settle a claim for insurance benefits, Lender is authorized to collect and apply the insurance proceeds, at Lender's option, either to restoration or repair of the Property or to the sums secured by this Deed of Trust. Any such application of proceeds to principal shall not extend or postpone the due date of the installments referred to in paragraphs 4, Payment of Principal and Interest, and 24, Escrow Funds for Taxes and Insurance, or change the amount of such installments. Notwithstanding anything herein to the contrary, if under paragraph 19, Acceleration; Foreclosure; Other Remedies, the Property is acquired by Lender, all right, title and interest of Borrower in and to any insurance policies and in and to the proceeds thereof resulting from damage to the Property prior to the sale of acquisition shall pass to Lender to the extent of the sums secured by this Deed of Trust immediately prior to such sale or acquisition. All of the rights of Borrower and Lender hereunder with respect to insurance carriers, insurance policies and insurance proceeds are subject to the rights of any holder of a prior deed of trust with respect to said insurance carriers, policies and proceeds. 8. Preservation and Maintenance of Property. Borrower shall keep the Property in good repair and shall not commit waste or permit impairment or deterioriation of the Property and shall comply with the provisions of any lease if this Deed of Trust is on a leasehold. Borrower shall perform all of Borrower's obligations under any declarations, covenants, by-laws, rules, or other documents governing the use, ownership or occupancy of the Property. 9. Protection of Lender's Security. If Borrower fails to perform the covenants and agreements contained in this Deed of Trust, or if a default occurs in a prior lien, or if any action or proceeding is commenced which materially affects Lender's interest in the Property, then Lender, at Lender's option, with notice to Borrower, if required by law, may make such appearances, disburse such sums and take such actions as is necessary to protect Lender's interest, including, but not limited to, disbursement of reasonable attorneys' fees and entry upon the Property to make repairs. Borrower hereby assigns to Lender any right Borrower may have by reason of any prior encumbrance on the Property or by law or otherwise to cure any default under said prior encumbrance. Any amounts disbursed by Lender pursuant to this paragraph 9, with interest thereon, shall become additional indebtedness of Borrower secured by this Deed of Trust. Such amounts shall be payable upon notice from Lender to Borrower requesting payment thereof, and Lender may bring suit to collect any amounts so disbursed plus interest specified in paragraph 2B, Note; Other Obligations Secured. Nothing contained in this paragraph 9 shall require Lender to incur any expense or take any action hereunder. 10. Inspection. Lender may make or cause to be made reasonable entries upon and inspection of the Property, provided that Lender shall give Borrower notice prior to any such inspection specifying reasonable cause therefor related to Lender's interest in the Property. 11. Condemnation. The proceeds of any award or claim for damages, direct or consequential, in connection with any condemnation or other taking of the Property, or part thereof, or for conveyance in lieu of condemnation, are hereby assigned and shall be paid to Lender as herein provided. However, all of the rights of Borrower and Lender hereunder with respect to such proceeds are subject to the rights of any holder of a prior deed of trust. In the event of a total taking of the Property, the proceeds shall be applied to the sums secured by this Deed of Trust, with the excess, if any, paid to Borrower. In the event of a partial taking of the Property, the proceeds shall be divided between payment upon the sums secured by this Deed of Trust and payment to the Borrower, in the same ratio as the amount of the sums secured by this Deed of Trust immediately prior to the date of taking bears to Borrower's equity in the Property immediately prior to the date of taking. Borrower's equity means the fair market value less the amount of sums secured by both this Deed of Trust and all prior liens (except taxes). If the Property is abandoned by Borrower, or if, after notice by Lender to Borrower that the condemnor offers to make an award or settle a claim for damages, Borrower fails to respond to Lender within 30 days after the date such notice is given. Lender is authorized to collect and apply the proceeds, at Lender's option, either to restoration or repair of the Property or to the sums secured by this Deed of Trust. Any such application of proceeds to principal shall not extend or postpone the due date of the installments referred to in paragraphs 4, Payment of Principal and Interest, and 24, Escrow Funds for Taxes and Insurance, nor change the amount of such installments. 12. Borrower Not Released. Extension of the time for payment or modification of amortization of the sums secured by this Deed of Trust granted by Lender to any successor in interest of Borrower shall not operate to release, in any manner, the liability of the original Borrower, nor Borrower's successors in interest, from the original terms of this Deed of Trust. Lender shall not be required to commence proceedings against such successor or refuse to extend time for payment or otherwise modify amortization of the sums secured by this Deed of Trust by reason of any demand made by the original Borrower nor Borrower's successors in interest. 13. Forbearance by Lender Not a Waiver. Any forbearance by Lender in exercising any right or remedy hereunder, or otherwise afforded by law, shall not be a waiver or preclude the exercise of any such right or remedy. 14. Remedies Cumulative. Each remedy provided in the Note and this Deed of Trust is distinct from and cumulative to all other rights or remedies under the Note and this Deed of Trust or afforded by law or equity, and may be exercised concurrently, independently or successively. 15. Successors and Assigns Bound; Joint and Several Liability; Captions. The covenants and agreements herein contained shall bind, and the rights hereunder shall inure to, the respective successors and assigns of Lender and Borrower, subject to the provisions of paragraph 25, Due on Transfer of the Property; Assumption. All covenants and agreements of Borrower shall be joint and several. The captions and headings of the paragraphs in this Deed of Trust are for convenience only and are not to be used to interpret or define the provisions hereof. 16. Notice. Except for any notice required by law to be given in another manner, (a) any notice to Borrower provided for in this Deed of Trust shall be in writing and shall be given and be effective upon (1) delivery to Borrower or (2) mailing such notice by certified mail, return receipt requested, addressed to Borrower at Borrower's address stated herein or at such other address as Borrower may designate by notice to Lender as provided herein, and (b) any notice to Lender shall be in writing and shall be given and be effective upon (1) delivery to Lender or (2) mailing such notice by certified mail, return receipt requested, to Lender's address stated herein or to such other address as Lender may designate by notice to Borrower as provided herein. Any notice provided for in this Deed of Trust shall be deemed to have been given to Borrower or Lender when given in any manner designated herein. .. 17. Governing Law; Severability. The Note and this Deed of Truitt shall be governed by the law of Colorado. In the event that any provision or clause of this Deed of Trust or the Note conflicts with the law, such conflict shall not affect other provisions of this Deed of Trust or the Note which can be given effect without the conflicting provision, and to this end the provisions of the Deed of Trust and Note are declared to be severable. 0 z UI 3 c sP ..D DnO, 15 zs1' ai ....... . --111---m ; '" - ..... A. ft „ZE II - a_ 4•.` ►rte. °� I — a ft11.77;,--11713:4-iyi.1:11?•21:4):! + t. _ 'r ,`r!'• 3 . 7sioD #41 2 1 Ci 5'T yp O N \ . sr; • e. 0_ r ul a :y o- �til�s cv it d\. • iU�7i�A,s• *4+s f 5 _If [ IP E ._ a No VV 4 t[ c J vJ ? �a an • O ! •l 'y - 34 ....1 Ir t. —5- d -2 't -\. in )" -1-44 :its,*--,°� ❑ CI Y r • j • .T ORL 404.1 (6/79) STATE OF COLORADO DEPARTMENT OF REVENUE/LIQUOR ENFORCEMENT INDIVIDUAL HISTORY RECORD To be completed by each individual applicant, each general and over 5% limited partner of a partnership, each officer, director, and over 5% stockholder of a corporation, and the manager of the applicant. NOTICE This Individual History Record provides basic information which is necessary for the licensing authorities' investigation. ALL questions must be answered in their entirety. EVERY answer you give will be checked for its truthfulness. A deliberate falsehood will jeopardize the application as such falsehood within itself constitutes evidence regarding the character and reputation of the applicant. 1. Name of Business: Musket Corporation 2. Your Full Name: (last/first/middle) Love, Thomas Eu•ene 4. Height: 6'4" 6. Your Relationship to Applicant: (sole owner/partner/corporate officer/director/stockholder or manager) Sole owner 7. If Stockholder, Number of Shares Owned Beneficially or of Record 100% 8. If Partner State Whether: OGENERAL"'(]LIMITED 9. Residence Address: (street and number/city/state/zip) 6824 N.W. Grand Blvd., Okla. City, Okla. 73116 10. Is your residence: If rented, from whom? Xtl OWNED ORENTED 11. Mailing Address, If Different From Residence: P. 0. Box 26210 Okla. City, Okla. 73126 12. Name of Present Employer: Musket Corporation 14. Address of Business Where Employed: (street and number/city/state/zip) Weight: 210 Hair Color:2 Eye Color: Blond Green Sex: Race: White Date: February 14, 1982 3. Also Known As: (maiden name/nickname/etc.) Tom 5. Do you have a Colorado Drivers License? If "YES", give number: OYES CINO Social Security Number: Percent of Outstanding Stock Owned: Percent of Partnership Beneficially Owned: 3. Type of Business of Employment: convenience store Pennsylvania, Okla, City. Oklahoma 15. Present Position: Owner 16. Home Telephone: 405/842-3319 Business Telephone: 405/751-9000 17. Date of Birth: Place of Birth: Oklahoma City. Oklahoma 18. U.S. Citizen?: ]YES ONO If naturalized, state where: When: Name of U S. District Court: Naturalization Certificate No.: Date of Certificate: If an alien, give Alien's Registration Card No.: Permanent Residence Card No.: 19. Marital Status: Married 20. If spouse is a wife, wife's full maiden name: Judith Marie McCarthy 21. Spouse's Date of Birth: Place of Birth: Chicago, Illinois 22. If spouse's residence address is different than yours, list here.: (street and number/city/state/zip) 23. If spouse works, state name of present employer: Musket Corporation Occupation: Secretary Treasure Address of present employer: 10601 N. Pennsylvania, Oklahoma City, Okla. 73156 24. List the name(s) of all relatives working in the liquor industry, giving their: Name of Relative: Relationship to you: Position held: Name of employer: Location of employer: Name of Relative: Relationship to you: Position held: Name of employer: Location of employer: 25. Do you now, or have you ever held a direct or indirect interest in a State of Colorado Liquor or Beer License? If "YES", answer in detail. OYES I NO are Statee of Colorado? If "YES", describe in detail. rarest in a liquor or beer license, or been employed i, iquor or beer related business outside ofthe YES ENO 27. Have you ever been convicted of a crime, fined, imprisoned, placed on probation, received a suspended sentence or forfeited bail for any offense in criminal or military court? (Do not enclude traffic violations, unless they resulted In suspension or revocation of your driver's license, or you were convicted of driving under the influence of alcoholic beverages.) If "YES", explain in detail. YES aNO 28. Have you ever received a violation notice, suspension or revocation for a liquor law violation, or been denied a liquor or beer license anywhere in the U.S.? If "YES", explain in detail. OYES ENO 29. Have you ever held a gambling or gaming license or owned a Federal Gambling Stamp? If "V ES", exp ain In detail. UV ES LINO State/Federal: Year: City: State: State/Federal: Year: City: State: 30. Military Service: branch: U. S. Marines From: 1956 To: 1959 Serial No.: 1622433 Type of Discharge: honorable �,. Street and Number: 6R2,4 N.W. Grand Blvd. City/State/Zip: Okla.City, Oklahoma 73116 From: 6/75 To: Present Street end Number: City/State/Zip: From: To: last five years.(Attach separa five veers: (Attach additions l sheets if necessary az. ust eu loan., gr,V,urs,su, ,...••, _••e_.__... ... �..... _._ __- Name of EmpioYer: Musket Corp. Address: (street end number) 10601 N. Penn. (city/state/zip) Okla.City, Ok.73156 Position Held: Owner/Pres. From: 1/64 To: Present Name of Employer: Address: (street and number) (city/stets/zip) Position Held: From: To: d fit„aa in connection with this application. Name of Reference: Mac Maguire Address: (street and number) 3124 Lamp Post Lane (city/state/zip Okla.City, Okla. No.Years Known: 20 years Name of Reference: Dan Kavanaugh Address: (street and number) 6718 Woodward Drive (city/state/zip) Okla. City, Okla. No. Years Known: 20 years Name of Reference: L. M. Dillard Address: (street and number) 2724 S. W. 69th (city/state/zip) Okla. City, Okla. No. Years Known: 10 years STATE OF Oklahoma COUNTY OF Oklahoma 3 SS. I understand that a false answer to any of the foregoing can subject the application to denial or a license to revocation. I certify that all of the information in this Individual History Record is complete and correct to the best of my knowledge and belief. Subscribed and sworn to me this �—s day of WITNESS my hand and official seal. (ATTACH SEAL) My to ,t9 a..l. issien ekpi:es February 29, 1984 Signature C. Tom E. Love - President Notary ubllc July 11, 1983 TO WHOM IT MAY CONCERN: This is to ceritfy that I have known Tom E. Love for approximately 10 years. I have found Mr. Love to be of outstanding character and fitness. L. M. Dillard 308 Woodhollow Trail Edmond, Okla. 73034. July 11, 1983 TO WHOM IT MAY CONCERN This is to certify that I have known Tom E. Love for approximately 20 years. I have found Mr. Love to be of outstanding character and fitness. Malcolm Maguire 3124 Lamp Post Lane Okla. City, Oklahoma July 11, 1983 TO WHOM IT MAY CONCERN: This is to certify that I have known Tom E. Love for approximately 20 years. I have found Mr. Love to be of outstanding character and fitness. 2 Dan Kavanaughf*UaAKOveL) 6718 Woodward Drive Oklahoma City, Okla. DRL 404-113/79) STATE OF COLORADO DEPARTMENT OF REVENUE/LIQUOR ENFORCEMENT INDIVIDUAL HISTORY RECORD To be completed by each individual applicant;such general and over 5% limited partner of a partnership, each officer, director, and over 5% skttotkholder of a corporation, and the manager of the applicant. NOTICE This -Individual History Record provides basic information which is necessary for the licensing authorities' investigation. ALL questions must be answered Id their entirety. EVERY answer you give will be checked for its truthfulness. A deliberate falsehood will jeopardize the application as suCh faliehood within itself constitutes evidence regarding the and reputation ofthe applicant. Date: j,. iNare AS-'Buliness: Miisket_.Corporation dba Love's your Full Nerve: (last/first/middle) Love, Judith Marie Country Store April 13, 1982 3. Also Known As: (maiden name/nickname/etc.) Judy 4. Height: Eye Color: Sex: Race: 5. Do you have a Colorado Drivers License? If "YES", give number: 5'10" F White EYES 'INC l4n ➢.^^tarn BrnlArn 6. Your Rela ionship to Applicant: (sole owner/partner/corporate ofticer/directs /stockholder or manager) Social Security Number: 445- Hair Color: Corporate officer 7. If Stockholder, Number of Shares Owned Beneficially or of Record 8. If Partner State Whether: I Percent of Partnership Beneficially Owned: ❑GENERAL ❑LIMITED 9. Residence Address: (street and number/city/stab/alp) 6824 N. W. Grand Blvd., Oklahoma City, Oklahoma 73116 Percent of Outstanding Stock Owned: j0. Is your residence: Ilf rented, from whom? 4i OWNED ❑RENTED 11. Mailing Address, If Differen From Residence: P. 0. Box 26210, Oklahoma City, Oklahoma 73126 12. Name of Present Employer: - - 13. Type of Business of Employment: Convenience store Musket Corporation 14. Address of Business Where Employed: (street aodnumber/city/state/zip) 10601 N. Pennsylvania, Oklahoma City, 15. Present Position: Secretary Treasure 17. Date of Birth: 6/ agt,, .... Ann ,o 18. U.S. Citizen?: ENO If naturalized, state where: :" When: Name of U.S. District Court: No.: [BYES Naturalization Ce tificate No.: Date if Certificate: If an alien, give Alien's"Registration Card No.: Permanent Residence Card 19. Marital Status: Married 20. frspouse is a wife, wife's full maiden name: 21. Spouse's Date of Birth: Place of Birth: i..--.— --her/riteRrate/ziol 22. If spouse's residence adaress is different than yours, Place of Birth: Oklahoma ,73656(1 16. Home Telephone: 405/84X-3319 Business Telephone: 405/751-9000 23. If spouse works, state name of present employer: Occupation: Address of present employer: 24. List the name(s) of all relatives working in the liquor industry, giving their: Name of Relative: Relationship to you: Position held: Name of Relative: Relietlaship to you: Name of employer: Location of employer: Position held: Name of employer: Location of employer: 25. Do you now, or have you ever held a direct or Indirect interest in a State of Colorado Liquor or Beer License? If "YES", answer in detail. OYES C2fNO 6. Do you now, or have you ever had a direct or indirect interest in a liquor or beer license, or been employed in a liquor or beer related business outside ofthe State of Colorado? If "YES", describe in detail. OYES ONO 27. Have you ever been convicted of a crime, fined, imprisoned, placed on probation, received a suspended sentence or forfeited bail for any offense in criminal or military court? (Do not enclude traffic violations, unless they resulted In suspension or revocation of your driver's license, or you were convicted of driving under the �—y influence ' of alcoholic beverages.) If "YES", explain in detail. Lg OYES a4O 28. Have you ever received a violation notice, suspension or revocation for a liquor law violation, or been denied a liquor or beer license anywhere in the U.S.? If "YES", explain in detail. OYES [i'JO 29. Have you ever held a gambling or gaming license or owned a Federal Gambling Stamp? If "YES", exp ain in detail. OYES [O State/Federal: Year: City: State: State/Federal: Year: City: State: 30. Military Service: branch: From: To: Serial No.: Type of Discharge: 31. List all addresses where you have lived for the last five years.(Attach separate sheet if necessary) Street and Number: 6824 N.W . Grand Blvd., City/State/Zip: Okla. City, Okla. 73156 From: 6/75 To: Present Street and Number: City/State/Zip: From: To: 32, List all former employers or businesses engaged in within the last five veers Name of Employer: Musket Corp. Address: (street and number) 10601 N. Penn. (city/state/zip) Okla.City, Okla.73 Position Held: 20 Sec. Tres. From: 1/60- To: Present Name of Employer: Address: (street and number) (city/state/zip) Position Held: From: To: 33. List the names and attach letters of recommendation from three persons who can vouch for your good character end fitness in connection with this application. Name of Reference: L. M. Dillard Address: (street end number) 308 Woodhollow Trail (city/state/zip Edmond, Okla. 73034 No.Years Known: 15 years Name of Reference: Jim R. Rager Address: (street and number) 6721 Well Oaks Circle (city/state/zip) Okla.City, Okl. 73127 No. Years Known: 6 years Name of Reference: REba Baker Address: (Street end number) 2240 Downing (city/state/zip) Okla.City,Okla. 73120 No. Years Known: 11 years (Attach additional sheets if necessary) STATE OF Oklahoma COUNTY OF Oklahoma ISS. I understand that a false answer to any of the foregoing can subject the application to denial or a license to revocation. I certify that all of the information In this Individual History Record is complete and correct to the best of my knowledge and belief. Subscibedaand sworn to me this - -/7 day of T WITNESS my hand and official seal. (ATTACH SEAL) My corn ,iss'•n expires'Febbr ry 29. 1984 Notary Pu• la Signature th M. Love - Sec. Tres. July 11, 1983 TO WHOM IT MAY CONCERN: This is to certify that I have known Judy Love for approximately 5 years. I have found Mrs. Love to be of outstanding character and fitness. Jim R. Rager 6721 Well Oaks Circle Oklahoma City, Okla. 73127 July 11, 1983 TO WHOM IT MAY CONCERN: This is to certify that I have known Judy Love for approximately 10 years. I have found Mrs. Love to be of outstanding character and fitness. Reba J. Baker 1236 N. WW, 81st Oklahoma City, Okla. 73114 July 11, 1983 TO WHOM IT MAY CONCERN: This is to certify that I have known Judy Love for approximately 15 years. I have found Mrs. Love to be of outstanding character and fitness. L. M.Dillard DRI 404.1 (6/79) K. . STATE OF COLORADO DEPARTMENT OF REVENUE/LIQUOR ENFORCEMENT INDIVIDUAL HISTORY RECORD To be completed by each individual applicant, each general and over 5% limited partner of a partnership, each officer, director, and over 5% stockholder'Of a corporation, and the manager of the applicant. NOTICE - This 'Mdividuai History Record provides basic information which is necessary for the licensing authorities' investigation. ALL questions must be answefel3.in tfieir entirety. EVERY answer you give will be checked for its truthfulness. A deliberate falsehood will jeopardize the application as sixth falsehood within itself constitutes evidence regarding the character and reputation of the 'applicant. 1. Name 64$usfness' Musket Corporation Date: April 14, 1982 Social Security Number: 2. Your Full Name: (last/first/middle) Dillard. Lawrence Max'ris 4, Height: Weight: Hair Color: Eye Color: Sex: Race: 6'1" 206 Brown Brown M. White DYES [No 6. Your Rela ionship to Applicant: (sole owner/partner/corporate officer/direct° /stockholder or manager) Corporate officer 7. If Stockholder, Number of Shares Owned Beneticia ly or of Record: 3. Also Known As: (maiden name/nickname/etc.) Larry or L. M. 5. Do you have a Colorado Drivers License? If "Y€S", give number: Percent of Out tending Stock Owned: 8. If Partner State Whether: ❑GENERAL DLIMITED Percen of Partnership Bene cial ly Owned: 9. Residence Address: Istr t and number/city/state/zip) 308 Woodhollow Trail, Edmond, Oklahoma 73034 10. Is your residence: If rented, from whom? DOWNED DRENTED 11. Mailing Address, If Different From Residence: P. O. Box 26210, Okla. City, Okla. 73126 12. Name of Present Employer: Musket Corporation 14. Address of Business Where Employed: (street and nwslber/city/state/zip) 10601 N. Pennsylvania, Okla; City, Okla. 3. Type of Business of EmplaymenT convenience store ,7-n1151 15. Present Position: Vice President i6. Home Telephone: 348-2634 Business Telephone: 751-9000 17. Date of Birth: Place of Birth: Ldsay, Oklahoma i' 18. U.S. Citizen?: XXIYES ENO If naturalized, state where: - When: - Name of U S. District Court: Naturalization Ce tificate No.: Date of eartificate: If an alien, give Alien's Registration Card No.'. Permanent Residence Card No.: 19. Marital Status: Single 20. If spouse is a wife, wife's full maiden name: 21. Spouse's Date of Birth: Place of girth 22. If spouse's residence address is different than yours, list here.: (street and number/city/state/zip) 23. If spouse works, state name of present employer: Occupation: Address of present employer: 24. List the name(s) of all relatives working in the liquor. Industry, giving their: Name of Relative: Relationshtbto you: Position held: Name of employer: Location of employer: Name of Relative: Relationship to you: Position held: Name of employer: Location of employer: 25. Do you now, or have you ever held a direct or indirect interest i a State of Colorado Liquor or Beer License? If "YES", answer in detail. EYES NO s26. Do you now, or have you ever had a direct or indirect interest in a liquor or beer license, or been employed in a liquor or beer related business outside ofthe State of Colorado? If "YES", describe in detail. EYES L]avO 27. Have you ever been convicted of a crime, fined, imprisoned, placed on probation, received a suspended sentence or forfeited bail for any offense in criminal or military court? (Do not enclude traffic violations, unless they resulted in suspension or revocation of your driver's license, or you were convicted of driving under the influence of alcoholic beverages.) If "YES", explain in detail. OYES ID NO 28. Have you ever received a violation notice, suspension or revocation for a liquor law violation, or been denied a liquor or beer license anywhere In the U.S.? If "YES", explain in detail. DYES �NO 29. Have you ever held a gambling or gaming license or owned a Federal Gambling Stamp? If "YES", exp ain in detail. DYES 13NO State/Federal: State/Federal: Veer: City: State: 30. Year: City: State: Military Service: branch: U. S. Coast Guard From: 7/45 To: 11/45 Serial No.: unknown Type of Discharge: honorable 31. List all addresses where you hsue lived fn..he i_.. s ... .._ .(Attach separate sheet If necessary Street and Number: 3:08 Woodhollow Trail Street and Number: 2624 S. W. 69th City/State/Zip: Edmond, Okla. 73034 City/State/Zip: Okla.City, Okla. 73159 32. List all former employers or businesses engaged in within the last five veers: (Attach ed Name of Employer: Address: (street and number) (city/state/zip) Position Held: From: To: Name of Employer: Address: (street and number) (city/state/zip) Position Held: From: To: 33. List the names and attach letters of rern.r..r.and..I..., f._— _____ _______ From: 9/81._ From: 12/63 To: Present T9/81 good character and fitness in conne ti Name of Reference: iary McCormick Address: (street end number) 5012 N.W. 25th Qkla.City (city/state/zip) Okla. No.Yeers Known: 10 years Name of Reference: R. Daffer )r. Name Name Address: (street and number) 1024 S. W. 44th Okla.City, (city/state/zip) Okla. No. Years Known: 16 years of Reference: toward Thompson Address: (street and number) 2505 Still Meadow Rd (city/state/zip) Edmond Okla. No. Years Known: 6 years STATE OF SS. COUNTY OF Oklahoma Oklahoma I understand that a false answer to any of the foregoing can subject the application to denial or a license to revocation. I certify that all of the information in this Individual History Record is complete and correct to the best of my knowledge and belief. Subscribed and sworn to me this.._ // day of WITNESS -my hand and official seal. (ATTACH SEAL) My cam ,193 February 29, 1984 ibn expires' Signature L. M. Dillard - President Notary Pu July 11, 1983. TO WHOM IT MAY CONCERN: This is to ceritfy that I have known L. M. Dillard for approximately 16,years. I have found Mr. Dillard to be of outstanding character and fitness. Dr. E. R. Daffer 1024 S. W. 44th Oklahoma City, Oklahoma 3/O g July 11, 1983 TO WHOM IT MAY CONCERN: This is to certify that I have known L. M. Dillard for approximately 10 years. I have found Mr. Dillard to be of outstanding character and fitness. Gary !cCormick 5012 N. W. 25th Oklahoma City, Okla. July 11, 1983 TO WHOM IT MAY CONCERN: This is to certify that I have known L. M. Dillard for approximately 6 years. I have found Mr.,Dillard to be of outstanding character and fitness. Howard Thompson 2505 Still Meadow Rd., Edmond, Oklahoma 736s / DAL 404-I (6/I/9) STATE OF COLORADO .w., DEPARTMENX'OFREVENUE/LIQUOR ENFORCEMENT INDJV1tayML HISTORY RECORD To be ccmpletfidtby each individual applicant, each general and over 5% limited partner of a partnership, each officer, director, and over 5% stockholder of a corporatioh, and the manager of the applicant. This individualHistor.y'Record provides basic information which is necessary for the licensing authorities' investigation. ALL questions must be answered in their entiretsl. EVERY answer you give will be checked for its truthfulness. A deliberate falsehood will jeopardize the application as such falsehood'within itself constitutes evidence regarding the character and reputation of the applicant. 1. Name of Business: Musket Corporation Date: April 13, 1982 Social Security Number: 2. Your Full Name: (last/first/middle) RACER, JIMMIE RALPH 4. Height: 6'1" 6. Your Relationship to Applicant: (sole owner/partner/corporate ofticer/directo /stockholder or manager) Corporate officer Weight: 200 Hair Color: Brown Eye Color: Blue Sex: M Race: White 3. Also Known As: (maiden-name/nickname/etc.) Jim 5. Do you haver a Colorado Drivers License? If "YES", give number: EYES icNO 7. If Stockholder, Number of Shares Owned Beneficially or of Record: None B. If Partner State Whether: EGENERAL ELIMITED 9. Residence Address: (street and number/city/statehlp) Percent of Outstanding Stock Owned: None Percent of Partnership Beneficially Owned n/a 6721 Well Oaks Circle, Okla. City, Okla. 73127 10. Is your residence: If rented, from whom'$ OWNED ❑RENTED 11. Mailing Address, If Different From Residence: Same as #9 12. Name of Present Employer: 13. Type of Business of Employment: Musket Corporation Convenience store 14. Address of Business Where Employed: (street andnumber/city/state/zip) 15. Present Position: Vice President - Finance Director 16. Home Telephone: 787-5022 Business Telephone: 751-9000 17. Date of Birth: Place of Birth: O0ahoma City, Oklahoma 16. U.S. Citizen?: LYES ENO If naturalized, state where: - When: - Name of U S. District Court: Naturalization Certificate No.: DateirliCertificate: If an alien, give Alien's Registration Card No.: Permanent Residence Card No.. 19. Marital Status: Married 20. Ir spouse is a wife, wife's full maiden name: J0Ann Crocker 21. Spouse's Date of Birth: Place of Birth:. Duquoin, Illinois 22. If spouse's residence address is different than velure, list here.: (street and number/city/state/zip) Same as #9 23. If spouse works, state name of present employer: Our Saviours Luthern Church Occupation: Mother's Day Out Attendant Address of present employer: 6501 N. W. 23rd, Bethany, Okla. ives working in the I industry, giving their. Name of Relative: Relationship to you: Position held: Name of employer: Location of employer: Name of Relative: Relatiod*ip to you: Position held: Name of employer: Location of employer: 25. Do you now, or have you ever held a direct or indirect interest in a State of Colorado Liquor or Beer Licenser If YES , answer In detail. EYES 'ffO 26. Do you now, or have you ever had a direct or indirect Interest in a liquor or beer license, or been employed in a liquor or beer related business outside ofthe State of Colorado? If "YES", describe in detail. DYES o 27. Have you ever been convicted of a crime, fined, imprisoned, placed on probation, received a suspended sentence or forfeited bail for any offense in criminal or military court? (Do not enclude traffic violations, unless they resulted In suspension or revocation of your driver's license, or you were convicted of driving under the influence of alcoholic beverages.) If -YES", explain In detail. EYES VINO 28. Have you ever received a violation notice, suspension or revocation for a liquor law violation, or been denied a liquor or beer license anywhere in the U.S.? If "YES", explain in detail. EYES MVO 29. Have you ever held a gambling or gaming license or owned a Federal Gambling Stamp? If "YES", exp am in detail. DYES IDIXO State/Federal: Year: City: State: State/Federal: Year: City: State: 30. Military Service: branch: None From: To: Serial No.: Type of Discharge: 31. List all addresses where you have lived for the last five years.(Attach separate sheet if necessary) Street and Number: 6721 Well Oaks Circle City/State/Zip: Okla. City, Okla. 73127 From: 1979 To: Present Street and Number: 6728 Cherry Place City/State/Zip: Okla. City, Okla. 73127 From: 1972 To: 1979 . List alt former employers or businesses engaged In within the lest five years: (Attach additional sheets if necessary) Name of Employer: Musket Corp., Address: (street end number) 10601 N. Penn. (city/state/zip) Okla.City, Ok. 73156 Position Held: VP -Finance From: 1976 To: Present Name of Employer: Dayton Tire Address: (street end number) S.W.29th & Council (city/state/zip) Okla.City, Ok. 73128 Position Held: Superv. From: 1971 To: 1976 th List e names and attach letters of recommendation from three persons who can vouch for your good character and fitness in connection with this application. Name of Reference: Mike Hill Address: (street and number) 8928 Rambling Rd. (city/state/zip Okla.City, Okl. 73132 No.Years Known: 20 years Name of Reference: Elmer Crocker Address:. (street and number) 3924 N.W. 34th (city/state/zip) Okla.City,Okla. 73112 No. Years Known: 12 years Name of Reference: Bob Bierne Address: (street and number) 7100 Rolling Lane (city/state/zip) Okla.City,Okla. 73132 No. Years Known: 3 years STATE OF Oklahoma COUNTY OF Oklahoma I understand that a false answer to any of the foregoing can subject the application to denial or a license to revocation. I certify that all of the information in this Individual History Record is complete and correct to the best of my knowledge and belief. Subscribed and sworn to me this__, i / day of WITKESS my hand and official seal. (ATTACH SEAL) My cor, rr is;ion expires •- 1 SS. ,19 F-3 e. 29, 1984 Signetu Ji R, ':ger - Vice tPFesident-Finance Note V\Publlg July 11, 1983 TO WHOM IT MAY CONCERN: This is to certify that I have known Jim Rager for approximately 20'years. I have found Mr. Rager to be of outstanding character and fitness. Mike Hill 8928 Rambling Rd., Okla. City, Okla. 73132 July 11, 1983 • TO WHOM IT MAY CONCERN: This is to certify that I have known Jim Rager for approximately 3 years. I have found Mr. Rager to be of outstanding character and fitness. Bob Bierne C'yee1 7/00 - O& -Rolling -Lane Oklahoma City, Oklahoma 73132 July 11, 1983 TO WHOM IT MAY CONCERN: This is to certify that I have known Jim Rager for approximately 12 years. I have found Mr. Rager to be of outstanding character and fitness. i7 slmer Crocker 3924 N.W. 34th Oklahoma City, Oklahoma 73112 OFFICE OF THE SECRETARY OF STATE CERTIFICATE OF GOOD STANDING (DOMESTIC CORPORATION) �."Lt.f7 .,tom % ll `' , c$ "n I, THE �UNDERSIGNED, �� o ?y //�5zf� �� 9 1'/1'4 , '/ Ae"l�l And. Is 17 ,Uee ,`l/aw �,//'4011e�d,6 /An Tva{�.c%t{amp .r�/,Gh/wan,. a ,aroma ,�{.Uee 9., .IY �AVa tom// ti, AehI. n A?{{) A{W 4i iX A ?'1.1�4)fr/UFII Ui ,6 Agznaac AKA trYY in AA4efG.allrA�Le eL iG4.Ke1°f,GCe AAUA'.cet e , e. I FURTHER CERTIFY Jtaf MUSKET CORPORATION .mle<,,eneyofetedrtL-,a. Tom E. Love „erf/ .4 'Yf n 10601 N. Pennsylvania, Oklahoma City, E/ 2, -covIz a.¢4on. ay .of4.e9eed wand .62'4147 (r- Anzch. ATMs/NL n4.tke iLee. c </&Vrient2. mid %z' /wed fie /eeee> die da .zrecl :d An „a. efmndi Aliza.Mnrte4G.accenzar A gget .rece)P4.. IN TESTIMONY WHEREOF, l Ae� �- %a,,.rl d rat/4# 2, -le af. 14 {IA.ea.L J,t:7/1/44 P7,lafe .e//'6'/deLnw, (Ante ref Ile 17 4rjl .l,'laLnee (edit. ,fide- 29th r April .,'✓(1. 19 83 i&Acduzd ,. i .9eowar it9at. ,aa,, raaicdecd d% ae�dze Sdale o/®,la%omti. NOW THEREFORE,] .�erredarVYaad o ae-Yki4a/ ®,aa 4, .440auae m.me:ikymyme+ do ,L,I.aiie,Weeto e. NTESTIMONY WHEREOF%wzS nr� •da zd accts& Ie#rd S g. eat9eeadatS bdab, 9l©azkm. z OFFICE OF THE SECRETARY OF STATE AMENDED CERTIFICATE OF INCORPORATION :ra ,4.r- // ein U(&& g�i zieveZJ .4/a/./ 6:emte, • Irre✓eny.i .' WHEREAS, ay/ J.yr e /rent1/a/flArtiV I _ Musket Oil, Inc. .� i 1 fl/ ,/ �,�'A! ur 21st iem, ,lirb .eer <+� u erne✓fare o � , Aih> e�ro February /9 75 ',A.`iv./ e//y de, _L;e e/✓/u, J.Ca✓t .o� etit.am2 �j� NOW THEREFORE,et ✓ /ne%rn4e3 en( ./rr./eery e7 ./%e/e / /4. think.7 C�lf r/./��a2/l1.tadrvrrrA[t. AeaerM-arblve�+ire me % lea; e� �ir./7' (0.1en 6erierr✓ri /A/. yetc6-0A bra �� IN TESTIMONY WHEREOF, r iXezrrrerr h,J,✓/nt /n./ ru�em�o /.r�ro iked Saiciesyi S1 �ii/0Aiirrnm. !'/IIe/' to, 21st V V &K,AM,pvkV,w vwaVafriy ypvpwpvAvpi /LVyvdetriak ak' VeMtl r v r v rife `P r `rte' x _ !>r.�"?" ''fi..�"Sy `Yi'�. 7ti7d7r o q�tt'g'��" \1 i e�^.+ ls' pt Yt �� sve,,r: 'h OFFICE OF THE SECRETARY OF STATE �- I�9t,4* 4* CERTIFICATE OF INCORPORATION WHEREAS, ilete'!o•l..Cunr�w,aGon'du tn.rdanrtiar,A.f, /W{W %Vv.NK•'.lr I��IN •�PK�IIr�/'�%��i/fir ,,,1 4- .. 16th %K•y Jannnry NOW THEREFORE, nandar,443.nt I J. ' .�.lale. I- 441 ethl+.wraiv.1440sr~ics/ud.en.,/nr.Gt%r v, .w/ /c/as/,•,44 14,44 G • 1 IN TESTIMONY WHEREOF,S~rrenek,77,r4Rn,vlu04010-6x14€9/4 a, Saidadiao,� yefl�%hrma ,.y y+ , ,gykfr/.adj'..0../4,14fr Seim.,,,A144,-etifyille144,4m4,44,-41-4. 16 4481 January,_. /!y RECORD AND MEMORANDUM OF ACTION OF THE BOARD OF DIRECTORS OF MUSKET CORPORATION January 3, 1983 The undersigned, constituting all the directors of Musket Corporation, an Oklahoma corporation (the "Cor- poration"), by executing this Record and Memorandum of Action pursuant to Section 1.38(6) of Title 18, Oklahoma Statutes (1971), do hereby authorize, approve and consent to the adoption of the following resolutions without a meeting: Annual Meeting WHEREAS, the shareholders of the Corporation have executed their Record and Memorandum of Action dated January 3, 1983, in lieu of the annual meeting of the shareholders to have been held on January 3, 1983; and WHEREAS, it is desirable that this Record and Memorandum of Action of the Board of Directors be executed in lieu of minutes of an annual meeting of the Directors: RESOLVED, that this Record and Memorandum of Action shall be in lieu of the annual meeting of the Board of Directors to have been held January 3, 1983. Election of Officers WHEREAS, it is desirable that officers of this Corporation be elected for the year succeeding the date of this Record and Memorandum of Action and until their suc- cessors shall be duly elected and shall have qualified: RESOLVED, that the following named per- sons be, and they hereby are, elected to serve in the capacity set forth opposite their respective names for the year succeeding the date of this Record and Memorandum of Action or until their suc- cessors shall have been elected and shall have quali- fied: Name Tom E. Love L. M. Dillard Office President Vice President Judith M. Love Jim R. Rager Reta G. Harlin Secretary and Treasurer Vice President/Asst. Sec. Assistant Secretary Authorization of Loans WHEREAS, it is deemed advisable and in the best interests of the Corporation for the officers of the Cor- poration to loan money from time to time to High Plains Development Corporation of Oklahoma, Inc., Mesa Verde, Ltd., Mesa Verde, Ltd. #2, and Musket Aviation, Inc., related companies of the Corporation, with such indebtedness to be evidenced by promissory notes to the Corporation: RESOLVED, that the officers of this Corpora- tion are authorized to loan money to High Plains Deve- lopment Corporation of Oklahoma, Inc., Mesa Verde, Ltd., Mesa Verde, Ltd. #2, and Musket Aviation, Inc., from time to time, provided that such indebtedness is evi- denced by promissory notes to the Corporation. We, the undersigned, hereby certify that we are all the directors of Musket Corporation, an Oklahoma Corporation, entitled to vote on the foregoing matters and we and each of us do hereby consent and agree to the foregoing actions, reso- lutions and matters effective January 3, 1983r� l Tom E. Love Judit Love Jim R/Rage -2- a d� DIRECTORS Made a part of the corporate records of Musket Corporation this 3,AA of c171 , , 1983. U 38, Secfetary ate& -3- ! +lr1vili w �+y 1tWU1 �� . •� ^ . /1 r +' rrtlltAl711igw Csr'ljLl Jrt6wat,. a ,i.�t,� •, "A n.,, �-?.lilu 4 ��:r�P rer y� ! it >..� J1Af`1�,lr�lp�a a.•f„p t�,t . ,•/i, >•l ..,,. --_ i raY yir�4 �'P��"'".��„��'P.w7�.`_Vl��.i�__�f�fl��"�i"P�Jr"'fu� i�_"1s�r•"'a��"A.�"'��l"i�.�""��"3��_�'�`�:a�"`P�a��l'L..�b� �1- -rr1r1srz1��`� ii iet� a ; �i ��, I l'; • .;t�p�•t�. 41" 3 •k l It� Lam_ of AG • rf acAs.I -44 w;. 0 ,ro 14 4 ect q w U O tfl E x z re, CA O o a ro • ro E H A I'D � f 0 roz H rd o i09 c z �7Fz 43 :TAtilib"; �fl fv _�a. l ;; S. _>sLdd s — ✓ n >• � �_ —t-stmt` l data i r,' z\} C44n En • /t2 = yam§ TOM E. LOVE BORN: October 10, 1937 Oklahoma City, Oklahoma FAMILY: Wife, Judy and four children; Gregory, Laura, Jennifer and Frank EDUCATION: Graduated from St. Gregory's High School in Shawnee. Attended St. John's University in St. Cloud, Minnesota and the University of Oklahoma MILITARY SERVICE: U. S. Marine Corps BUSINESS BACKGROUND: Founded Musket Corporation in 1964 and is now President of the chain of convenience stores and truck stops operating under the name of "Love's Country Stores" and "Love Stops" in seven states. Also founded two development companies that build Love's locations and leases to Musket Corporation; High Plains Development Corporation of Oklahoma, Inc. and Mesa Verde, LTD. He is President and major stockholder of both com- panies. RELIGIOUS ACTIVITIES: Member of Christ the King Parish, Oklahoma City, and active on various committees. RELATED BUSINESS ACTIVITIES: Active in both state and national oil marketers activities. Served Oklahoma Oil Marketers Association as NOJC Director from 1967-68 and 1970-71, and was President of the organi- zation from 1968-69. In October, 1971, he was elected Vice -President of the National Oil Jobbers Council (NOJC) from the South Central Region. He was elected Senior Vice -President of NOJC in October 1973 and President of the Council for 1975. OTHER ACTIVITIES: Member of the Board of Directors for Fidelity Bank, n.a. Oklahoma City Member of the Board of Directors for the National Society of Independent Gasoline Marketers of America JIM R. RACER, C.P.A. Vice President -Finance Musket Corporation and High Plains Development Corporation of Oklahoma, Inc. Employment History March, 1976 to Present Employer: Musket Corporation/High Plains Development Corporation Duties: Responsible for all accounting, data processing, and administrative functions for both companies. Closely involved with financing real estate acquisitions for stores. May, 1971 to March, 1976 Employer: Dayton Tire & Rubber Duties: Supervisor of cost accounting. Responsible for standard costs for all tires produced by Dayton, variance analysis, budgeting. No personal or corporate bankruptcies. No lawsuits or criminal convictions. L. M. DILLARD Vice President -Operations Musket Corporation Employment History 197Zto Present Employer: Musket Corporation Duties: Responsible for staffing, merchandising, and operation of Love's Country Store chain of convenience stores and Love's Stops interstate locations. 1968 - 1972 = Affiliated Food Stores __. Duties: Retail store development VACANT LA ICONTRACT TO BUY AND SELL RAL ESTATE (Remedies include Specific Performance) The printed portions of this form approved by the Colorado Real Estate Commission (SC 27.2.81) THIS IS A LEGAL INSTRUMENT. IF NOT UNDERSTOOD, LEGAL, TAX OR OTHER COUNSEL SHOULD BE CONSULTED BEFORE SIGNING. 1. The undersigned agent hereby dcknowledges having received from December 20 ,19 82 Musket Corporation, an Oklahoma Corporation the sum of $ _O_ in the form of Not applicalle , to be held by Not applicable broker, in broker's escrow or trustee account, as earnest money and part payment for the following described real estate in the said County of Weld Colorado, to wit: See attached legal description made a part of this contract together with all easements and rights of way appurtenant thereto, and all improvements thereon and all fixtures of a permanent nature currently on the premises except as hereinafter provided, in their present condition, ordinary wear and tear excepted„ and hereinafter called the Property. 2. The undersigned person(s) Musket Corporation Woo OzlitintOttlIeWthfriittb04, hereinafter called Purchaser, hereby agrees to buy said Property, and the undersigned owner(s), hereinafter called Seller, hereby agrees to sell said Property upon the terms and conditions stated herein. 3. The purchase price shall be U.S. $ 182,000-00 payable as follows$ -n- hereby receipted for; $91,000.00 plus customary closing costs payable in cash or certified funds upon delivery of•deed. Purchaser shall execute its note secured by a first trust deed in favor of Sellers in the amount of $91,000.00 with interest of 12% per annum. Said note to he payable in full including accrued interest on January 3, 1983. See attached Exhibit B & C (promissory note and Heed of Trust) a. Price to include: existing brick home and outbuildings, Left Hand domestic water tap and the following water rights: None, provided however that all oil, gas and mineral rights shall be excluded from this sale and reserved to the Sellers. It is agreed that said reserved oil, gas and mineral rights shall not include surface rights. 5. If a new loan is to be obtained by Purchaser from a third party, Purchaser agrees to promply and diligently (a) apply for such loan, (b) execute all documents and furnish all information and documents required by the Lender, and (c) pay the customary costs of obtaining such loan. Then if such loan is not approved on or before N/A 19 or if so approved but is not available at time of closing, this contract shall be null and void and all payments and things of value received hereunder shall be returned to Purchaser. 6. If a note and trust deed or mortgage is to be assumed, Purchaser agrees to apply for a loan assumption if required and agrees to pay (1) a loan transfer fee not to exceed $ N/A and (2) an interest rate not to exceed N/A %per annum. If the loan to be assumed has provisions for a shared equity or variable interest rates or variable payments, this contract is conditioned upon the Purchaser reviewing and consenting to such provisions. If the Lender's consent to a loan assumption is required, this contract is conditioned upon obtaining such consent without change in the terms and conditions of such loan except as herein provided. 7. If a note is to be made payable to Seller as partial or full payment of the purchase price, this contract shall not be assignable by Purchaser without written consent of Seller. 8. Cost of any appraisal for loan purposes to be obtained after this date shall be paid by 9. NtSf44tit/ tufts / t:WaitThWi ai W 4 W W A current commitment for title insurance policy in an amount equal to the purchase price, at Seller's option and expense, shall be furnished to Purchaser on or before ilaramhar 7 f) , 19 82 If Seller elects to furnish said title insurance commitment, Seller will deliver the title insurance policy to Purchaser after closing and pay the premium thereon. 10. The date of closing shall be the date for delivery of deed as provided in paragraph 11. The hour and place of closing shall be as designated by Title Realty. Inc. 11. Title shall be merchantable in Seller, except as stated in this paragraph and in paragraphs 12 and 13. Subject to payment or tender as above provided and compliance by Purchaser with the other terms and provisions hereof, Seller shall execute and deliver a good and sufficient quit claim and general warranty deed to Purchaser on December 2,7 Y 19 �2 or by mutual agreement, at an earlier date, conveying the Property free and clear of all taxes, except the general taxes tafor the year of closing, and 41 o4$t/ free and clear of all liens for special improvements installed as of the date of Purchaser's signature hereon, whether assessed or not: free and clear of all liens and encumbrances except none except the following restrictive covenants which do not contain a right of reverter: those of record, if any and except the following specific recorded and/or apparent easements: easement of record or apparent and subject to building and zoning regulations. .'• 12. Except as stated in paragraphs 11 and 13; if title is not merchantable and written notice of defect(s) is given by Purchaser or Purchaser's agent to Seller or Seller's agent on or before date of dosing, Seller shall use reasonable effort to correct said defect(s) prior to datd of closing. If Seller is unable to correct said defect(s) on or before date of closing, at Seller's option and upon written notice to Purchaser or Purchaser's agent on or before date of closing, the date of closing shall be ext d thirty days for the purpose of correcting said defect(s). Except as stated In paragraph 13, if title is nut.nrdusi enarrhgjoehte as nrnuidad in this h 12. at Purchaser's ontionthis contract shall be void and of no effect and each party hereto benefit o y f — r::d uhject to building and zoning regulatie 12. Except as stated in paragraphs 11 ant , if title is not merchantable and written notice of d Is) is given by Purchaser or Purchaser's agent to Seller or Seller's agent on or before date a°closing, Seller shall use reasonable effort to correct said defect(s) prior to date of closing. If Seller is unable to correct said defect(s) on or before date of closing, at Seller's option and upon written notice to Purchaser or Purchaser's agent on or before date of closing, the date of closing shall be extended thirty days for the purpose of correcting said defect(s). Except as stated in paragraph 13, if title is not rendered merchantable as provided in this paragraph 12, at Purchaser's option, this contract shall be void and of no effect and each party hereto shall be released from all obligations -hereunder -and -all -payment@ and things of value received hereunder -shall be returned -to -Purchase,,-., 13. Any encumbrance required to be paid may be paid at the time of settlement from the proceeds of this transaction or from any other source. Provided, however, at the option of either party, if the total Indebtedness secured by liens on the Property exceeds the purchase price, this contract shall be void and of no effect and each party hereto shall be released from all obligations hereunder and all payments and things of value received hereunder shall be returned to Purchaser. 14. General taxes for the year of closing, based on the most recent levy and the most recent assessment, prepaid rents, water rents, sewer rents, FHA mortgage insurance premiums and interest on encumbrances, if any.4t(d' shall be apportioned to date of delivery of deed. 15. Possession of the Property shall be delivered to Purchaser on date of delivery of deed subject to the following leases or tenancies: none 16. In the event the Property is substantially damaged by fire, flood or other casualty between the date of this contract and the date of delivery of deed, Purchaser may elect to terminate this contract; in which case all payments and things of value received hereunder shall be returned to Purchaser. 17. Time is of the essence hereof. If any note or check received as earnest money hereunder or any other payment due hereunder is not paid, honored or tendered when due, or if any other obligation hereunder is not performed as herein provided, there shall be the following remedies: (a) IF SELLER IS IN DEFAULT, (1) Purchaser may elect to treat this contract as terminated, in which case all payments and things of value received hereunder shall be returned to Purchaser and Purchaser may recover such damages as may be proper, or (2) Purchaser may elect to treat this contract as being in full force and effect and Purchaser shall have the right to an action for specific performance or damages, or both. (b) IF PURCHASER IS IN DEFAULT, (1) Seller mayelectto treat this contract as terminated, in which case all payments and things of value received hereunder shall be forfeited and retained on behalf of Seller and Seller may recover such damages as may be proper, or (2) Seller may elect to treat this contract as being in full force and effect and Seller shall have the right to an action for specific performance or damages, or both. (c) Anything to the contrary herein notwithstanding, in the event of any litigation arising out of this contract, the court may award to the prevailing party all reasonable costs and expense, including attorneys' fees. 18. Purchaser and Seller agree that in the event of any controversy regarding the earnest money held by broker, unless mutual written instruction is received by broker, broker shall not be required to take any action but may await any proceeding, or at broker's option and discretion, may interplead any moneys or things of value into the court and may recover court costs and reasonable attorneys' fees. 19. Additional provisions: It is expressly agreed that the attached documents and agreements are of the exact form of those to be executed in the closing of this transaction. Acceptance of this contract also includes approval and acceptance of the attached documents. Included are: A) Corporate Resolution of Musket Corporation, B) Promissory Note, C) Deed of Trust, D) Warranty Deed, E) Quit Claim Deed, P) Purchaser's Settlement Statement, G) Sellers' Settlement Statement, H) Tax Proration Agreement, I) Left Hand Water Supply Assignment, .7) Weld County Title Company Affidavit, K) Agreement - First Right of Refusal, L) Limited Assignment of Rights Under Lease, M) Grant of Easement. 20. If this proposal is accepted by Seller in writing and Purchaser receives notice of such acceptance on or before December 3D"2 3 _ 19 R2 , this instrument shall become a contrac)between Seller Qpd Purchaser and shall inure to the ouch parties, except as stated in paragraph 7 uccessors and assi 7 lahgma\Corpotation Date ?President-5Date Purchaser's Ad V.�d ass/ P.%0. Box 26210, Oklahoma City, Oklahoma 79126 rptt��1� Qy,•' (The following section to be completed by Seller and Listing Agent) 21. Seller above above proposal this day of 19 , and agrees to pay a commission of 45 of the purchase price for services in this transaction, and agrees that, in the event of forfeiture of payments and things of value received hereunder, such payments and things of value shall be divided between listing broker and Seller, one-half thereof to said broker, but not to exceed the commission, and the balance to Seller. Broker TL IG! Seller Seller's Address By. Seller 1203 Princeton Court, Longmont, Colorado 80501 Listing Broker's Name and Address Reorder trove Copies. Ltd. US'S South Weber Cob. Spas.. CO 10903 Title Realty, Inc., 003 So. Main St., Longmont, Colorado 80501 Copydght ®AprR I911 Copies, Ltd. 00 NOT WRODDC[ without written penulnlen. MARY ANN I Iii: III: R„ Ilii:7N CLERK :. RECORDER WELD CO CO 16. Borrower's Copy. Borrower acknowledges receipt of a copy of the dote and of this Deed of Trust. 19. Acceleration: Foreclosure; Other Remedies. Except as provided in paragraph 25, Due on Transfer of the Property; Assumption, upon Borrower's breach of any covenant or agreement of Borrower in this Deed of Trust, or upon any default in a prior lien upon the Property, at Lender's option, all of the sums secured by this Deed of Trust shall be immediately due and payable (Acceleration). To exercise this option, Lender may invoke the power of sale and any other remedies permitted by law. Lender shall be entitled to collect all reasonable costs and expenses incurred in pursuing the remedies provided in this Deed of Trust, including, but not limited to, reasonable attorneys' fees. If Lender invokes the power of sale, Lender shall give written notice to Trustee of such election. Trustee shall give such notice to Borrower of Borrower's rights as is provided by law. Trustee shall record a copy of such notice as required by law. Trustee shall advertise the time and place of the sale of the Property, for not less than four weeks in a newspaper of general circulation in each county in which the Property is situated, and shall mail copies of such notice of sale to Borrower and other persons as prescribed by law. After the lapse of such time as may be required by law, Trustee, without demand on Borrower, shall sell the Property at public auction to the highest bidder for cash at the time and place (which may be on theProperty or any part thereof as permitted by law) in one or more parcels as Trustee may think best and in such order as Trustee may determine. Lender or Lender's designee may purchase the Property at any sale. It shall not be obligatory upon the purchaser at any such sale to see the application of the purchase money. Trustee shall apply the proceeds of the sale in the following order: (a) to all reasonable costs and expenses of the sale, including, but not limited to, reasonable Trustees' and attorneys' fees and costs of title evidence; (b) to all sums secured by this Deed of Trust; and (c) the excess, if any, to the person or persons legally entitled thereto. 20. Borrower's Right to Cure Default. Whenever foreclosure is commenced for nonpayment of any sums due hereunder, the owners of the Property or parties liable hereon shall be entitled to cure said defaults by paying all delinquent principal and interest payments due as of the date of cure, costs, expenses, late charges, attorneys' fees and other fees all in the manner provided by law. Upon such payment, this Deed of Trust and the obligations secured hereby shall remain in full force and effect as though no Acceleration had occurred, and the foreclosure proceedings shall be discontinued. 21. Assignment of Rents; Appointment of Receiver, Lender in Possession. As additional security hereunder, Borrower hereby assigns to Lender the rents of the Property; however, Borrower shall, prior to Acceleration under paragraph 19, Acceleration; Foreclosure; Other Remedies, or abandonment of the Property, have the right to collect and retain such rents as they become due and payable. Lender or the holder of the Trustee's certificate of purchase shall be entitled to a receiver for the Property after Acceleration under paragraph 19, Acceleration; Foreclosure; Other Remedies, and shall also be so entitled during the time covered by foreclosure proceedings and the period of redemption, if any; and shall be entitled thereto as a matter of right without regard to the solvency or insolvency of Borrower or of the then owner of the Property, and without regard to the value thereof. Such receiver may be appointed by any Court of competent jurisdiction upon ex parte application and without notice - notice being hereby expressly waived. Upon Acceleration under paragraph 19, Acceleration; Foreclosure; Other Remedies, or abandonment of the Property, Lender, in person, by agent or by judicially appointor] receiver, shall be entitled to enter upon, take possession of and manage the Property and to collect the rents of the Property including those past due. All rents collected by Lender or the receiver shall be applied, first, to payment of the costs of preservation and management of the Property, second, to payments due upon prior liens, and then to the sums secured by this Deed of Trust. Lender and the receiver shall be liable to account only for those rents actually received. 22. Release. Upon payment of all sums secured by this Deed of Trust, Lender shall cause Trustee to release this Deed of Trust and shall produce for Trustee the Note. Borrower shall pay all costs of recordation and shall pay the statutory Trustee's fees. If Lender shall not produce the Note as aforesaid, then Lender, upon notice, in accordance with Paragraph 16. from Borrower to Lender, shall obtain at Lender's expense, and file, any lost instrument bond required by Trustee or pay the cost thereof to effect the release of this Deed of Trust. 23. Waiver of Exemptions. Borrower hereby waives all right of homestead and any other exemption in the Property under state or federal law presently existing or hereafter enacted. 24. Escrow Funds for Taxes and Insurance. This paragraph 24 is not applicable if Funds as defined below are being paid pursuant to a prior encumbrance. Subject to applicable law, Borrower shall pay to Lender on each day installments of principal and interest are payable under the Note, until the Note is paid in full, a sum (herein referred to as "Funds") equal to N/A of the yearly taxes and assessments which may attain priority over this Deed of Trust, plus N /A of yearly premium installments for Property Insurance, all as reasonably estimated initially and from time to time by Lender on the basis of assessments and bills and reasonable estimates thereof, taking into account any excess Funds not used or shortages. The principal of the Funds shall be held in a separate account by the Lender in trust for the benefit of the Borrower and deposited in an institution the deposits or accounts of which are insured or guaranteed by a Federal or state agency. Lender shall apply the Funds to pay said taxes, assessments and insurance premiums. Lender may not charge for so holding and applying the Funds, analyzing said account or verifying and compiling said assessments and bills. Lender shall not be required to pay Borrower any interest or earnings on the Funds. Lender shall give to Borrower, without charge, an annual accounting of the Funds showing credits and debits to the Funds and the purpose for which each debit to the Funds was made. The Funds are pledged as additional security for the sums secured by this Deed of Trust. If the amount of the Funds held by Lender shall not be sufficient to pay taxes, assessments and insurance premiums as they fall due, Borrower shall pay to Lender any amount necessary to make up the deficiency within 30 days from the date notice is given in accordance with paragraph 16 by Lender to Borrower requesting payment thereof. Upon payment in full of all sums secured by this Deed of Trust, Lender shall simultaneously refund to Borrower any Funds held by Lender. If under paragraph 19. Acceleration; Foreclosure; Other Remedies, the Property is sold or the Property is otherwise acquired by Lender. Lender shall apply, no later than immediately prior to the sale of the Property or its acquisition by Lender, whichever occurs first, any Funds held by Lender at the time of application as a credit against the sums secured by the Deed of Trust. 25. If all or any part of the property or an interest therein is sold or transferred by Borrower without Lender's prior written consent, excluding (a) the creation of a lien or encumbrance subordinate to this Deed of Trust, (b) the creation of a purchase money security interest for household appliances, (c) a transfer by devise, descent or by operation of law upon the death of a joint tenant or (d) the grant of any leasehold interest of three years or less not containing an option to purchase, Lender may, at Lender's option, declare all the sums secured by this Peed of Trust to be immediately due and payable. Lender shall have waived such option to accelerate if, prior to the sale or transfer, Lender and the person to whom the property is to be sold or trans- ferred reach agreement in writing that the credit of such person is satisfactory to Lender and that the interest payable on the sums secured by this Deed of Trust shall be at such rate as Lender shall request. pnvmont is dun: and Uorrnwer has the right to prapt,y the principal nnmuul uutstnnding under .sort, -1PY7q/?PTIPrP9 %'!°.PrfP4...7`Wy�PlY' TTpYYM)Il9/9f` gthfye�f'P'Y`O'P, �"j�PY`P ffhP' PYY'l9'7' P97°1 ISe! [�C(`(11 f/8C,{t/p{� yTr(g/❑to re y. vd P v teI o r r t of sfrita ar teiMai crag aq ll1 hL1111�L18 Le�{ � r,��t ° l� E �taagrat ahazta e�� 1 M.iini a� k /p%i111/tlid iy1we/ 44t$rdf$9hpda/ts34did Adn/9/w(vlddh�g/tl4di p�t/of ZVObi(1 r drAe'dftihdiwief rm sol6bd t44m,A✓t/1 swot wiabfrockrenfrotEtrfry OhlicirisfrigerlY0 /WV ItIO 00910 001811001040 110 0445004 411004N P a'�`�=trin9fi 8' 'Xt �.�7Y`iat `�X?lt r 1r7i?Y'7'7 m1')r9r PIPP0 9?9'Y 77913)tYurne MTU/t J1 D Tr S, t e a e D t o d a I t 2G. DELETIONS. THE PARAGRAPHS DESIGNATED BELOW WHICH ARE INITIALED BY LENDER AND BORROWER SHALL NOT BE A PART OF THIS DEED OF TRUST. Initials ?derBorrower c E, �e o deletions No deletions EXECUTED BY BORROWER. IF BORROWER IS NATURAL PERSON(s): l ` . IF BORROWER IS CORPORATION: {./ (SEAL) p49', :0e IS.'AArf*IERSHn': 4 is tl State of Colorado Paragraph 24. Escrow Funds for Taxes and Insurance 25. Transfer of the Property; Assumption doing business as MUSKET CORPORATION, an Oklahoma Corporation Name of Corporation Name of Partnership by County of Boulder General Partner The foregoing instrument was acknowledged before me this 22nd day of December ,19 R2 bye Tom E. Love as President and Judith M. Love as Secretary of Musket Corporation, an Oklahoma Corporation WiiheBs my hand 9f :Afficiel seal. IA Pk 174 Mycmpgusgo0.ex 4ss + 3-16-85 e ;f 203 So. M n St.1;1°tVtaiKifit, CO 80501 *If a natural p6reoo oFperwM. (Merl the name of such perecne. If a corporation. incrL for ax ample. "lobo Doe as Preeidept and Jane Doe as Secretary of Doe & Co.. a Colorado corporation." If a partnership. insert. for example, "Sem Smith as general partner in and for Smith & Smith, a general partnership." i 3. i Copyright March 1981 Copies. Ltd. DO NOT REPRODUCE without wrltteo permission. Reorder from Copies. Ltd. Sxsv, South weber Colo. Spas. CO 80903 AR19151305 Record - ., B �J'i k r NEC 01 91 5005 01/20/83 1 .46 $3A00 1/001 Rec. F 0168 MARY ANN f EUI: Rsrl::::IN CLERK & RECORDER WELD CO, CO KNOW ALL MEN BY THESE PRESENTS: That, Whereas, MUSKET CORPORATION, an Oklahoma Corporation of the said Oklahoma County of in the State of 01161/a/dh, by DEED OF TRUST dated the 20th day of December , 19 82 , and duly recorded in the Office of the County Clerk and Recorder of the said County of Weld in the State of Colorado, on the 27th day of December , 19 82 Trustee in said , in book0985 at page (Film No. Reception No.0 1912307 ) of the records, in said office, conveyed to the Public County of Weld certain real estate in said Deed of Trust described, in trust to secure the payment of the indebtedness mentioned therein. AND, WHEREAS, Said indebtedness has been paid and the purposes of said trust have been fully satisified; t dhMC RAga Nom Ei Q NOW, THEREFORE, At the request of the legal holder of the indebtedness secured by said Deed of Trust, and in consideration of the premises, and in further consideration of the sum of Five Dollars, to me in hand paid, the receipt whereof is hereby acknowledged, I, as the Public Trustee in said County of Weld , do hereby remise, release and quit -claim unto the present owner or owners of said real estate and unto the heirs, successors and assigns of said owner or owners forever, all the right, title and interests which I have under and by virtue of said Deed of Trust and to the said real estate in said Deed of Trust particularly described, reference to which is hereby made for greater certainty. TO HAVE AND TO HOLD the same, together with all and singular the privileges and appurtenances thereunto belonging forever. AND FURTHER, that the said Trust Deed is, by these presents, to be considered as fully and absolutely released, cancelled and forever discharged. WITNESS my hand and seal this /9Sday ofi t. / , 19a As the Public Trustee ounty of The Public Trustee in said (SEAL) )(Vic _c; By County of 'qt./ ` Colorado: Please execute this release, the indebtedness secured by the above mentioned Deed of Trust having been fully paid. The legal holder of the in(edness secured by said Deed of Trust Cla,rence J. Ever By //!f-slcr>-fJ i Vivian P. Evers STATE OF COLORADO, County of The foregoing instrument was acknowledged before me this 19 fl ,by rsNNF 0, NYE County of as the , Colorado. My commission expires day of (st ec• • Public Trustee in said IYIy CommIssion Expires Aug. Si, 1986 Witness my hand aygi official seal. 818 .5th et, Greeley, CO 80631 Notary Public No. 904 RELEASE OF DEED OF TRUST BY TIIE PUBLIC TRUSTEE. Bradford Publishing. 5825 W. 618 Ave.. Lakewood. Co 80214— (303)233-6900— 5-82 PROMISSORY NOTE The printed portions of this form approved by the Colorado Real Estate Commission (NTD 76&81) IF THIS FORM IS USED IN A CONSUMER CREDIT TRANSACTION. CONSULT LEGAL COUNSEL. THIS IS A LEGAL INSTRUMENT. IF NOT UNDERSTOOD. LEGAL, TAX OR OTHER COUNSEL SHOULD BE CONSULTED BEFORE SIGNING. US$ 91,000.00 Longmont Colorado / 5 ( Deremher 70 19rsR7 FOR VALUE RECEIVED, the undersigned (Borrower) promise(s) to l Clarence J. Evers and Vivian P. Eve. as joint tenants or order, (Note Holder) the principal sum of NINETY—ONE THOUSAN0AND N 1100 * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * with interest on the unpaid principal balance from Dar emhar 70 , 19 R 7 , until paid, at the rate of 12 %per annum. Principal and interest shall be payable at 1703 Pri neet on Court, Longmont. Colorado 80501 or such other place as the Note Holder may designate irk S l) one Drinc ipa1 payments of NINETY—ONE THOUS OUR HUNDRED EIGHTEEN AND / 0Bolters(U.S. $ 91,418.85 ,) due on the 3rd day of tad January tJ 1s 83 bick 4 SddishAi ldabdde'uWi/tili 61t/rh Gdlithttd14ds/eAiWdc4d by/ ditfem441 $M6411Mdv e4J on Borrower s a- oche A. a 1 Payments rec fo : pplicati interest at the increased rate principal amount hereof. Q' If any payment required by become due and payable at Acceleration specifying th reinstate the terms of this Not Acceleration. The privilege of r Note. as so reinstated the indebtedness shall bear interest at The Note Holder shall be entitled to collect all rea attorneys' fees. Borrower may repay the princi al ount ou Dollars . b(eHnl[uy18 d,'Alheentire principal amount outstanding and accrued interest thereon, shall be due and .ayable over a late charge of days after the L4etwatall be applied first ev y any, third, t.: ccrued Co is not paid when du:, the on of the Note Holder, ( ccel omit of the nonpayment. The Bor they were iately befo e ,instatement shall n t, owever, be av % of any payment not received ayment is due. e payment of late charges, if any, second est first specified above, and the b al amount outstanding and ace . o exercise this option, the Note Hold hall have thirty days after the notic: o ch notice, by paying the amount of n.' .: lable to the Borrower more than once creased rate of costs an er this Note. in % per annum collection and/or b t ce : p the 1 83 der within yment of. accrued in reduction of the est thereon shall at on give Borrower notice eleration has been giv-. to t specified in the t ice of y twelve-month pe a. •. Unless e datl otice of A el luding. but not I' ole or in part, at an ' 1 ; 'thout penalty e4 `.n is given. reasonable Any partial prepayment shall be appli: , :: a' : t ' : • rincipal a ount/butdlanding and sha change the amount of such payments.\ Presentment, notice of dishonor, and • r t : s , re hereby we by Borrower and all othe akers, sureties,. guarap • s and endorsers hereof. This Note shall be the joint and several obli:. t • Borrower and ther mak re, s reties, • arantors and endorsers • their successors and assigns. Any notice to Borrower provided for 14: ote shall be in wri ing and given and be effective upon ( r 'very to Borrower or (2) mailing such notice by certified mail, return rec requested, addressed to Borro at e Borrower's address at: t: . .:low, or to such other address as Borrower may designate by notice to the •te Holder. Any notice to the No old shall be in writing :. • :'t .1 be given and be effective upon (1) delivery to Note Holder or (2) by mailing such notice by certified mail, retu ecei requested, to the Note .rider at the address stated in the first paragraph of this Note. or to such other address as Note Holder may designate by notice to Borrower. The indebtedness evidenced by this Note is secured bye Deed of Trust dated December 20 , 19 82 . and until released said Deed of Trust contains additional rights of the Note Holder. Such rights may cause Acceleration of the indebtedness evidenced by this Note. Reference is made to said Deed of Trust for such additional terms. Said Deed of Trust grants rights to the following decribed property located in the said r......... ..r Weld __ _ . A Tract of land located in the SE= of Section 3, Township 2 North, Range 68 West of the 6th P.M., Weld County, Colorado, described as follows: Beginning at the Southeast corner of said Section 3, thence South 89°31' West a distance of 499.0 feet to a point• thence North 41048' East a distance of 41.25 feet to a point; thence South 89'34'30' West along the present North right of way line of Colorado Highway #119 a distance of 108.0 feet to true point of beginning; thence North 01031' East, a distance of 632.5 feet to a point; thence South 89031' West a distance of 345 feet to a point; thence South 01031' East a distance of 632.5 feet to a point on the North right of way of Colorado Highway #119; thence Easterly along said right of way 345 feet to a point of beginning EXCEPT that portion conveyed to The Department of Highways, State of Colorado by deed recorded December 2, 1970 in Book 636 as Reception No. IF BORROWER IS NATURAL PERSON(S): IF BORROWER IS CORPORATION: ATTEST: (SEAL) IF BORROWER IS PARTNERSHIP: by Secretary 2. Preeldent no ostpone the due date of : ' : subsequent payments or oma Corporation Name of Partnership by General Partner Borrower's address: KEEP THIS NOTE IN A SAFE PLACE. THE ORIGINAL OF THIS NOTE MUST BE EXHIBITED TO THE PUBLIC TRUSTEE IN ORDER TO RELEASE A DEED OF TRUST SECURING THIS NOTE. Copyrleht r9 April lest 525 S Ins Wile Ltd. Capin. LW. Cole. South CO101 fib. tpy.. O t010J DO NOT tGa0DU4 Wlha W written pendular Hello