Loan Application

Loan Application
Application Date:

MonthDayYear
Date
How many applicants are there?*

12Additional Applicant
Customer Testimonial

"Specialty Group helped me find and purchase a liquor license with ease of mind. Their exceptional service exceeded my expectations and it was easy to work with them. Even with my inexperience in dealing with the liquor license, Specialty Group made it seamless and accommodating to my needs. I highly recommend their services and expertise!"

Rafael Vencio, Amboy Restaurant

Acknowledgment & Disclaimer
All individuals listed on this application have read and understand the Acknowledgment and Disclaimer paragraph above and acknowledge all information provided on this application is true.*

I/We Agree
Applicant 1: Signature*

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Applicant 1: Printed Name*
Applicant 1 Spouse: Signature*

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Applicant 1 Spouse: Printed Name*
Applicant 2: Signature*

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Applicant 2: Printed Name*
Applicant 2 Spouse: Signature*

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Applicant 2 Spouse: Printed Name*

Authorization to Tax Bodies
By signing below, on behalf of your business/corporation, you authorize the any officer, agent, or representative of the Pennsylvania Department of Revenue, Pennsylvania Department of Labor & Industry and/or the Allegheny County Treasurer’s Office (all listed below), to provide any information in regard to my accounts to Specialty Group, Specialty Real Estate, Ltd., Specialty Lenders, Ltd. and/or Specialty Bar & Restaurant Brokers, Ltd.
By selecting the box below you have read the above disclaimer and agree to sign the Authorization of Tax Bodies letter and have the authority to sign on behalf of the business/corporation.*

Yes, I agree
Full Name*
Signature*

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General Information