Dispute Form

Legal Agreement RequiredBy checking this box, I certify there exists a bona fide dispute between the alleged delinquent retailer and the reporting manufacturer, importing distributor, or distributor with respect to the amount of indebtedness owed by the retailer because of an alleged sale of wine and spirits. I acknowledge that filing this bona fide dispute without a reasonable basis is a violation of the Illinois Liquor Control Act and could result in a license violation.