Utah > Department Of Commerce > Corporations Division > General
Application For Collection Agency Registration - Utah
| Application For Collection Agency Registration Form. This is a Utah form and can be used in General Corporations Division Department Of Commerce . |
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State of Utah Department Of Commerce Division of Corporations & Commercial Code Application for Collection Agency Non-Refundable Processing Fee: [ ] Registration $32.00 [ ] Renewal $32.00 When renewing the collection agency, the bond date must match the collection agency's registration date. 1. Registered business name: ____________________________________________________________________ 2. Business street address: ______________________________________________________________________ Street Address ______________________________________________________________________ City State Zip 3. Date business formed or incorporated: ___________________________ 4. Name of the principal applicant-owner of the agency or authorized officer of the corporation: _________________________________________________________________________________________ 5. Principal's Address: _________________________________________________________________________ Street Address _________________________________________________________________________ City State Zip 6. All applications must include original surety bond written for 1 (one) year. *If a collection agency is involved with collecting payments from consumer credit transactions, please contact the Department of Financial Institutions at (801)538-8830 regarding requirements. 7. I will faithfully comply with all provisions of the federal Fair Debt Collections Practices Act and consent to have my agency registration canceled by the Division and shall forfeit my surety bond should I or my agency be found to have violated the provisions of this Act in any material way. I, _______________________________________ do swear, Principal Applicant under penalty of perjury, that the above information is true and complete. _____________________________________ Signature of Applicant _________________________ Date Where to file: You may file in person or by mail. Means of payment are: cash, check, or money order. Nonrefundable processing fee of $32.00. Under GRAMA {63-2-201}, all registration information maintained by the Division is classified as public record. For confidentiality purposes, you may use the business entity physical address rather than the residential or private address of any individual affiliated with the entity. Mailing/Faxing Information: www.corporations.utah.gov/contactus.html Division's Website: www.corporations.utah.gov American LegalNet, Inc. www.FormsWorkFlow.com
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