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Short Form Application For License Under The California Finance Lenders Law - California
| Short Form Application For License Under The California Finance Lenders Law Form. This is a California form and can be used in Financial Services Division Secretary Of State . |
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STATE OF CALIFORNIA DEPARTMENT OF CORPORATIONS INSTRUCTIONS FOR COMPLETING THE SHORT FORM APPLICATION FOR A LICENSE UNDER THE CALIFORNIA FINANCE LENDERS LAW (CFLL) ASSISTANCE WITH THE APPLICATION Refer to these instructions while completing the CFLL short form application. If you have questions about the application that are not answered by these instructions, call the Department of Corporations' toll-free telephone number at (866) 275-2677. Department personnel cannot provide individual legal or accounting advice. Applicants who need such advice must consult a qualified professional. FEES AND PROCESSING OF THE APPLICATION The application and any attachments must be typewritten. The signature must be original and not a copy. Attach additional sheets if you need more space to complete an answer to any of the questions and label the answers by the corresponding question number. Answer every question in the application. A CFLL licensee seeking to engage in business at an additional location must submit this application to the California Corporations Commissioner by certified mail, return receipt requested, at least 10 days before engaging in business at the location. The application must be accompanied by a nonrefundable application fee of $200 and an investigation fee of $100. The application fee and investigation fee are not refundable if the application is denied or withdrawn. Make the check payable to the Department of Corporations for the total amount of all fees. The application, attachments, and fees must be filed only in the Los Angeles office of the Department of Corporations, located at 320 West 4th Street, Suite 750, Los Angeles, California 90013. THE CFLL SHORT FORM APPLICATION The headings used in these instructions correspond to the item numbers in the application. ITEM NUMBER 1 OF APPLICATION: Name of Applicant: Provide the applicant's legal name. Some foreign entities are required by the California Secretary of State's office to use an assumed name for all business they conduct in California. These entities should provide that assumed name as the "Name of Applicant" and may only use that name. These entities are not permitted to use a fictitious business name. 1423-CFLL Short Form Instructions 1 American LegalNet, Inc. www.FormsWorkflow.com Fictitious Business Name: An applicant that intends to conduct CFLL business under a fictitious business name that is different from its legal name should provide the fictitious business name here. Provide the name that appears on the Fictitious Business Name Statement as filed with the county clerk. The use of a fictitious business name is not permitted for a new location unless the Department of Corporations has already approved the use of that name. If the fictitious business name has not already been approved by the Department of Corporations, approval of a new fictitious business name may be requested from the Department of Corporations by submitting under separate cover a copy of the Fictitious Business Name Statement with the "filed stamp" from the county clerk's office. The applicant's name must appear as a registrant on the Fictitious Business Name Statement. This document should be forwarded along with a written request to CFLL Licensing Specialist, Department of Corporations, 320 West 4th Street, Suite 750, Los Angeles, California 90013. Applicants who intend to conduct business under a fictitious business name are required to comply with the rules governing the filing of a fictitious business name as set forth in Business and Professions Code Section 17900 et seq. ITEM NUMBER 2 OF APPLICATION: Applicant's Licensed Place of Business: Provide the applicant's complete proposed place of CFLL business, including number and street, city, county, state, zip code, telephone number, and fax number. ITEM NUMBER 3 OF APPLICATION: Individual in Charge of this Location: Each office must have a person who is in charge. Provide the full name of the individual who will be in charge of this location. If the applicant has no middle name, indicate, e.g. "John [no middle name] Smith." Statement of Identity and Questionnaire: The individual named in Item Number 3 of the application must complete and submit a Statement of Identity and Questionnaire. If a Statement of Identity and Questionnaire has already been provided to the Department for the individual named in Item Number 3, there is no need to complete the form. The same individual cannot be in charge of multiple locations, and each location must have an individual in charge. The 10-year employment and residence history in the Statement of Identity and Questionnaire must be complete and accurate. Attach copies of all pertinent court and other documents requested. The Statement of Identity and Questionnaire must be notarized if executed outside the State of California. 1423-CFLL Short Form Instructions 2 American LegalNet, Inc. www.FormsWorkflow.com ITEM NUMBER 4 OF APPLICATION: Applicant's Plan of Business: Mark the appropriate box with either a "yes" or "no" response to indicate if there has been any change in the plan of business of making or brokering loans or other business that was previously submitted to the Department of Corporations. If "yes", explain the change. ITEM NUMBER 5 OF APPLICATION: Applicant's License Number: Provide the existing license number and address of at least one other CFLL license currently held by the applicant. ITEM NUMBER 6 OF APPLICATION: Responsible Officer or Compliance Person: Provide the name, title, address, email address, and telephone number of the contact person to whom questions regarding the filing of this application should be directed. The responsible officer or compliance person must be from the main office of the company, and may not be a branch manager. SIGNATURE SECTION: Provide the required information. The Signature Section must be signed by an officer who has previously completed and submitted a Statement of Identity and Questionnaire to the Department of Corporations. The application must be signed by the applicant if a sole proprietor, by a general partner if a partnership, or by an authorized officer, if a corporation. 1423-CFLL Short Form Instructions 3 American LegalNet, Inc. www.FormsWorkflow.com (Department of Corporations Use Only) DEPARTMENT OF CORPORATIONS Fee Paid $ ___________________ File No. ________________________ Receipt No. __________________ STATE OF CALIFORNIA DEPARTMENT OF CORPORATIONS "SHORT FORM APPLICATION
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