51A-17-12. Application for license--Form--Contents. Each application for a license under this chapter shall be made in writing on a form prescribed by the director that includes:
(1) The exact name of the applicant, the applicant's principal address, any fictitious or trade name used by the applicant in the conduct of business, and the location of the applicant's business records;
(2) The history of the applicant's material litigation for the preceding five-year period;
(3) A complete set of the applicant's fingerprints and a signed waiver authorizing the division to conduct a criminal history background check of the applicant;
(4) A description of the business activities conducted by the applicant and a history of operations;
(5) A description of the business activities in which the applicant seeks to be engaged in the state;
(6) A list identifying the applicant's proposed authorized delegates in the state, if any, at the time of the filing of the application;
(7) A sample authorized delegate contract, if applicable;
(8) A sample form of payment instrument, if applicable;
(9) Each location at which the applicant and its authorized delegates, if any, propose to conduct the licensed activities in the state; and
(10) The name and address of the clearing bank or banks on which the applicant's payment instruments will be drawn or through which the payment instruments will be payable.Source: SL 2008, ch 253, § 12; SL 2019, ch 206, § 3.
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