Indiana-Sos Loan Broker License (Jurisdiction-Specific Requirements) (Page 2 of 2) in pdf

NMLS Unique ID Number:

________________

Applicant Legal Name:

______________________________________

NOT

ATTACHED

ITEM

APPLICABLE



SURETY BOND. Provide an original notarized bond in the appropriate

graduated amount

furnished by a surety company authorized to conduct business

in Indiana. The name of the principal insured on the bond must match exactly the

Full Legal Name of applicant. For applicants applying prior to October 31, the

bond term should extend until the end of the year of application. For applicants

applying after November 1 and before December 31, the bond term should

extend until the end of the next calendar year. Use the surety bond form found

here. The power of attorney for the bond must also be included. Do not

include an expiration date on bond. The original bond and power of

attorney must be sent to the Indiana Secretary of State Securities Division.



SECRETARY OF STATE DOCUMENTATION. A copy of:



The Corporate Charter or Articles of Incorporation (if a corporation), or



The Articles of Organization and Operating Agreement (if a Limited

Liability Company), or



The Partnership Agreement (if a partnership of any form);



ULTIMATE EQUITABLE OWNER(S). $100.00 for each ultimate equitable owner

(UEO). The UEO fee is separate from the NMLS licensing fee. A check and a

cover letter containing the company name and check amount must be sent to

and made payable to the Indiana Secretary of State. UEOs are also required to

obtain an FBI background report through the NMLS. The definition of an UEO

can be found in the Indiana Code

23-2-5-3

(j).



BUSINESS REGISTRATION. The entity’s name and any assumed business

name(s) must be registered with the Indiana SOS, Business Services Division

(BSD). The business name must exactly match the name on the bond. Go to

to start registration and call the main line at 317-

232-6576 for assistance.



CONSENT TO SERVICE OF PROCESS. List the Indiana Secretary of State’s

address and contact information appointing the Secretary of State as the agent to

receive process on the company’s NMLS profile.



FBI BACKGROUND CHECKS For each control person, equitable owner(s),

director(s), manager(s) or officer(s) provide an FBI background check issued by

the Federal Bureau of Investigations (FBI). Reference the Indiana SOS website

for more detail.



DISCLOSURE QUESTIONS. Provide complete details of all events or

proceeding for any “Yes” answer to any of the Disclosure questions for the

company or any Control Person and provide a copy of any applicable orders or

documents.

WHO TO CONTACT – Contact Indiana Secretary of State, Securities Division licensing staff by phone

at 317-232-6681 or e-mail

for questions regarding regulation and licensing.

nmusgrave@sos.in.gov

Updated: 10/3/13

Page 2 of 2

Indiana-Sos Loan Broker License (Jurisdiction-Specific Requirements) Page 2

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