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Form Sr Application For Renewal Of License Pursuant To The Sale Of Checks Act - Alabama Securities Commission Page 4

THE APPLICANT, BY THE EXECUTION OF THIS APPLICATION, ACKNOWLEDGES AND AGREES TO THE

FOLLOWING CONDITIONS:

Applicant agrees to operate the business in compliance with all orders, decisions or

findings of the Alabama Securities Commission.

YES _______ NO _______

The Applicant agrees to maintain adequate records which disclose the true status of the

Applicant's business, and will make such records available for examination upon request of

representatives of the Alabama Securities Commission.

YES _______ NO _______

The Applicant agrees to maintain sufficient bank deposit balances at all tim es to cover

Applicant's liability on account of checks, drafts, money orders or other instruments for the

transmission or payment of money and the receiving of money as agent for obligors.

YES _______ NO _______

The Applicant agrees to deliver to the Alabama Securities Commission the license issued by

the Commission if the same is not renewed or if the license is revoked or voluntarily

surrendered.

YES _______ NO _______

Applicant agrees that upon receiving a license under the Act, it will maintain a bank

deposit account for the payment of liabilities incurred in the business for which this license

application is being filed. Applicant will keep and maintain in this account, at all times, a

minimum amount equal to all outstanding liabilities.

YES _______ NO _______

SIGNATURE OF APPLICANT

For sole proprietor _______________________________

(Proprietor)

For Partnership _________________________________

(Name of partnership)

BY _____________________________________

(General Partner)

Form Sr Application For Renewal Of License Pursuant To The Sale Of Checks Act - Alabama Securities Commission Page 4