Form Ct Boia-1 - Application To Register Business Opportunity Investment With The Connecticut Banking Commissioner Page 3

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8.
(a) Is the seller required to obtain a surety bond or establish a trust account pursuant to Section
36b-64 of the Act (answer "yes" or "no")?
(b) If question (8)(a) is answered in the affirmative, submit evidence that an appropriate surety
bond has been obtained or that a trust account has been established as required by Section
36b-64 of the Act.
9.
(a) Check #
and name of maker
of the $400 fee submitted with this
application as required by Section 36b-62(a)(5) of the Act, or;
(b) Check #
and name of maker
of the $100 renewal fee submitted with
this application as required by Section 36b-79(1) of the Act.
(c) Check #
and name of maker
of the $50 post-sale registration fee
submitted with this application as required by Section 36b-62(e) of the Act.
10.
Submit a copy of any contracts, agreements, brochures or other documents relating to the business
opportunity.
11.
Submit a copy of the disclosure statement as required by Section 36b-63 of the Act.
12.
Submit a copy of the Consent to Service of Process as required by Section 36b-62 of the Act.
13.
The applicant hereby applies for registration or acceptance for filing of the above-named business
opportunities under the Act and in consideration thereof agrees so long as the registration remains
in effect that it will:
(a) Advise the Commissioner of any change in any of the information contained herein or in any of
the documents submitted with or as a part of the application, and amend the disclosure
statement to show such changes.
(b) Notify the Commissioner immediately upon the receipt of any stop order, denial, order to show
cause, suspension or revocation order, injunction or restraining order, or similar order entered
or issued by any state or other regulatory authority or by any court concerning the business
opportunities of the seller currently being offered to the public.
(c) Furnish promptly all additional information and documents in respect to the business
opportunities covered by the application as may be requested by the Commissioner or his duly
authorized representative.
-3-

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