Notice Of Collections Manager Change Form - State Of Colorado - Department Of Law Page 4
Download a blank fillable Notice Of Collections Manager Change Form - State Of Colorado - Department Of Law in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete Notice Of Collections Manager Change Form - State Of Colorado - Department Of Law with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
1
2
3
414.
Has any collection agency, debt collector, solicitor, collections manager, lender, mortgage, or
other financial license or registration issued to you, as an individual, been the subject of any
disciplinary or adverse action by a governmental entity?
No ____ Yes ____ If yes, provide details.
(Attach additional pages if necessary)
______________________________________________________________________________________
______________________________________________________________________________________
15.
Are there any pending criminal charges against you for a felony offense or involving any of
the following criminal charges: theft, receiving stolen property, forgery, impersonation,
simulation, fraud, fraudulent and deceptive sales and business practices, Uniform
Commercial Code offenses, computer crimes or financial transaction device offenses?
No ____ Yes ____ If yes, provide details.
(Attach additional pages if necessary)
______________________________________________________________________________________
______________________________________________________________________________________
Approval as collections manager is contingent upon filing a satisfactory affidavit,
meeting the minimum qualifications stated in section 5-16-119(1)(a), C.R.S., having none
of the disqualifications stated in section 5-16-123(2)(a), C.R.S., and employment by a
licensed collection agency.
Statements made herein are made under oath. False statements may be punishable as
second-degree perjury.
______________
(Date)
(Signature)
The above information is required by § 14-14-113 and 24-34-107, C.R.S. and may be used
to revoke, suspend, or deny licenses as determined by the state child support
enforcement agency for noncompliance with support orders or subpoenas/warrants
relating to paternity and child support.
8/9/17
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Legal