Looking for a Oklahoma Legal Forms And Templates? Download it for free!

License Renewal - Department Of Consumer Credit - Supervised Lender - State Of Oklahoma Form

State

Oklahoma

Department of Consumer Credit

Supervised Lender

2017 License Renewal Form

License Number:

Licensee Name:

Licensee Address:

Renewal Fee Components

Annual License Fee

$290.00

Examination Fee

$500.00

Total Amount Due:

(Pay this amount)

$790.00

NOTE: A late fee of $10 per day will be charged for up to 30 days if the completed form with payment is not

postmarked on or before December 1. License will expire if completed form and payment are not received or

postmarked by December 31st, 2016.

Email:

Website:

Phone:

Fax:

Instructions

1. Please ensure that this form and any payments are signed by the appropriate person.

2. Make checks/money orders payable to: Oklahoma Department of Consumer Credit

3. Have you ever been convicted of a felony?

Yes

(If yes, please submit a certified copy of the

Judgement and Sentence of the Court with this renewal application.)

4. Please submit documentation on any information, unless previously submitted, that has been changed since

the initial application.

5. Submit a copy of current bond in the amount of $5,000.00.

The undersigned hereby certifies that he/she is authorized to complete this form and pay appropriate fees,

and that the information set forth above is true and correct.

Print Name of Person Authorized to Renew License:

Signature:

Title:

Date:

Please return completed form and payment to: Oklahoma Department of Consumer Credit

3613 NW 56th Street

Suite 240

Oklahoma City, OK 73112-4512

For DOCC Use Only

Postmark Date:

Date Received:

Date License Mailed:

Mailed By:

License Renewal - Department Of Consumer Credit - Supervised Lender - State Of Oklahoma Form

Related Articles

Related forms

Related Categories