Form 2227 - South Dakota Electronic Lien And Title Lender Application Page 3

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Multiple Branch Worksheet Instructions
If a lender wishes for its individual branches to be uniquely identified as a lender, they must fill in the
branch address, city, state, and zip code. A branch’s lender ID is the lender’s FEIN followed by a 2 digit
identifier starting with 01 and sequentially numbered. Example: XX-XXXXXXX-01, XX-XXXXXXX-02, etc. This
number will be assigned by the lender. If more slots are needed, please reprint this page and attach it to
the form.
Principal Lender FEIN:
Branch ID
D
Branch Address
City
State
Zip Code
(01, 02, etc…)

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