Form DBO2120 SP "Unlicensed Money Transmitter Complaint / Queja Con Respecto a Un Transmisor De Dinero No Authorizado" - California (English/Spanish)

What Is Form DBO2120 SP?

This is a legal form that was released by the California Department of Financial Protection and Innovation - a government authority operating within California. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on August 1, 2013;
  • The latest edition provided by the California Department of Financial Protection and Innovation;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form DBO2120 SP by clicking the link below or browse more documents and templates provided by the California Department of Financial Protection and Innovation.

ADVERTISEMENT
ADVERTISEMENT

Download Form DBO2120 SP "Unlicensed Money Transmitter Complaint / Queja Con Respecto a Un Transmisor De Dinero No Authorizado" - California (English/Spanish)

Download PDF

Fill PDF online

Rate (4.5 / 5) 92 votes
STATE OF CALIFORNIA – DEPARTMENT OF BUSINESS OVERSIGHT
UNLICENSED MONEY TRANSMITTER COMPLAINT /
DBO 2120 SP (Rev. 8-13)
QUEJA CON RESPECTO A UN TRANSMISOR DE DINERO NO AUTHORIZADO
Information Regarding / Información acerca de
Unlicensed Money Transmitter /
Your Personal Information /
Transmisor de Dinero Sin Licencia
Su Información Personal
Name and Office Address /
Your Name and Address /
Nombre y Dirección de la Oficina
Su Nombre y Dirección
Your Email Address /
Telephone / Teléfono
Su Dirección de Correo Electrónico
Contact Person / Persona de Contacto
Your Telephone / Su Teléfono
Your Fax Number / Su Número de Fax
Your Employer / So Empleador
How and when did you become aware of this money transmitter? Describe everything you personally
observed about the conduct of its money transmission business. Submit copies of the following documents
with this form: receipts, advertisements, photographs of money transmitter office(s), and brochures that
show the person or company complained of are engaged in the business of money transmission.
¿Cóm o y cuándo usted se enteró de este transm isor de dinero? Describe todo lo que personalm ente
observó sobre la conducta de su negocio de envío de dinero. Envíe copias de los siguientes docum entos
con esta form a: recibos publicidad, fotografías de transmisor de dinero, y folletos que m uestran la persona
o la em presa denunciada está dedicado al negocio de transm isión de dinero.
1515 K St. Suite 200
45 Fremont Street, Suite 1700
300 S. Spring Street, Suite 15513
7575 Metropolitan Drive, Suite 108
Sacramento, CA 95814
San Francisco, CA 94105
Los Angeles, CA 90013
San Diego, CA 92108
(916) 445 -7205
(415) 263-8500
(213) 897-2085
(619) 682-7227
STATE OF CALIFORNIA – DEPARTMENT OF BUSINESS OVERSIGHT
UNLICENSED MONEY TRANSMITTER COMPLAINT /
DBO 2120 SP (Rev. 8-13)
QUEJA CON RESPECTO A UN TRANSMISOR DE DINERO NO AUTHORIZADO
Information Regarding / Información acerca de
Unlicensed Money Transmitter /
Your Personal Information /
Transmisor de Dinero Sin Licencia
Su Información Personal
Name and Office Address /
Your Name and Address /
Nombre y Dirección de la Oficina
Su Nombre y Dirección
Your Email Address /
Telephone / Teléfono
Su Dirección de Correo Electrónico
Contact Person / Persona de Contacto
Your Telephone / Su Teléfono
Your Fax Number / Su Número de Fax
Your Employer / So Empleador
How and when did you become aware of this money transmitter? Describe everything you personally
observed about the conduct of its money transmission business. Submit copies of the following documents
with this form: receipts, advertisements, photographs of money transmitter office(s), and brochures that
show the person or company complained of are engaged in the business of money transmission.
¿Cóm o y cuándo usted se enteró de este transm isor de dinero? Describe todo lo que personalm ente
observó sobre la conducta de su negocio de envío de dinero. Envíe copias de los siguientes docum entos
con esta form a: recibos publicidad, fotografías de transmisor de dinero, y folletos que m uestran la persona
o la em presa denunciada está dedicado al negocio de transm isión de dinero.
1515 K St. Suite 200
45 Fremont Street, Suite 1700
300 S. Spring Street, Suite 15513
7575 Metropolitan Drive, Suite 108
Sacramento, CA 95814
San Francisco, CA 94105
Los Angeles, CA 90013
San Diego, CA 92108
(916) 445 -7205
(415) 263-8500
(213) 897-2085
(619) 682-7227
STATE OF CALIFORNIA – DEPARTMENT OF BUSINESS OVERSIGHT
UNLICENSED MONEY TRANSMITTER COMPLAINT /
DBO 2120 SP (Rev. 8-13) Page 2 of 2
QUEJA CON RESPECTO A UN TRANSMISOR DE DINERO NO AUTHORIZADO
Are you willing to appear in court to testify to the foregoing?
Yes/Sí
No/No
¿Está usted dispuesto a comparecer ante el tribunal para dar
testim onio de lo anterior?
Your Signature/Su Firm a
Date / Fecha
Please complete and mail or fax this form and related documents to the address below.
Consumer Services Office
Department of Business Oversight
1515 K Street, Suite 200, Sacramento, CA 95814-4052
Email:
consumer@dbo.ca.gov
Phone #: 1-866-275-2677
Fax #: (916) 445-2123
Page of 2