Form DBO-EL 1726 Notice of Officers, Directors, Trustees, Employees or Other Persons Directly or Indirectly Compensated by Escrow Agents - California

Form DBO-EL1726 is a California Department of Business Oversight form also known as the "Notice Of Officers, Directors, Trustees, Employees Or Other Persons Directly Or Indirectly Compensated By Escrow Agents". The latest edition of the form was released in May 1, 2017 and is available for digital filing.

Download a PDF version of the Form DBO-EL1726 down below or find it on California Department of Business Oversight Forms website.

ADVERTISEMENT
STATE OF CALIFORNIA –DEPARTMENT OF BUSINESS OVERSIGHT
NOTICE OF OFFICERS, DIRECTORS, TRUSTEES, EMPLOYEES OR OTHER
PERSONS DIRECTLY OR INDIRECTLY COMPENSATED BY ESCROW AGENTS
DBO – EL 1726 (Rev. 5-17)
*Fee: $10.00 + DOJ
Noncriminal Applicant
Fingerprint Fee
Receipt No.
DEPARTMENT OF BUSINESS OVERSIGHT
th
320 West 4
Street, Suite 750
Los Angeles, California 90013-2344
(213) 576-7690
OFFICIAL USE ONLY
Last Name
Date submitted CII ·-----
Applicant I.D.
#
PLEASE PRINT OR TYPE
FileNo.
Name of Company
ADDRESS OF MAIN OFFICE:
Street
City
State
Zip Code
EMPLOYING BRANCH OFFICE:
APPLICANT’S NAME:_________________________________________________________
Last
First
Middle
POSITION HELD OR TO BE HELD:
HOME ADDRESS:
Street
City
State
Zip Code
DATE OF BIRTH:
PLACE OF BIRTH:
Month
Day
Year
DRIVER'S LICENSE NUMBER:
HEIGHT:_____
WEIGHT:____
SEX: ____
COLOR OF EYES:____
COLOR OF HAIR:____
*Fees should include the Department of Business Oversight's filing fee of ($10.00) and the fee charged by the
Department of Justice (Section11105, Penal Code) for processing Noncriminal Applicant Fingerprints.
STATE OF CALIFORNIA –DEPARTMENT OF BUSINESS OVERSIGHT
NOTICE OF OFFICERS, DIRECTORS, TRUSTEES, EMPLOYEES OR OTHER
PERSONS DIRECTLY OR INDIRECTLY COMPENSATED BY ESCROW AGENTS
DBO – EL 1726 (Rev. 5-17)
*Fee: $10.00 + DOJ
Noncriminal Applicant
Fingerprint Fee
Receipt No.
DEPARTMENT OF BUSINESS OVERSIGHT
th
320 West 4
Street, Suite 750
Los Angeles, California 90013-2344
(213) 576-7690
OFFICIAL USE ONLY
Last Name
Date submitted CII ·-----
Applicant I.D.
#
PLEASE PRINT OR TYPE
FileNo.
Name of Company
ADDRESS OF MAIN OFFICE:
Street
City
State
Zip Code
EMPLOYING BRANCH OFFICE:
APPLICANT’S NAME:_________________________________________________________
Last
First
Middle
POSITION HELD OR TO BE HELD:
HOME ADDRESS:
Street
City
State
Zip Code
DATE OF BIRTH:
PLACE OF BIRTH:
Month
Day
Year
DRIVER'S LICENSE NUMBER:
HEIGHT:_____
WEIGHT:____
SEX: ____
COLOR OF EYES:____
COLOR OF HAIR:____
*Fees should include the Department of Business Oversight's filing fee of ($10.00) and the fee charged by the
Department of Justice (Section11105, Penal Code) for processing Noncriminal Applicant Fingerprints.
STATE OF CALIFORNIA –DEPARTMENT OF BUSINESS OVERSIGHT
NOTICE OF OFFICERS, DIRECTORS, TRUSTEES, EMPLOYEES OR OTHER
PERSONS DIRECTLY OR INDIRECTLY COMPENSATED BY ESCROW AGENTS
DBO – EL 1726 (Rev. 5-17) Page 2 of 2
DBO’s Privacy Notice on Collection
DBO Collects and Uses Personal Information: The DBO collects the information
requested on this form as authorized by the California Financial Code section 17414.1 and
California Code of Regulations section 1726. The DBO uses this information to investigate
the individual’s background and qualifications associated with an applicant or a licensee.
Use of the personal Information DBO collects is subject to limitations contained in the
Information Practices Act of 1977 and other applicable state and federal laws.
Providing Personal Information Is Voluntary: You do not have to provide the personal
information requested. If you do not want to provide personal information, such as your
name, home address or home telephone number, you may remain anonymous. However,
we may not be able to contact you or help resolve your issue.
When providing information or documents, please do not include unrequested personal
information such as a Social Security number, driver’s license number, or financial
information.
DBO May Disclose Your Personal Information: We may share your personal information
with the Department of Justice’s Identification and Information Branch, other federal, state or
local law enforcement agencies, or a self-regulatory organization as authorized by law. Your
personal information may also be disclosed:
 In response to a Public Records Act request, as allowed by the Information Practices
Act.
 To another governmental agency as required by state or federal law.
 In response to a court order or administrative order, a subpoena or a search warrant.
Your Access to Your Personal Information: You may review the records maintained by
DBO that contain your personal information. To request access, contact: DBO Privacy
Officer, 1515 K Street, Sacramento, CA 95814, (866) 275-2677.

Download Form DBO-EL 1726 Notice of Officers, Directors, Trustees, Employees or Other Persons Directly or Indirectly Compensated by Escrow Agents - California

614 times
Rate
4.8(4.8 / 5) 31 votes
ADVERTISEMENT

Related forms

Page of 2