Form SL "Application for Original License" - Alabama

What Is Form SL?

This is a legal form that was released by the Alabama State Banking Department - a government authority operating within Alabama. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on August 6, 2005;
  • The latest edition provided by the Alabama State Banking Department;
  • 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 printable version of Form SL by clicking the link below or browse more documents and templates provided by the Alabama State Banking Department.

ADVERTISEMENT
ADVERTISEMENT

Download Form SL "Application for Original License" - Alabama

Download PDF

Fill PDF online

Rate (4.4 / 5) 54 votes
APPLICATION FOR ORIGINAL LICENSE
Alabama Small Loan Act
For Department Use Only
State Banking Department
SL
Lic #: _________
ID#: ___________
P.O. Box 4600
Only 374: ______ Also 2052: ______
Montgomery, Alabama 36103-4600
Lic $: _________ Inv. $: __________
www.banking.alabama.gov
Issue Date:______________________
TO THE STATE BANKING DEPARTMENT, STATE OF ALABAMA:
Application is hereby made to engage in the business of making small loans pursuant to Ala. Code 5-18-1 et seq.
Business Name:
D/B/A (if different):
Applicant is a(n):
Alabama Business Corporation
Alabama Limited Liability Company
Alabama Limited Liability Partnership
Alabama Limited Partnership
Foreign Business Corporation
Foreign Limited Liability Company
Foreign Limited Liability Partnership
Foreign Limited Partnership
General Partnership
Sole Proprietorship
Non-Profit
PHYSICAL LOCATION:
Street:
County:
City:
State:
Zip:
Phone:
Fax:
DEPARTMENT CORRESPONDENCE SHOULD BE DIRECTED TO:
Name:
Title:
Phone:
Address -- Street/PO Box:
City:
State:
Zip:
E-mail Address:
COMPLETE THE FOLLOWING FOR EACH OWNER, MEMBER, OFFICER AND DIRECTOR AS APPLICABLE:
Name:
Title:
Ownership %:
Residence Address:
Business Address:
Name:
Title:
Ownership %:
Residence Address:
Business Address:
Name:
Title:
Ownership %:
Residence Address:
Business Address:
Name:
Title:
Ownership %:
Residence Address:
Business Address:
(Continue on attachment if necessary
APPLICATION FOR ORIGINAL LICENSE
Alabama Small Loan Act
For Department Use Only
State Banking Department
SL
Lic #: _________
ID#: ___________
P.O. Box 4600
Only 374: ______ Also 2052: ______
Montgomery, Alabama 36103-4600
Lic $: _________ Inv. $: __________
www.banking.alabama.gov
Issue Date:______________________
TO THE STATE BANKING DEPARTMENT, STATE OF ALABAMA:
Application is hereby made to engage in the business of making small loans pursuant to Ala. Code 5-18-1 et seq.
Business Name:
D/B/A (if different):
Applicant is a(n):
Alabama Business Corporation
Alabama Limited Liability Company
Alabama Limited Liability Partnership
Alabama Limited Partnership
Foreign Business Corporation
Foreign Limited Liability Company
Foreign Limited Liability Partnership
Foreign Limited Partnership
General Partnership
Sole Proprietorship
Non-Profit
PHYSICAL LOCATION:
Street:
County:
City:
State:
Zip:
Phone:
Fax:
DEPARTMENT CORRESPONDENCE SHOULD BE DIRECTED TO:
Name:
Title:
Phone:
Address -- Street/PO Box:
City:
State:
Zip:
E-mail Address:
COMPLETE THE FOLLOWING FOR EACH OWNER, MEMBER, OFFICER AND DIRECTOR AS APPLICABLE:
Name:
Title:
Ownership %:
Residence Address:
Business Address:
Name:
Title:
Ownership %:
Residence Address:
Business Address:
Name:
Title:
Ownership %:
Residence Address:
Business Address:
Name:
Title:
Ownership %:
Residence Address:
Business Address:
(Continue on attachment if necessary
Has the Applicant or any of its owners, members, directors, officers or any beneficial owner been convicted of a felony or any
crime involving breach of trust, fraud or dishonesty?
Yes:
No:
If yes, please explain:
Has the Applicant or any of its owners, members, directors or officers had a loan license denied, revoked or suspended by
any government agency?
Yes:
No:
If yes, please explain and list which state(s)?
Has the Applicant or any of its owners, members, directors or officers had any court findings of fraud against them?
If yes, please explain:
Yes:
No:
Does the Applicant operate other locations in Alabama or any other state?
Yes:
No:
If yes, complete the following:
Name of State
Trade Name
Date Originally Licensed
(Continue on attachment if necessary
Who should we contact regarding licensing?
Name:
Title:
Address:
City:
State:
Zip:
Phone #:
Fax #:
Email address:
Who should we contact regarding examinations?
Name:
Title:
Address:
City:
State:
Zip:
Phone #:
Fax #:
Email address:
Who should we contact regarding complaints?
Name:
Title:
Address:
City:
State:
Zip:
Phone #:
Fax #:
Email address:
Who should we contact regarding annual reports?
Name:
Title:
Address:
City:
State:
Zip:
Phone #:
Fax #:
Email address:
THE FOLLOWING MUST ACCOMPANY THIS APPLICATION OR YOUR APPLICATION WILL BE RETURNED:
ATTACHMENT 1.
A summary of the education and experience of each owner, member, director and officer.
ATTACHMENT 2.
A certified copy of the Applicant's Articles of Incorporation and By-Laws, partnership agreement, or
Articles of Organization. If Applicant is an out-of-state company, also attach a Certificate of Authority
issued by the Alabama Secretary of State.
ATTACHMENT 3.
Applicant's most recent Financial Statement showing at least $10,000 in unencumbered cash assets
prepared in accordance with standard accounting practices under the supervision of a CPA.
ATTACHMENT 4.
Three letters of recommendation on each owner, member, director and officer from business people
who have personal knowledge of the Applicant's business experience.
ATTACHMENT 5.
A true copy of the Applicant's TILA disclosure.
ATTACHMENT 6.
A properly executed Department of Public Safety "Release Form."
ATTACHMENT 7.
A properly executed State Banking Department "Credit Report Release Form."
ATTACHMENT 8.
A certified check for $100 for the investigation fee and a separate certified check for $500 for the
annual license fee, made payable to the STATE BANKING DEPARTMENT.
ATTACHMENT 9.
A statement of other business, if any, which Applicant proposes to conduct from the same location.
AFFIDAVIT
I,____________________________________, the undersigned, being the ____________________________________
[Officer (Title), Partner or Owner]
of ______________________________________________________________________________________________
swear (or affirm) to the best of my knowledge and belief that the statements contained in this application are true and complete.
I understand that inaccurate responses may be grounds for denial or revocation of this license.
This ______ day of ___________________, 20____.
Signature
Sworn and subscribed to before me this
___________ day of _________________, A. D. 20__________.
Notary Public
8/6/2005
Page of 3