"Application for Idaho Escrow Agency Branch License" - Idaho

Application for Idaho Escrow Agency Branch License is a legal document that was released by the Idaho Department of Finance - a government authority operating within Idaho.

Form Details:

  • Released on January 1, 2014;
  • The latest edition currently provided by the Idaho Department of Finance;
  • Ready to use and print;
  • Easy to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of the form by clicking the link below or browse more documents and templates provided by the Idaho Department of Finance.

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INSTRUCTIONS
APPLICATION FOR IDAHO ESCROW AGENCY BRANCH LICENSE
This application will not be considered complete until this office receives all fees and required information.
Failure to provide all documentation will result in increased processing time and possible denial of the
application. All blanks must be completed. If N/A, so state. Type all information.
Full legal name of entity. The only instance, in which the “applicant" may be a natural person, is if the applicant
No. 1
is a sole proprietorship. Otherwise, the "applicant" is a separate legal entity that will be conducting business.
The name inserted on this line must be identical to the name filed with the Secretary of State.
No. 2
License number(s) if known at time of filing. The branch application may accompany a new company filing, or
may follow the initial home/main office application filing later.
No. 3
New Application: A fully completed branch application must be submitted when the applicant is filing for branch
authorization the first time.
Amendment: The applicant must update information about a branch office by submitting amendments using the
branch application. When making changes to an existing license, complete items 1 - 3, check the “amendment”
box, provide all previous information in items 4a - 8a, and complete only the information that is being amended
in item(s) 4b - 8b or 9 - 12.
Surrender/Cancel: When an applicant decides to cease operations under the license, at one or more branches,
use the branch application to notify the Department by checking the “surrender” box and completing only items 1
– 4 and 9. Submit a separate branch application for each branch license that is being surrendered.
No. 4
If applicant operates under a trade or assumed name, the name inserted on this line must be identical to the
name that appears on the certificate of assumed business name filed with the Idaho Secretary of State.
No. 5
Supervising Escrow Agent on site at this location. Designated person must demonstrate a minimum three (3)
years of experience specifically in supervision over escrow activity. Provide Attachment B-R (Authority to Obtain
Information from Outside Sources) and Attachment C (3 Year Employment History) for the supervising escrow
agent.
No. 6
Street address of the branch office location that will appear on the face of the license.
No. 7
The mailing address of the applicant, if different from No. 6. If same, so state.
No. 8
Branch office main phone number, fax number, web site and e-mail address.
No. 9
Please identify where the branch records will be kept.
Attachments/supporting documents for any “Yes” answer.
No. 10
Attachments/supporting documents for any “Yes” answer.
No. 11
Attachments/supporting documents for any “Yes” answer.
No. 12
AFFIDAVIT: The affidavit must be completed by an authorized representative of the applicant and must include
notarized original manual signature for the initial application filing for each branch office.
CONTACT EMPLOYEE: The individual listed on the applicant’s company’s main office as the contact employee
will be contacted if needed about this branch application.
OTHER REQUIRED ATTACHMENTS:
-
Personnel Roster for this location that includes names and titles.
-
Original, fully executed Authorization to Examine Trust Account form, if different than home/main office
record on file with the Department.
-
APPLICATION FEE: $350 per location, payable to the Idaho Department of Finance.
Please submit all items simultaneously. All approved licensees are posted to the Department’s website daily.
finance.idaho.gov
Mail completed application, attachments and fees to the Idaho Department of Finance:
USPS: P.O. Box 83720, Boise, Idaho 83720-0031
Overnight/delivery: 800 Park Blvd., Suite 200, Boise, Idaho 83712
INSTRUCTIONS
APPLICATION FOR IDAHO ESCROW AGENCY BRANCH LICENSE
This application will not be considered complete until this office receives all fees and required information.
Failure to provide all documentation will result in increased processing time and possible denial of the
application. All blanks must be completed. If N/A, so state. Type all information.
Full legal name of entity. The only instance, in which the “applicant" may be a natural person, is if the applicant
No. 1
is a sole proprietorship. Otherwise, the "applicant" is a separate legal entity that will be conducting business.
The name inserted on this line must be identical to the name filed with the Secretary of State.
No. 2
License number(s) if known at time of filing. The branch application may accompany a new company filing, or
may follow the initial home/main office application filing later.
No. 3
New Application: A fully completed branch application must be submitted when the applicant is filing for branch
authorization the first time.
Amendment: The applicant must update information about a branch office by submitting amendments using the
branch application. When making changes to an existing license, complete items 1 - 3, check the “amendment”
box, provide all previous information in items 4a - 8a, and complete only the information that is being amended
in item(s) 4b - 8b or 9 - 12.
Surrender/Cancel: When an applicant decides to cease operations under the license, at one or more branches,
use the branch application to notify the Department by checking the “surrender” box and completing only items 1
– 4 and 9. Submit a separate branch application for each branch license that is being surrendered.
No. 4
If applicant operates under a trade or assumed name, the name inserted on this line must be identical to the
name that appears on the certificate of assumed business name filed with the Idaho Secretary of State.
No. 5
Supervising Escrow Agent on site at this location. Designated person must demonstrate a minimum three (3)
years of experience specifically in supervision over escrow activity. Provide Attachment B-R (Authority to Obtain
Information from Outside Sources) and Attachment C (3 Year Employment History) for the supervising escrow
agent.
No. 6
Street address of the branch office location that will appear on the face of the license.
No. 7
The mailing address of the applicant, if different from No. 6. If same, so state.
No. 8
Branch office main phone number, fax number, web site and e-mail address.
No. 9
Please identify where the branch records will be kept.
Attachments/supporting documents for any “Yes” answer.
No. 10
Attachments/supporting documents for any “Yes” answer.
No. 11
Attachments/supporting documents for any “Yes” answer.
No. 12
AFFIDAVIT: The affidavit must be completed by an authorized representative of the applicant and must include
notarized original manual signature for the initial application filing for each branch office.
CONTACT EMPLOYEE: The individual listed on the applicant’s company’s main office as the contact employee
will be contacted if needed about this branch application.
OTHER REQUIRED ATTACHMENTS:
-
Personnel Roster for this location that includes names and titles.
-
Original, fully executed Authorization to Examine Trust Account form, if different than home/main office
record on file with the Department.
-
APPLICATION FEE: $350 per location, payable to the Idaho Department of Finance.
Please submit all items simultaneously. All approved licensees are posted to the Department’s website daily.
finance.idaho.gov
Mail completed application, attachments and fees to the Idaho Department of Finance:
USPS: P.O. Box 83720, Boise, Idaho 83720-0031
Overnight/delivery: 800 Park Blvd., Suite 200, Boise, Idaho 83712
APPLICATION FOR IDAHO ESCROW AGENCY BRANCH LICENSE
rev.
Escrow
2014
1.
Applicant full legal name:
1031 Exchange
Both
2.
Home Office License #
Branch Office License #
3.
Complete “b” for the item(s) being amended
NEW APPLICATION
AMENDMENT
.
SURRENDER/CANCEL
OTHER
Trade name or “dba” used at this branch
NEW Trade name or “dba” used at this branch
4b.
4a.
Supervising Escrow Agent Name
5b.
NEW Supervising Escrow Agent Name
5a.
Physical address (Number and Street)
6b.
NEW Physical address (Number and Street)
6a.
Physical City, State, Zip
NEW Physical City, State, Zip
Mailing address or P.O. Box (if different from Physical)
7b.
NEW Mailing address or P.O. Box (if different from Physical)
7a.
Mailing address City, State, Zip
NEW Mailing address City, State, Zip
Business (Area Code) and Telephone Number
8b.
NEW Business (Area Code) and Telephone Number
8a.
Fax (Area Code) and Number
NEW Fax (Area Code) and Number
Branch website (enter “None” if not applicable)
NEW Branch website
Branch email (enter “None” if not applicable)
NEW Branch email
9.
Physical address of location where the official books and records generated by this branch office will be kept.
Records Custodian Name
Business Phone
Fax Line
E-mail Address
Number & Street, City, State, Zip
YES
NO
Will this branch office and/or individuals at this branch office operate pursuant to a written agreement or contract with
10.
the applicant’s main office? If yes, please submit a copy of the document.
YES
NO
Will this branch office have sole responsibility for decisions relating to individuals conducting escrow or trust account
11.
activity:
(a) with respect to employment?
(b) with respect to compensation?
YES
NO
Does any person, other than the applicant, have responsibility, directly or indirectly, for paying the expenses of this
12.
branch office or otherwise have a financial interest in this branch office or its activities?
(a) If yes, provide an explanation of the expense payment and/or financial interest arrangement:
(b) If yes, provide the following information for each person responsible for the expenses or with a financial interest:
(person – an individual, partnership, corporation, trust or other organization)
FULL LEGAL NAME
Address, City, State, Zip
Telephone
(Individuals: Last Name, First Name, Middle Name)
1
APPLICATION AFFIDAVIT
I, on behalf of applicant, understand and certify that in accordance with Idaho Code 30-907(2) information contained in this
application shall be updated and filed with the director as necessary to keep the information current.
Signed this____ day of
20
Name of Company
By:
Signature of Authorized Person
Print Name and Title

STATE OR COMMONWEALTH OF
COUNTY / PARISH OF
personally came and appeared before me, the undersigned
(authorized person above)
notary, and declared under oath that she/he is the
of
(Title)
, that she/he is authorized to sign and submit the attached
(Name of Company)
application and that all statements and representations made therein are true and correct to the best of
his/her knowledge, information and belief.
Sworn to and subscribed before me on this the ____ day of
20
.
Notary Public
(Seal)
Print Name of Notary Public
Date Commission Expires:
2
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