Form CAB12 "Credit Access Business Third-Party Lender Organizations" - Texas

Form CAB12 or the "Credit Access Business Third-party Lender Organizations" is a form issued by the Texas Office of Consumer Credit Commissioner.

Download a PDF version of the Form CAB12 down below or find it on the Texas Office of Consumer Credit Commissioner Forms website.

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Download Form CAB12 "Credit Access Business Third-Party Lender Organizations" - Texas

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Credit Access Business
Third-Party Lender Organizations
THIS FORM IS TO BE USED IN CONJUNCTION WITH THE "APPLICATION FOR LICENSE (ADM10)",
"CREDIT ACCESS BUSINESS BRANCH APPLICATION (CAB10)" or
"CREDIT ACCESS BUSINESS BRANCH APPLICATION - 90 DAYS (CAB22)", AS APPROPRIATE
Provide the names, physical addresses, and telephone numbers of all third-party lender organizations with which the business contracts to provide services or from which the
business arranges extensions of consumer credit. If the business uses more than one third-party lender, specify the branch or location that will be using the services of the
identified third-party lender.
If additional space is required, attach a document identifying all required information noted below.
Business Phone Number
Name of Third-Party Lender
Branch Location(s) Using This Lender:
Mailing Address
Texas
City
State
Zip Code
Business Phone Number
Name of Third-Party Lender
Branch Location(s) Using This Lender:
Mailing Address
Texas
City
State
Zip Code
Business Phone Number
Name of Third-Party Lender
Branch Location(s) Using This Lender:
Mailing Address
Texas
City
State
Zip Code
The Office of Consumer Credit Commissioner obtains information from this form and certain third-party sources. With few exceptions, you
may review and correct the information we collect. To find out more about the information we collect or to make an open records
request, contact our Public Information Officer at 512-936-7622 or public.information@occc.texas.gov.
Form CAB12 ( Rev 7/16)
Office of Consumer Credit Commissioner Licensing-512-936-7605 or licensing@occc.texas.gov
Page 1 of 1
Print Form
Print Form
Credit Access Business
Third-Party Lender Organizations
THIS FORM IS TO BE USED IN CONJUNCTION WITH THE "APPLICATION FOR LICENSE (ADM10)",
"CREDIT ACCESS BUSINESS BRANCH APPLICATION (CAB10)" or
"CREDIT ACCESS BUSINESS BRANCH APPLICATION - 90 DAYS (CAB22)", AS APPROPRIATE
Provide the names, physical addresses, and telephone numbers of all third-party lender organizations with which the business contracts to provide services or from which the
business arranges extensions of consumer credit. If the business uses more than one third-party lender, specify the branch or location that will be using the services of the
identified third-party lender.
If additional space is required, attach a document identifying all required information noted below.
Business Phone Number
Name of Third-Party Lender
Branch Location(s) Using This Lender:
Mailing Address
Texas
City
State
Zip Code
Business Phone Number
Name of Third-Party Lender
Branch Location(s) Using This Lender:
Mailing Address
Texas
City
State
Zip Code
Business Phone Number
Name of Third-Party Lender
Branch Location(s) Using This Lender:
Mailing Address
Texas
City
State
Zip Code
The Office of Consumer Credit Commissioner obtains information from this form and certain third-party sources. With few exceptions, you
may review and correct the information we collect. To find out more about the information we collect or to make an open records
request, contact our Public Information Officer at 512-936-7622 or public.information@occc.texas.gov.
Form CAB12 ( Rev 7/16)
Office of Consumer Credit Commissioner Licensing-512-936-7605 or licensing@occc.texas.gov
Page 1 of 1
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