Form PWN10 "Application for Relocation or Change to a Pawnshop License" - Texas

Form PWN10 is a Texas Office of Consumer Credit Commissioner form also known as the "Application For Relocation Or Change To A Pawnshop License". The latest edition of the form was released in August 1, 2013 and is available for digital filing.

Download a PDF version of the Form PWN10 down below or find it on Texas Office of Consumer Credit Commissioner Forms website.

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Download Form PWN10 "Application for Relocation or Change to a Pawnshop License" - Texas

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Application for Relocation or
Change to a Pawnshop License
For use in counties with a population of 250,000 or greater.
THIS FORM IS REQUIRED IF YOU ARE:
MOVING YOUR ACTIVE LICENSE TO A NEW ADDRESS AT WHICH A PAWNSHOP WILL BE OPERATED, OR
PLANNING TO ACTIVATE AN INACTIVE LICENSE.
If you are moving an inactive license to a different address at which it will remain inactive, or if you are inactiving an active license in a county with a
population of less than 250,000, do not use this form; complete and submit form PWN11.
Review Texas Pawnshop Act, §371.071 and administrative rules within 7 TAC §85.203 for relocation restrictions. A license cannot be inactivated until all
oustanding loans are closed.
THIS APPLICATION MUST BE FILED AT LEAST 30 DAYS PRIOR TO THE ANTICIPATED DATE OF CHANGE OR RELOCATION
Amendment or Change (select at least one option)
Proposed Date of Change
Date pawnshop began operations at
Relocation
d/b/a Change
current location
Activation of License
Other
Inactivation of License
Licensee Name
License Number
Operating Name (d/b/a)
New Phone Number
Location Address
Mailing Address
If Different
TX
TX
City
State
Zip Code
County
City
State
Zip Code
Straight-line distance from the proposed location to
Contact Person:
the nearest operating pawnshop (Be Exact)
Email Address
Straight-line distance from current address to
proposed location. (Be Exact)
Phone Number
Authorized Signature
Title
CHANGE AND RELOCATION FILING
FOR OFFICE USE ONLY
REQUIREMENTS (e.g. supporting documentaton
License Number:
and fees) ARE PROVIDED ON PAGE 2 OF THIS
FORM.
Date Database Amended
Amt Remitted
Amended By
Date Remitted
A RELOCATION MAY NOT OCCUR
Date License Mailed
Agency Object
WITHOUT THE COMMISSIONER'S
Comments:
APPROVAL
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 512-936-7639 or
.
public.information@occc.state.tx.us
Page # of ##
Form PWN10 (Rev 8/13)
Office of Consumer Credit Commissioner 512-936-7600 or licensing@occc.state.tx.us
Print Form
Application for Relocation or
Change to a Pawnshop License
For use in counties with a population of 250,000 or greater.
THIS FORM IS REQUIRED IF YOU ARE:
MOVING YOUR ACTIVE LICENSE TO A NEW ADDRESS AT WHICH A PAWNSHOP WILL BE OPERATED, OR
PLANNING TO ACTIVATE AN INACTIVE LICENSE.
If you are moving an inactive license to a different address at which it will remain inactive, or if you are inactiving an active license in a county with a
population of less than 250,000, do not use this form; complete and submit form PWN11.
Review Texas Pawnshop Act, §371.071 and administrative rules within 7 TAC §85.203 for relocation restrictions. A license cannot be inactivated until all
oustanding loans are closed.
THIS APPLICATION MUST BE FILED AT LEAST 30 DAYS PRIOR TO THE ANTICIPATED DATE OF CHANGE OR RELOCATION
Amendment or Change (select at least one option)
Proposed Date of Change
Date pawnshop began operations at
Relocation
d/b/a Change
current location
Activation of License
Other
Inactivation of License
Licensee Name
License Number
Operating Name (d/b/a)
New Phone Number
Location Address
Mailing Address
If Different
TX
TX
City
State
Zip Code
County
City
State
Zip Code
Straight-line distance from the proposed location to
Contact Person:
the nearest operating pawnshop (Be Exact)
Email Address
Straight-line distance from current address to
proposed location. (Be Exact)
Phone Number
Authorized Signature
Title
CHANGE AND RELOCATION FILING
FOR OFFICE USE ONLY
REQUIREMENTS (e.g. supporting documentaton
License Number:
and fees) ARE PROVIDED ON PAGE 2 OF THIS
FORM.
Date Database Amended
Amt Remitted
Amended By
Date Remitted
A RELOCATION MAY NOT OCCUR
Date License Mailed
Agency Object
WITHOUT THE COMMISSIONER'S
Comments:
APPROVAL
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 512-936-7639 or
.
public.information@occc.state.tx.us
Page # of ##
Form PWN10 (Rev 8/13)
Office of Consumer Credit Commissioner 512-936-7600 or licensing@occc.state.tx.us
Filing Requirements for
Application of Change or Relocation
For use in counties with a population of 250,000 or greater.
The following items must be submitted or already be on file with the OCCC for the application to be accepted. The below items are
required so that the agency may initiate the process of completing its statutory duty to verify the location complies with restrictions
contained within the Texas Pawnshop Act, to provide notice to existing licensees, and to initiate an investigation of the eligiblity
requirements of the applicant.
If any of the appilcable items listed below are not submitted, the application will not be accepted and will be returned.
The agency may request additional information, as appropriate, to process the change or relocation request.
Supporting Documentation for Application for Relocation or Activation of Inactive License
Map that includes name and address of each pawnshop within three miles of proposed location (7 TAC 85.203(a)(3)(A) ).
Evidence of ownership or copy of executed lease for the property where pawnshop is to be located.
Evidence of compliance with local zoning ordinances or certificate of occupancy.
Copy of Notice to Customers: Written notice of relocation provided to each pledgor (7 TAC 85.203(e) ).
Assumed Name Certificate with proof of filing. (7 TAC 85.202(a)(F) ).
Proof of general liability and fire insurance
Current License
Additional Supporting Documentation for Application for Activation of Inactive License
Financial Statement (ADM17) and Schedules 1 - 6 (ADM 18 and 19)
Payment of Fees
$250 for relocation or activation of license is in one of the below counties:
Bell
Bexar
Brazoria
Cameron
Collin
Dallas
Denton
El Paso
Fort Bend
Galveston
Harris
Hidalgo
Lubbock
Montgomery
Nueces
Tarrant
Travis
Williamson
$25 for inactivation of license or d/b/a name change
$25 for activation of license or d/b/a name change
The following items must be filed within 30 days of the date of acceptance to complete the application:
Payment of Notification Fee
The amount of the notification fee will be determined once the application is filed with and accepted by the OCCC.
A fee of $1.00 for each notice of application that is required to be mailed will be assessed for each application for
relocation or activation of license.
FOR OFFICE USE ONLY
Date Approved
Approving Signature
Date Issued
Page # of ##
Form PWN10 (Rev 2/15)
Office of Consumer Credit Commissioner 512-936-7600 or licensing@occc.texas.gov
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