Form DBO-1010 "Business and Industrial Development Corporation License Application" - California

What Is Form DBO-1010?

This is a legal form that was released by the California Department of Financial Protection and Innovation - a government authority operating within California. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on January 1, 2019;
  • The latest edition provided by the California Department of Financial Protection and Innovation;
  • 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 fillable version of Form DBO-1010 by clicking the link below or browse more documents and templates provided by the California Department of Financial Protection and Innovation.

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Download Form DBO-1010 "Business and Industrial Development Corporation License Application" - California

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STATE OF CALIFORNIA – DEPARTMENT OF BUSINESS OVERSIGHT
BUSINESS AND INDUSTRIAL DEVELOPMENT CORPORATION
DBO-1010 (Rev. 1-19)
LICENSE APPLICATION
APPLICATION FOR LICENSE AS BUSINESS AND INDUSTRIAL
DEVELOPMENT CORPORATION
(Facing Page)
To:
Commissioner of Business Oversight
Date:
(Name of Applicant)
(Street Address)
,
, California
(City)
(County)
(Zip Code)
hereby applies for a license to transact business as a business and industrial
development corporation.
The Applicant proposes to commence transacting business as a business and
industrial development corporation on
.
(Date)
The documents attached hereto are hereby referred to and by this reference incorporated
herein.
(Name of Applicant)
By
(Signature)
(Name and Title)
(Telephone)
(This is a facing page only. For instructions on completing and signing this
application, refer to the Regulations of the Commissioner of Business Oversight.
The signature of the Applicant must be acknowledged.)
NOTE: Prior to applying for a license, applicant shall schedule a pre-filing
meeting with Deputy Commissioner in the appropriate Regional Office. Failure
to do so will result in the return of the application.
Go to
http://www.dbo.ca.gov/about_dbo/contact_us.asp
for contact information.
STATE OF CALIFORNIA – DEPARTMENT OF BUSINESS OVERSIGHT
BUSINESS AND INDUSTRIAL DEVELOPMENT CORPORATION
DBO-1010 (Rev. 1-19)
LICENSE APPLICATION
APPLICATION FOR LICENSE AS BUSINESS AND INDUSTRIAL
DEVELOPMENT CORPORATION
(Facing Page)
To:
Commissioner of Business Oversight
Date:
(Name of Applicant)
(Street Address)
,
, California
(City)
(County)
(Zip Code)
hereby applies for a license to transact business as a business and industrial
development corporation.
The Applicant proposes to commence transacting business as a business and
industrial development corporation on
.
(Date)
The documents attached hereto are hereby referred to and by this reference incorporated
herein.
(Name of Applicant)
By
(Signature)
(Name and Title)
(Telephone)
(This is a facing page only. For instructions on completing and signing this
application, refer to the Regulations of the Commissioner of Business Oversight.
The signature of the Applicant must be acknowledged.)
NOTE: Prior to applying for a license, applicant shall schedule a pre-filing
meeting with Deputy Commissioner in the appropriate Regional Office. Failure
to do so will result in the return of the application.
Go to
http://www.dbo.ca.gov/about_dbo/contact_us.asp
for contact information.
STATE OF CALIFORNIA – DEPARTMENT OF BUSINESS OVERSIGHT
BUSINESS AND INDUSTRIAL DEVELOPMENT CORPORATION
DBO-1010 (Rev. 1-19) Page 2 of 3
LICENSE APPLICATION
Notice to Individuals – Use of Information
The Commissioner of Business Oversight (the "Commissioner") is authorized by the
Financial Code to gather and maintain the information requested in the form you
have accessed. If the form is submitted in connection with any application or other
matter before the Commissioner, the requested information is deemed necessary to
process that application or other matter pursuant to the Financial Code. If the
requested information is not accurately and completely provided, the application may
be denied, or the other matter may be resolved against your interests.
If the form requests you to provide your social security account number, please be
advised that providing your social security account number is voluntary. Your social
security account number will be used as an identifier, and may be used to verify
information provided to the Department of Business Oversight (the "Department").
Failure to provide your social security number may require the Department to use
other methods to verify information, which may cause delays in processing this
information and any related application or other matter. If the information you have
provided to the Department cannot be verified, the Department may reject your filing
and deny any related application or cause any other matter to be resolved against
your interests. In addition, the Commissioner may request additional information or
clarification of submitted information.
You may be required to provide your fingerprints in conjunction with submitting
your personal information. If your fingerprints are required, the Department will
provide you with the necessary instructions and, if applicable, the forms upon
which your fingerprints may be submitted.
In processing the information you provide, the Department may cause a consumer
credit report to be prepared in accordance with the provisions of Title 1.6, Part 4,
Division Third of the Civil Code (commencing at Section 1785.1), or an
investigative consumer report to be prepared in accordance with the provisions of
Title 1.6A, Part 4, Division Third of the Civil Code (commencing at Section 1786),
or the respective successor statutes.
The information you provide the Department will be held in confidence as
required by the Information Practices Act (Civil Code Section 1798, et seq.).
The Information Practices Act provides that the Department may share the
information you provide with the Department of Insurance, other federal and
state financial institution law enforcement agencies, or any other governmental
entity if the disclosure is required under state or federal law. In addition, the
Department may share the information you provide with any such agency if the
disclosure assists the agency in discharging its duties.
STATE OF CALIFORNIA – DEPARTMENT OF BUSINESS OVERSIGHT
BUSINESS AND INDUSTRIAL DEVELOPMENT CORPORATION
DBO-1010 (Rev. 1-19) Page 3 of 3
LICENSE APPLICATION
DBO’s Privacy Notice on Collection
DBO Collects and Uses Personal Information: The DBO collects the information
requested on this form as authorized by Chapter 1 of Title 10 of the California Code of
Regulations. The DBO uses this information to process an application for license as a
business and industrial development corporation pursuant to Division 15 of the
Financial Code. 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 Mandatory: 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 other federal and state financial institution regulators, or any law
enforcement agency. 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.
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