Form 2801—General Information
(Credit Services Organization Registration Statement)
The attached form is designed to meet minimal statutory filing requirements pursuant to the relevant code
provisions. This form and the information provided are not substitutes for the advice and services of an
Credit Services Organizations (“CSOs”) are governed by chapter 393 of the Texas Finance Code and the
secretary of state’s administrative rules found in title 1, chapter 74 of the Texas Administrative Code.
Section 393.101 sets forth the requirements for a CSO’s registration statement.
Registration statements are effective the date the completed registration statement and filing fee are
received by the secretary of state. The registration expires one year from the date of issuance and may be
This form is for both new registrations and renewals. Any change to the information given on the
registration statement must be filed with the secretary of state within 90 days of the change.
Instructions for Form
Preliminary Information: Select the appropriate box indicating whether this is a new
registration or renewal. If it is a renewal, you should provide the registration number assigned by
the secretary of state to facilitate processing of the document.
CSO Information: The registration statement must set forth the CSO’s name and address. To
facilitate filing of the registration statement, you should also include the CSO’s telephone
Owner Information: If the CSO is a corporation or limited liability company, the registration
statement must provide the name and address of any person who directly or indirectly owns or
controls 10% or more of ownership interest of the entity. If the CSO has more than three owners,
use an additional sheet.
A document on file with the secretary of state is a public record subject to public access and
disclosure. When providing address information for owners, use a business or post office
box address rather than a residence address if privacy concerns are an issue.
Statement Regarding Security: With new registrations, select “A” or “B,” whichever is
appropriate to indicate whether proof of security is attached or not required. If proof of security
is not required, explain why. With renewals, select “A” or “B” and follow the same steps or, if
applicable, select “C” or “D”, whichever is appropriate to indicate that the security is the same as
provided before with no changes or that a rider reflecting changes is attached.
Litigation Disclosure: The registration statement must disclose all litigation and/or complaints
filed with a Texas governmental authority relating to the operation of the credit services
organization. If no such litigation or complaint is pending or has been completed, the application
must contain a sworn statement to that effect.