Fillable CREDIT ACCESS BUSINESS (CAB) REGISTRATION APPLICATION (City of Weatherford)

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CREDIT ACCESS BUSINESS (CAB) REGISTRATION APPLICATION (City of Weatherford)

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File type: PDF

U.S.A. forms for City of Weatherford

BROWSE CITY OF WEATHERFORD (TX) FORMS

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CREDIT ACCESS BUSINESS (CAB)
REGISTRATION APPLICATION
Office Use Only
New
Renewal
Appeal
Case No.: __________
Case Date: _________
CITY OF WEATHERFORD
PLANNING & DEVELOPMENT DEPT
119 PALO PINTO STREET
WEATHERFORD, TEXAS 76086
Section 1: Applicant Information
Full Name (First, Middle, Last)
Company Name
Physical Address City State Zip Code
Mailing Address City State Zip Code
Phone
Fax Email State CAB License #
Section 2: Business Location Information
Business Entity Name
Federal Employment ID
Operating Name of Business
Physical Address City State Zip Code
Mailing Address City State Zip Code
Phone
Email
Fax
Website
Parker Co Appraisal District ID#
When was the Credit Access Business established at this location? Approx. date
Section 3: Contact Information
Primary Contact Name
Title
Mailing Address City State Zip Code
Phone Fax
Email
Individual Responsible for Day to Day Operations
Title
Mailing Address City State Zip Code
Phone Fax
Email
Section 4: Owner Information Owners, proprietors, partners, members or stockholders having financial
interest. Information from each owner is required.
Name (First, Middle, Last)
Nature & Extent of Financial Interest
Street Address City State Zip Code
Mailing Address City State Zip Code
Phone
Email
Name (First, Middle, Last)
Nature & Extent of Financial Interest
Street Address City State Zip Code
Mailing Address City State Zip Code
Email
Nature & Extent of Financial Interest
Street Address City State Zip Code
Mailing Address City State Zip Code
Phone
Email
Publicly Traded Company: Registered Agent (Individual to whom any legal notice may be delivered)
Agent Name (First, Middle, Last)
Street Address City State Zip Code
Phone
Fax Email
Section 5: Additional Required Documents
The following documents are also required with the submittal of this application:
• Copy of Texas State CAB License issued under Chapter 393 of the Texas Finance Code
• Copy of Certificate of Occupancy issued by the City of Weatherford
This is an application to secure a Certificate of Registration to operate a Credit Access Business (per city of
Weatherford Ordinances 752-2015-41). Registration with the City of Weatherford is required for each location of a
Credit Access Business. The undersigned certifies that all information provided in this application for registration,
including but not limited to, disclosure of owners, principal parties, and all other supporting documents, schedules
and exhibits are true, compete and free from any material omissions. The undersigned understand that the
information provided may be further verified. The undersigned further understands that false or materially
incomplete responses are grounds for denial of the application to register as a Credit Access Business with the City
of Weatherford and may incur penalties per the Ordinance.
Applicant Signature
Date
Printed Name
Title
Section 6: Credit Access Business Registration
Applicants: Do NOT fill out this page
OFFICIAL OFFICE USE ONLY
please
√
the boxes, if complete
Legal Description of Property
Zoning Classification of the Property
Application Complete:
Registration Fee Paid:
Additional Documents Received:
• Texas State CAB License issued under Chapter 393 of the Texas Finance Code
• Certificate of Occupancy issued by the City of Weatherford
This application for Credit Access Business registration in the City of Weatherford has been (check
one):
Approved Denied
City Staff Signature: Title:
If denied, explain reason for denial:
City of Weatherford issued Credit Access Business Registration Number:
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CREDIT ACCESS BUSINESS (CAB) REGISTRATION APPLICATION (City of Weatherford)

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Completed 17 July 2020

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