STATE OF CALIFORNIA –DEPARTMENT OF BUSINESS OVERSIGHT
APPLICATION FOR LICENSE UNDER THE ESCROW LAW
DBO-EL 301 (Rev. 5-17) Page 3 of 6
9. Name of person who will be acting as escrow holder of the corporation’s stock certificates:
10. The fiscal year end
Note: If you do not designate a fiscal year end, the Department
Business Oversight will
record the corporation's fiscal year end
11. Any and all attachments, exhibits, or materials, or
supplied at the request of
the Commissioner of Business Oversight, at
time, are incorporated into and made
part of this application as
fully set forth
(a) Exhibit ___________ _. A Statement of Identity and Questionnaire, (FS
SIQ) for each person
named in paragraphs 5, 6 and 8 above.
(b) Exhibit___. A Statement of Identity and Employment
Application (EL 17419) from each
person who is not required to file FS 512 SIQ in paragraph 7 above.
(c) Exhibit____. A Notice of Officers, Directors, Trustees, Employees-or Other Persons
Directly or Indirectly Compensated by Escrow Agents (EL 1726) and fingerprint cards for
each person named in paragraphs 5, 6, 7 and 8 above. The appropriate fee as described
in EL 1726 must accompany the application.
(d) Exhibit____. An affidavit for each person named in paragraphs 5, 6 and 8 above. See
attached Affidavit form.
(e) Exhibit____. A corporate resolution or a copy of the board of directors-minutes appointing
an escrow holder, and a letter of consent from the proposed escrow holder named in
paragraph 9 above.
(f) Exhibit____. An Escrow Agent Manager Questionnaire (EL 330) indicating that the
proposed manager named in paragraph 8 above has met the qualifications of FC Section
17200.8. If the proposed manager has been previously approved by the Department of
Business Oversight also submit a copy of the letter approving the manager.
(g) Exhibit____. A copy of the original Articles of Incorporation showing the date of filing with
the Secretary of State and any amendments thereto.
(h) Exhibit____. A copy of the bylaws and any amendments thereto.
(i) Exhibit____. The original surety bond or cash bond in compliance with FC Section 172.02
(j) Exhibit____. A “Customer Authorization of Disclosure of Financial Records” (LE 500.262),
completed and signed by an owner or an officer or director.