Application Checklist - Please use this list to assist you in submitting all required information.
____ Vehicle Protection Product Registration Application
____ Certificate of Good Standing Status
A copy of your Certificate of Good Standing showing that your company is authorized to conduct
business in Maryland must be submitted for a Corporation or Limited Liability Company that
provides Vehicle Protection Product Warranties in Maryland. This Certificate may be obtained
from the Maryland Department of Assessments and Taxation or requested via the Internet at
____ Financial Security Documents
The Financial Security Requirements Described in Section 4 of the Act is satisfied upon proof of
insurance under a Warranty Reimbursement Insurance Policy or financial records that
demonstrate the net worth of the business or stockholder equity at or above $50,000,000. Please
indicate from the choices below which items you are submitting to satisfy this requirement.
____ Warranty Reimbursement Insurance Policy - If the Warranty Reimbursement
Insurance Policy option is used, the applicant must attach a copy of the policy
issued by an insurer authorized to do business in the state of Maryland. The policy
must contain the statutorily required language provided in Attachment A.
____ $50,000,000 Business Net Worth or Stockholder Equity - If the $50,000,000 net
worth option is used one of the following items must be attached:
____ A copy of the most recent form 10-K or form 20-F filed by the Warrantor or
the Warrantor’s parent company* with the United States Securities and
____ A copy of the Warrantor’s or the Warrantor’s parent company’s* audited
financial statement compiled within the last year that shows a net worth or
stockholders’ equity of not less than $50,000,000.
*If the parent corporation’s form 10-K, 20-F or audited financial statements are used, the
parent company must have on file with the Division a guarantee relating to the warranties
issued by the Warrantor in the state of Maryland. A board resolution must be attached to
the application acknowledging the guarantee and its continued existence for the year to
which the application pertains.
____ Consumer Warranties
A sample copy of each type of warranty offered must be included. Each warranty must contain
the statutorily required language provided in Attachment B.
A check or money order in the amount of $500.00 must be attached to the application for
the total amount due. Please make checks payable to the Office of the Attorney General.
Please mail to address on page 1 of this form.