Fillable Sellers of Travel Addendum (Washington)

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Sellers of Travel Addendum (Washington)

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Sellers of Travel Addendum
This form must be submitted with a Business License Application form.
Please type or print in dark ink.
Registration fee: $202
BLS-700-322 (6/24/20) Page 1 of 2
For assistance or to request this document in an alternate format, please call 360-705-6705. Teletype (TTY) users may use the Washington State Relay Service by
calling 711.
UBI
Owner name
A
Proof of business registration Applicants from outside Washington only
If your business is located outside of Washington State, you must provide proof of a valid registration to conduct
business in your home state. Attach a copy of your current business registration document, or other ocial registration
certication provided by the registration oce in your home state.
B
Criminal history All applicants
Answer the questions below. If you answer “Yes,” attach a detailed explanation.
1. Within the last 5 years, in this state or any other jurisdiction, has the business entity, any business
owners, or any persons with controlling interest in this business had any action (ne, suspension,
revocation, censure, surrender, etc.) taken against any professional or occupational license,
certication, or permit? ........................................................................................................................
Yes No
2. Within the last 5 years, in this state or any other jurisdiction, has the business entity, any business
owners, or any persons with controlling interest in this business defaulted or been convicted of
or entered a plea of no contest to a gross misdemeanor or felony crime? (Don’t include trac
oenses.) .............................................................................................................................................
Yes No
3. Within the last 5 years, in this state or any other jurisdiction, have you had any civil court order,
verdict, or judgment entered against you? (Don’t include small claims decisions under $5,000.) ......
Yes No
C
Identication of authorized agents All applicants
Do you have employees, independent contractors or other outside agents who will sell travel under the authority of this
business location’s registration?
Yes No
If yes, list them below. Attach additional sheets in the same format if necessary.
Name
Business address
Street or route, city, state, zip code
Business telephone
number
( )
( )
( )
( )
( )
Continued on next page
State of Washington
Business Licensing Service
PO Box 9034
Olympia, WA 98507-9034
360-705-6741
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D
Financial responsibility options: Applicants who hold any payments received for retail travel services for
more than 5 business days must report and maintain a trust account or other approved account.
Do you hold any payments received for retail travel services for more than 5 business days?
No - Stop here. Yes*
*If you selected yes to this question, you must select one of the following options and provide the appropriate
documentation:
OPTION ONE
I will maintain a Seller of Travel trust account for deposit of customer’s payments (complete the following):
Bank name
Bank address
Trust account number Bank phone number
I declare under penalty of perjury the above Seller of Travel trust account is
being maintained at a federally insured
nancial institution in Washington State in compliance with all requirements of RCW 19.138.140:
_________________________________________ _______________________________________ _____________________
(Signature of Governing Person) (Print Name) (Date Signed)
OPTION TWO
I will maintain a continuous private surety bond as described in RCW 19.138.140. Complete the information below
and attach a surety bond, written on the blank form provided by Department of Licensing. The amount of the surety
bond is based upon the prior year’s annual gross income of business conducted with Washington State residents as
outlined below.
This is to certify that during the past calendar year (January 1 through December 31), the total gross annual income
of the business conducted was $____________________________
Annual gross income of business Amount of surety bond or other
conducted with Washington residents instrument approved by the Department
$ 199,999 and under $10,000
$ 200,000 through $499,999 $20,000
$ 500,000 through $749,999 $30,000
$ 750,000 through $999,999 $40,000
$1,000,000 and above $50,000
OPTION THREE
I am a member in good standing of a Sellers of Travel professional association approved by the Department of
Licensing and through which I have both $1,000,000 minimum in errors and professional liability insurance and a
bond with a surety of at least $250,000. You must attach an ocial certication from the professional association
identifying itself, arming your membership-in-good-standing, conrming both the liability insurance and surety
bond are in eect during your membership, and the current expiration date of your membership.
BLS-700-322 (6/24/20) Page 2 of 2
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Completed 18 October 2021

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