Section 2523 - Required information for applicationAn application for a license under this act shall be submitted to the department in the form required by the department and shall include the following:
(1) The applicant's name, address, telephone number, electronic mail address and Internet website.(2) The address of each location in this Commonwealth where the applicant will provide debt settlement services.(3) The name and address of each owner, officer, director or principal of the applicant.(4) The name and address of the applicant's agent for service of process in this Commonwealth.(5) A description of the ownership interest of an officer, director, agent or employee of the applicant in an affiliate or subsidiary of the applicant or in another business entity that will provide any service to the applicant or to a consumer relating to the applicant's provision of debt settlement services.(6) A list of other states in which the applicant is licensed or registered for the provision of debt settlement services, including a relevant license or registration number and information regarding whether a license or registration in another state has ever been suspended or revoked.(7) A copy of a liability or fidelity insurance policy that insures against dishonesty, fraud, theft or other malfeasance on the part of the applicant's employees, officers, directors or principals.(8) A copy of the applicant's standard debt settlement services agreement.(9) A penal bond meeting the requirements of section 305.(10) Any other reasonable requests for information that the department determines to be necessary to its review of a license application.Added by P.L. 1022 2014 No. 118, § 303, eff. 11/1/2014.