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Collateral Loan Brokers Law 999-4 License a lication. A.. Every person who wishes to engage in business as a collateral loan broker must make written application, under oath, on such forms as the Town Clerk shall provide, which shall contain the following information: ill. The name, age and address of the applicant, specifying, in the case of any unincorporated association, the names, ages and addresses of each member thereof and, in the case of any business entity, the names, ages and addresses of each officer or member thereof. @. If the applicant shall employ more than three employees, the applicant shall designate one individual as the manager of the collateral loan broker business in accordance with General Business Law ~ 41-a. m All crimes, if any, of which the applicant or any member thereof has been convicted and, if an unincorporated association, of which any officer thereof has been convicted, stating the name, if any, and location of the courts and the dates on which such convictions were had and the penalties imposed therefor. ffi The experience of the applicant as a collateral loan broker, if any. !QL The address of the place from which the collateral loan brokerage business shall be conducted. @. The applicant must demonstrate that it owns, leases or subleases its business premises by providing a deed, if the applicant owns such premises, or by providing a copy of the lease or sublease agreement if the applicant leases or subleases such premises. ill Every applicant shall submit a complete current schedule of fees for all services. The schedule of prices to be charged may be revised at any time but shall not be effective until filed with the Town Clerk. @. Consent in writing that the applicant authorizes the Town to make a request for the applicant's criminal history record from the New York State Division of Criminal Justice Services (DCJS), or approved private company, upon a form prescribed by the Town. !ID.. n Two sets of fingerprint cards for all applicants, prepared by the state police, the Dutchess County Sheriffs Department or other entity approved by the Town Clerk to perform fingerprinting for identification processing. !1QL Any other relevant information that the Town Clerk may deem necessary. ~ The application shall be accompanied by a nonrefundable application fee as set forth in 9 122-16 of the Code and a criminal background investigation fee as required by DCJS..