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MINNESOTA 2003 LICENSE RENEWAL NOTICE <br />CURRENCY EXCHANGE <br />PAWN AMERICA MINNESOTA LLC License Type: CURRENCY EXCHANGE <br />dba, PAWN AMERICA MINNESOTA LLB Ai�E <br />1 71 5 N RICE ST License Number: 20186066 <br />P OSEVI LLE, MCI 55113 Company Structure: LIMITED LIABILITY CORP <br />Renewal Fee: $500 <br />state V <br />Dow. 4 <br />SEP 1 <br />Phone Number: (651) 487 -1595 [ ] Check this box if you will not be renewing the license for the year 2004 <br />AFFIRMATION; Returning the fonn will serve as a SURRENDER of the license. <br />I hereby certify that the information and responses contained in this renewal application are true and correct to the best of m knowled <br />]� ge and belief. <br />Bradley K. Rimann <br />Narne �Pri gL <br />=, OF <br />Signature <br />Subscribed and sworn to, before me, a (Votary Public, this of <br />State of <br />Notary Pub i ature County of <br />' <br />of Manager <br />Title <br />�t- <br />D to <br />NOTARY SEAL <br />AT HYJ (DOD <br />NOTAHY PUBLIC <br />r <br />■ <br />Y Q figs ;�fln "PIr s Jan. 1, 2005 <br />My commission expires <br />You must return this entire 2 -page form with attachments, signed, along with your renewal payment, to: <br />Minnesota Department of Commerce <br />Financial Examinations Division <br />85 - 7th Place East, Suite bgo <br />St. Paul, MN 551 01-2198 <br />CORRECTIONSIAMENDMENTS: Make name, address or telephone number corrections direct[y on the form above. <br />For a name change, attach a copy of the amended name filed and stamped by the Minnesota Secretary of State. <br />If the company uses an assumed name in Minnesota and the name is not included in the above i nfbrrnation attach a <br />Assumed Name Certificate from the Minnesota Secretary of State. , spy of the <br />P.O. Box addresses are not acceptable. Renewals without a street address will be returned. <br />TIMELY RENEWAL: The renewal form must be signed, notarized, and dated and returned with the correct renewal fee by Sept. 2, 2003. <br />Pursuant to Minnesota Statutes, Chapter 53A.04(a), regarding the licensing of currency exchanges, both state and lunai <br />approval of the issuance and renewal of a currency exchange license is required. This process may take up to 120 days. <br />therefore, you should return the requited forms immediately to ensure a txr�r�ely renewal. , <br />If all required forms are not fully completed and returned to our office with payment by September 2, 2003. your license will <br />lapse effective, December 11, 2003, if your licensi: does lapse, you rrrust reapply for a license using to Y ill <br />and paging the new license fees. <br />pp Y g , e Incense application form <br />A properly renewed license will be valid through December 31, 2004. <br />RENEWAL FEE. <br />No CASi-1 ACCEPTED. Please make check or money order payable to MN. DEPT. OF COMMERCE. <br />NOTICE: Dishonored checks will be assessed a $30 service fee by law and may result in failure to renew license. <br />Renewal fees are rnon- refundable except that an overpayment of a fee will be refundable upon proper a Pp lica#ion. <br />If you have questions, please contact the Financial Examinations Division by email at <br />f nancial.comrnerce @state.mmus or by telephone at (651) 282 -9855. <br />r"A' N AMERICA iuiiNNESO T A LL <br />1715 N RICE ST <br />ROSEVILLE, MN 55113 <br />Page 1, of <br />