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MINNESOTA 2007 LICENSE R�N�WAL NOTICE <br />��� <br />� <br />CURRENCYEXCHANGE ��� �� <br />PAWNAMERICAMINNESOTALLC LicenseType: CURRENCYE7iCHAh�;��- <br />dba: PAWN AMERICA MINNESOTA LLC License Number: 20186066 �� <br />�7� � N RICE ST Company Structure: UMfT�L� LIABILITY COMP � <br />ROSEVILLE, MN 55113 <br />Renewal Fee: $500 <br />Phone Number: (651) 487-1595 <br />AFFIRMATION: <br />j j Check th is box i f you wi I I n ot be renewing the I icense for the year 2007. <br />Returning the form wil I serve as a SURRENDER of the iicense. <br />I hereby certify that the information ar�d respor�ses cor�tained i n this renewai appiication are true and correctto the best of my Imowiedge and belief, <br />� r�t]7 e �, i�cr � � ic � �1��3�¢�r <br />N�rr�e �f'rintj TiL'a <br />����r�� <br />5rgna�ur� � � �ate <br />N�T�1F��' ��AL <br />: _.����FS� <br />SubS�lbed snd aw�rn t�, h� .. s Nohar� �Lrbre, t�re���y af ,�U�76. ,�,,:.. <br />}• Pu <br />�-'- <br />�� �� �.�Tf�fY J ��0� <br />�tel� v� ,fi �' �`,C���.y�=US,.I;:-Fdu.ra��_�r� <br />� �k}, My'GommissionExpiresJan.3i,2Gi <br />G�x��iW 4f _�� •.. .�•��,r . _ <br />My commission expires +�- ���`+���� <br />You must return this entire 2-page form with attachments, signed, along with your renewai payment, to: <br />Minnesota Department of Commerce <br />Financial Examinations Division <br />85 - 7th Place East, Suite 500 <br />St. Paul, MN 55101-2198 <br />COREiECT10N51AMENDMENTS: Make name, address or teiephone number corrections directly 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 informatinn, attach a copy of the <br />Assumed Name Certificate from the Minnesota Secretary of State. <br />P.O. Box addresses are not acceptable. Renewals without a street address wiil be returned. <br />TIMELY RENEWAL: The renewal form must be signed, notarized, and dated and returnedwith the correct renewal fee by Sept. 1,2006. <br />Pursuant to Minnesota Statutes, Chapter ���.�1 ta r, regarding the licensing of currency exchanges, both state and locaf approval <br />of the issuance and renewal of a currency exchange license is required. This process may take up to 120 days; therefore, you <br />shouid return the required forms immediatelyto ensure a timely renewal. <br />. if all required forms are not fully completed and returnedto our office with payment by September 1, 2006, your iicense wil[ lapse <br />effectiveDecember 31, 2006. If your iicense does lapse, you must reapply for a iicense ��ing the license appiication form and <br />paying the new license fees. <br />. A properly renewed license will be valid through December 31,2007. <br />RENEWAL FEE: <br />NO CASH ACCEPTED. Please make check or money order payable to MN. DEPT. OF COMMERCE. <br />NOTlC�: Dishonored checks wilt be assessed a$30 service fee by law and may result in failure to renew license. <br />Renewal fees are non-refundabie except that an overpayment of a fee wiii be refundable upon proper appiication. <br />If you have questions, please contact the Financial Examinations Division by e-mail at <br />rabin.brownu'L'ystate.mn.us or bytelephone at (651) 282-9855. <br />PAWN AMERICA MINNESOTA LLC <br />1725 N RIC� ST <br />ROSEVILLE. MN 55113 <br />Page 1 of 2 <br />