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_ � <br />MINNESOTA 2006 LICENSE RENEWAL NOTICE <br />CURRENCY EXCHANGE <br />PAWNAMERICAMINNESOTALLC Ssxst�oth�inn�� LicenseType: CURRENCYEXCHANGE <br />dba: PAWN AMERICA MINNESOTA LLC r�,�,,,{�r,,,�,�, License Number: 20186066 <br />1715 N RfC� ST <br />ROSEVILLE,MN55113 ��� �� �� CompanyStructure: LIMITEDLIABILITYCOMP <br />Renewal Fee: $500 <br />Phone Number: (651) 487-1595 �ioe'd k this box if you will not be renewing the license for the year 20os. <br />urningthe form wilF serve as a SURRENDER of the license. <br />AFFIRMATION: <br />i hereby certify that the information and responses contained in this renewal application are fiue and correct to the best of my Imowiedge and belief, <br />Bradle K, Rix�ta�n Chief Manager <br />Name (Print) � Title <br />�� - � � � <br />Signature e <br />NOTARY SEAL <br />��dE,r��d er5d �'r'rom hD. bafore m� hlOt�ey �,�IiC, 1151� ��f . Z�k�x <br />. ' •��� <br />�t� �f L C�.S k'Il` J. G'Q�Cr <br />�4�n1}' 4i � -. NC71�,�RY FU�C-�9hP�1� <br />. �1�.��C . �nt?kS�Expie��'.7ti��4�� <br />My+ c�rt�ila�i4n �xRlr�� ' '"��� <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 I�lace East, Suite 500 <br />St. Paul, MN 55101-2198 <br />CORf�EC'TIO�lS1AMi�NDMENTS: Make name, address or telephone 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 _ of State. <br />• if tk� �p.�r�!: ;�s� �f� �s&'�nprJ r�rr.� �n �11nr�� an4 4'; �. n�r,� �+� na� ir�#lded � aF� �r��� Inr�€�t�, a:� :� a�r ��f r�x <br />Assumed hF,�-� Certifrcate from the h���s�L� $�cr�l�'K ��.'.a� <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. 2,2005. <br />■ Pursuantto Minnesota Statutes, Chapter ��A.;�I�a�, regarding the licensing of currency exchanges, both state and local 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 />should return the required forms immed'sai�lyto ensure a timely renewal. <br />• If all required forms are not fully completed and returned to our 4�ce with payment by September 2,2005, your license will lapse <br />effectiv� �7�;cetr�ber 31, 2005. If your license does lapse, you must reapply for a license using the license application form and <br />paying the new license fees. <br />■ A properly renewed license wil� be valid through December 31,2006. <br />RENEWAL FEE: <br />I�Q CASH ACCEPTED. Please make check or money order payable ",4 MN. DEPT. OF COMMERCE. <br />NOTICE: �lishanored checks wiil be assessed a$30 service fee by law and may result in failure to renew license. <br />Renewal fees are non-refundable except that an overpayment of a fee will be refundable upon proper application. <br />If you have questions, please contact the Financial Examinations Division by e-mail at <br />robin.bro'�►n@st���.ra�sn.e�� or by telephone at (B6'i } 282-9855. <br />PAWN AMERICA i11ifiNN�S�7iA LLC <br />'!7'15 N RICE ST <br />ROSEVILLE, MN 55113 <br />Page 1 of 2 <br />