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MINNESOTA 2004 LICENSE RENEWAL NOTICE "" �''°� ry�� <br />CURRENCYEXCHANGE �p � ��� <br />PAWN AMERICA MINNESOTALLC License Type: CURRENCY EXCHANGE �tiY <br />dba: PAWN AMERICA MINNESOTA LLC License Number: 20186066 <br />1715 N RICE ST Company Structure: LIMITED LIABILITYCORP <br />ROSEVILLE, MN 55113 <br />Renewal Fee: $500 <br />Phone Number: (651) 487-1595 [] Checkthis box if you will not be renewing the license forthe year 2005. <br />Returning the form will serve as a SURRENDER of the license. <br />AFFIRMATION: <br />I hereby certify that Uie information and responses contained in this renewal application are true and correct to Uie best of my knowledge and belief. <br />]�r�dle K � Ri r.r�r� G�i�� �r�g�r <br />tti3'f1B {Pfln�j i Td$ <br />ti � �/ � � � <br />� r <br />� <br />�'''1 R8LIIPB �,�� �Q��4� ��}4L <br />Suba�ribad �d �worn io. 4�re me, � hla�r�+ Public. �� d�Y ¢� ��� r'�`'�'� �;Afi��� � <br />� T - r��r�Al� �Ue �D <br />r � t � �� aF � <br />„ �I�V�I�S�f,� <br />r , �7UIl�' �� � -' G�nn�FGL• ��1�'I.�',� <br />�O�F}' I,l I� �I��tiJ _� 1 F+ � <br />Mycommissionexpires �� �� � <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 500 <br />St. Paul, MN 55101-2198 <br />CORRECTIONS/AMENDMENTS: 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 Secretary of State. <br />• If the company uses an assumed name in Minnesota and the name is not included in the above information, attach a copy of <br />the Assumed Name Certificate from the Minnesota Secretary of State. <br />• P.O. Box addresses are not acceptable. Renewalswithout a street addresswill be returned. <br />TIMELY RENEWAL: The renewal form must be signed, notarized, and dated and returned with the correct renewal fee by Sept. 2,2004. <br />. Pursuant to Minnesota Statutes, Chapter 53A��d ($�, regarding the licensing of currency exchanges, both state and local <br />approva! 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 required forms immediately to ensure a timely renewal. <br />If all required forms are not fully completed and returned to our office with payment by September 2,2004, your license will <br />lapse effective December31,2004. If your license does lapse, you must reapplyfor a license using the license applicationform <br />and paying the new license fees. <br />• A properly renewed license will be valid through December31,2005. <br />RENEWAL FEE: <br />• NO CASH ACCEPTED. Please make check or money order payable to MN. DEPT. OF COMMERCE. <br />• NOTICE: Dishonored checks will be assessed a$30 servicefee by law and may result in failure to renew license. <br />• Renewal fees are non-refundable exceptthat an overpayment of a fee will be refundable upon proper application. <br />If you have questions, please contactthe Financial Examinations Division bye-mail at <br />financial,commerce@state.mn.us or by telephone at (651) 282-9855. <br />PAWN AMERICA MINNESOTA LLC <br />��1� N RICE ST <br />ROSEVILLE, MN 55113 <br />Page 1 of 2 <br />