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STATE OF CALIFORNIA DEPARTMENT OF BUSINESS OVERSIGHTSTATEMENT OF IDENTITY AND EMPLOYMENT APPLICATION DBOEL 17419 (Rev. 517)Name of Escrow Company: Escrow Agent License Number: 1. Exact Full Name (Please.

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How to fill out the CA DFPI–EL 17419 online

Filling out the CA DFPI–EL 17419 form is a crucial step in the process of applying for an escrow agent license. This guide will provide a clear and comprehensive walkthrough of the form's components, helping you to complete it confidently and accurately.

Follow the steps to accurately complete the CA DFPI–EL 17419 form.

  1. Click ‘Get Form’ button to access the form and open it in your preferred editing tool.
  2. In the first section, enter the exact full name as requested. This includes your first name, middle name, and last name. Avoid using initials or nicknames.
  3. Detail your employment history for the last 10 years. Provide the starting and ending dates, your employer’s name and address, along with the corresponding occupation and duties. If additional space is required, attach a separate schedule.
  4. List your residence addresses for the last 10 years, including the same details as above. Again, attach a separate schedule if necessary.
  5. Respond to the questions regarding previous legal entanglements. If applicable, include details for any orders, judgments, or licenses, along with certified copies of related documents.
  6. Disclose any past convictions or court actions. Provide the date, location, and nature of each case as needed. Note that all convictions must be disclosed, regardless of expungement or similar circumstances.
  7. Indicate whether you have changed your name or been known by a different name. Be sure to include any name changes through marriage or legal orders, with exact dates.
  8. Answer questions related to conducting business under fictitious names, bankruptcy issues, bond refusals, and your expected position in the company.
  9. Complete the verification section at the end of the form. Ensure that all provided information is accurate and sign the document where indicated.
  10. After finishing all sections, save the changes made to the form. You can then download, print, or share the completed document as needed.

Start filling out the CA DFPI–EL 17419 form online today!

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  • Affidavits
  • Bankruptcy
  • Bill of Sale
  • Corporate - LLC
  • Divorce
  • Employment
  • Identity Theft
  • Internet Technology
  • Landlord Tenant
  • Living Wills
  • Name Change
  • Power of Attorney
  • Real Estate
  • Small Estates
  • Wills
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CA DFPI–EL 17419
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