Get Vsbrev 121008.doc - Ok

Filling out the VSBRev 121008.doc - Ok form online can be a straightforward process with the right guidance. This document serves as an application for a viatical settlement broker license in Oklahoma, featuring specific fields and requirements that need to be addressed accurately.

Follow the steps to fill out your VSBRev 121008.doc - Ok form online

1. Press the ‘Get Form’ button to access the form and open it in your preferred online document editor.
2. Begin by filling in the applicant’s name in the designated fields for Last, First, and Middle names, along with the date of birth.
3. If applying as a corporation, input the corporation name and confirm the authorization to transact business in Oklahoma by checking 'Yes' or 'No'.
4. Provide the applicant’s Social Security Number (SSN) and the company’s Federal Employer Identification Number (FEIN). Also, include the Oklahoma license number.
5. Enter the mailing address, including city, state, and zip code, as well as the telephone number and fax number.
6. Identify a contact person by inputting their name and email address.
7. Fill out the principal business address with the corresponding city, state, and zip code.
8. Indicate the state of domicile for your application.
9. Respond to questions 9 through 12 regarding any license issues, violations, or convictions, providing additional details on a separate sheet if necessary.
10. Acknowledge understanding of the public record implications related to the designated mailing address.
11. Provide the required attachments, including evidence of a surety bond, certificate of good standing, and other documents listed under the 'Exhibits' section.
12. Designate the Insurance Commissioner as your agent for service of process, completing the required signature and date fields.
13. In the declaration section, ensure all individuals involved sign and date where indicated, confirming the truthfulness of the application.
14. Review all entries for accuracy and completeness, then save your changes, download the finalized document, or print a copy for your records.

Complete your VSBRev 121008.doc - Ok form online today to begin your application process.