STATE OF MARYLAND |
Department of Labor Secondhand Precious Metal Object Dealers / Pawnbrokers
1100 N. Eutaw St
Baltimore, Maryland 21201
(410) 230-6222 (Baltimore area), or (888) 218-5925 (Toll Free) |
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Application To Change Business Name
SECTION 1. INSTRUCTIONS FOR APPLICANTS
1. |
The dealer / pawnbroker must complete this form. All information must be typewritten or clearly printed in ink. Incomplete forms will not be accepted. Mail the completed form and all other required documents to the above address. |
2. |
Corporate licensees or applicants must submit the following with this application:
- a copy of the Articles of Incorporation of the business
- a certificate of Good Standing dated within the preceding thirty (30) days of this application, issued by the Maryland State Department of Assessments and Taxation. The telephone number for the Department of Assessment and Taxation is (410) 767-1340.
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3. |
If you are also changing the business location you must file a separate "Application to Transfer License to a New Business Location" with the Secretary of the Department. |
4. |
You may not conduct business under the new business, corporate or trade name until you receive written approval of the change of name from the Secretary of the Department of Labor. |
SECTION 2. DEALER'S INFORMATION
Dealer's Name (Last, First, M.I.): |
Home Address: |
City, State, Zip: |
Registration Number: |
Social Security No.: |
Home Telephone No.: |
E-mail Address: |
SECTION 3. DEALER BUSINESS INFORMATION
Current Business Name: |
Business Address: |
City, State, Zip: |
County: |
Bus. Telephone No.: |
E-mail: |
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SECTION 4. NEW BUSINESS NAME
I hereby request the Secretary of the Department of Labor
Licensing and Regulation for permission to change the business, corporate or trade, name which appears on my license. I have applied to and received approval from the Department of Assessments and Taxation under Article 2, Section 18,
Annotated Code of Maryland to use the following name.
New Business Name: |
Check one of the following options:
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The business will be operated at the current location indicated on my license.
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The business will be operated at a new location and I have applied / am applying for permission from the Secretary of the Department to move my business.
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SECTION 5. QUESTIONS AND CERTIFICATIONS
Since receiving your last license (circle the correct answers):
1. |
Have you ever been convicted of a felony or misdemeanor in any State or Federal court? |
Yes |
No |
2. |
Have you ever had this type of license denied, suspended, or revoked by Maryland or any other State? |
Yes |
No |
3. |
Have you been convicted of or received probation before judgement of any drug offense committed after January 1,1991? |
Yes |
No |
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