ࡱ> uwrst @ ~4bjbjʚʚ `}    ~~~0B0B0B8hBCmlF"L(LLLPRSlllllll$nRpJl~WO|PWWl  LLmm]]]W RL~Ll]Wl]]\"~]L`F pK50BX]^ m0m]=q:YN=q]4"    =q~]ST]iUUSSSll<lA]vlA STATE OF SOUTH CAROLINA DEPARTMENT OF CONSUMER AFFAIRS DISCLOSURE FORM SUPPLEMENTAL FORM A S.C. Code Ann. 37-7-101 et seq.  HYPERLINK "http://www.scconsumer.gov/" www.scconsumer.gov 803-734-4236 DO NOT FAX THIS FORM(An original, signed and notarized form is required)The following information MUST be provided on a separate form for EACH MEMBER, OWNER, PARTNER, OFFICER, and DIRECTOR, unless otherwise stated. A MEMBER, OWNER, PARTNER, OFFICER or DIRECTOR that engages in credit counseling activity, i.e. credit counselor, must also complete a Credit Counselor Application. This form may be duplicated. Complete the form in its entirety. Incomplete information could result in delay or denial of the application. Attach additional page(s) as necessary. 1.Company Name: FORMTEXT      2.Your Legal Name: FORMTEXT       FORMTEXT       FORMTEXT      (Last)(First)(Middle)Have you been known by any other name? FORMCHECKBOX Yes FORMCHECKBOX NoIf yes, state the name: FORMTEXT      (Ex. Maiden Name, etc.)3.Business Relationship or Title: FORMTEXT      4.Resident Address: FORMTEXT      How long at this address? FORMTEXT      (Street) FORMTEXT       FORMTEXT    FORMTEXT       FORMTEXT      (City)(State)(Zip Code)(County)5.Work Telephone Number: FORMTEXT      6.Home Telephone Number: FORMTEXT      7.Fax Number: FORMTEXT      8.E-Mail Address: FORMTEXT      9.Date of Birth: FORMTEXT    /  FORMTEXT    / FORMTEXT     Place of Birth: FORMTEXT      10.SSN: FORMTEXT     -  FORMTEXT    -  FORMTEXT     11.Driver s License Number: FORMTEXT      State and Date of Issue: FORMTEXT      12.EDUCATIONAL BACKGROUNDSchoolAddressDates AttendedDegree Earned1. FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT      2. FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT      3. FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT      4. FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       13.EMPLOYMENT BACKGROUND: Describe your employment for the last ten years, starting with your current Position. Account for all time.Name of Employer, Address, and Telephone NumberDates of EmploymentPosition HeldReason for LeavingName of Owner1. FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT      2. FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT      3. FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT      14.BUSINESS AFFILIATIONS: List all firms, companies, corporations, or other business organizations of which you are, at present, a director, officer, employee, member or owner. Name and AddressType of BusinessPosition1. FORMTEXT       FORMTEXT       FORMTEXT      2. FORMTEXT       FORMTEXT       FORMTEXT      3. FORMTEXT       FORMTEXT       FORMTEXT      MARK AN  X IN THE APPROPRIATE BOX.If you answer  YES to any question, attach a separate sheet giving complete details.YESNO FORMCHECKBOX  FORMCHECKBOX 15.Have you been convicted of a felony within the past ten years? Provide details about the offense, including conviction date, court, penalty and attach a certified copy of the Criminal Docket Sheet and the Presentence Investigation Report. FORMCHECKBOX  FORMCHECKBOX 16.Have you been convicted of an offense involving breach of trust, moral turpitude or dishonest dealings within the past ten years? Provide details about the offense, including conviction date, court, penalty and attach a certified copy of the Criminal Docket Sheet and the Presentence Investigation Report. FORMCHECKBOX  FORMCHECKBOX 17.Have you ever been charged with any irregularities or shortages in your business accounts or transactions? FORMCHECKBOX  FORMCHECKBOX 18.Have you ever surrendered, resigned, cancelled, or been denied a professional license or other credential in ANY jurisdiction? Provide details, including the name of the profession, the agency, and the agency address.  FORMCHECKBOX  FORMCHECKBOX 19.Has ANY licensing or other credentialing agency ever taken any disciplinary action against you, including, but not limited to, any warning, reprimand, suspension, probation, limitation, or revocation? Provide details, including the name of the agency and date of the action. FORMCHECKBOX  FORMCHECKBOX 20.Is disciplinary action pending against you in any jurisdiction? Provide details, including the name of the agency and status of the action. FORMCHECKBOX  FORMCHECKBOX 21.Have you ever had any civil judgments, lawsuits or liens brought against you? YESNO FORMCHECKBOX  FORMCHECKBOX 22.Have you been adjudicated as bankrupt? FORMCHECKBOX  FORMCHECKBOX 23.Were you ever an owner, partner, director, officer, member or manager of any firm or company which was adjudicated bankrupt or for which a receiver was appointed either during the time or within one year after you were connected with it? FORMCHECKBOX  FORMCHECKBOX 24.Have you made an assignment for the benefit of creditors? FORMCHECKBOX  FORMCHECKBOX 25.Do you currently hold, or have you in the past held, any license issued by the State of South Carolina? (Do not include your drivers license). If yes, attach a copy. 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lak)l)~)))g[[[DR^# $Ifgd5j{ $$Ifa$gd\3YkdM_$$Ifl\*v6$0P+4 laher entity that provides a service to the named company or any consumer relating to the companys credit counseling business? Provide details, including ownership interest, service(s) provided by the affiliate, subsidiary, or other entity. FORMCHECKBOX  FORMCHECKBOX 27.Have you read and are you familiar with the Consumer Credit Counseling Act, S.C. Code Ann. 37-7-101 et seq.?28.OTHER ATTACHMENTS: Please use the checklist below to verify your application is complete.Incomplete information could result in delay or denial of your application. FORMCHECKBOX Attach or Have Sent a Current (less than 90 days old) Personal Composite Credit Report. The organizations name and SCDCA- Credit Counseling must be on the face of the report. FORMCHECKBOX Request a Criminal History Check from the State Police in Your Place of Residence Be Sent to the Department, unless otherwise prohibited by law. I swear or affirm and certify that I have completed and/or reviewed all information on this form and that all information contained herein is true, current and correct. I further certify that I understand that giving false information constitutes cause for denial or revocation of the application and subjects me to criminal prosecution for perjury. I acknowledge that I have a duty and agree to update and correct this information as it changes. Additionally, I acknowledge that pursuant to S.C. Code 37-7-101 through 122, a criminal records check is required for all applicants.______________________________________________ FORMTEXT      Signature of Member, Owner, Partner, Officer or Director Listed AboveType or Print your nameSWORN TO AND SUBSCRIBED before me this _________ day of _________________________, 20__ _________________________________________________ Notary Public For ___________________________________ My Commission Expires: _____________________________The South Carolina Freedom of Information Act may require the Department of Consumer Affairs to release this form as a public record; however personal identifying information will be released only if required by law.     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