ࡱ> @ TubjbjFF ,,* Q}<333834,<D^5v8888E;?=,k>{]}]}]}]}]}]}]$_RBbX]]CD:^E;CDCD]88[]QFQFQFCDR88{]QFCD{]QFQF/U|"V85 `HD3YD"UW^0D^Ub{Db$V.bV8?VY@QFMAB2???]]<< ;F<<  STATE OF SOUTH CAROLINA DEPARTMENT OF CONSUMER AFFAIRS SATELLITE LOCATION SUPPLEMENTAL FORM B2 S.C. Code Ann. 40-58-10 through -110 (Supp. 2004)  HYPERLINK "http://www.scconsumer.gov/" www.scconsumer.gov 803-734-4236/800-922-1594 DO NOT FAX THIS FORM (An original, signed and notarized form is required for each satellite location.) The following information MUST be provided for each South Carolina satellite location. Complete the form in its entirety. This form may be duplicated. Use this form to notify the Department of any changes in the information contained herein. Incomplete information could result in delay or denial of your application. Physical and mailing address should include city, state and zip. Additionally, if any of the information on this form changes submit a new form.Company Name:  FORMTEXT      Manager/Supervisor  FORMTEXT      Physical Address*: FORMTEXT       FORMTEXT      Mailing Address: FORMTEXT      Employees: (List all employees by name For this location) FORMTEXT       FORMTEXT       FORMTEXT      Telephone No. FORMTEXT       FORMTEXT      Fax No: FORMTEXT       FORMTEXT      E-Mail: FORMTEXT       FORMTEXT      Web Address: FORMTEXT       FORMTEXT      Contact Person: FORMTEXT       FORMTEXT      Business Hours: FORMTEXT      County: FORMTEXT      *Is physical address a residence?  FORMCHECKBOX  Yes  FORMCHECKBOX  No Provide detailed directions to the physical location from 3600 Forest Drive Columbia, SC  FORMTEXT       FORMTEXT      Satellite records must be consolidated at a South Carolina main or branch office, list address of office below FORMTEXT      Are they separated by county or combined together? CHECK ONEEFFECTIVE DATE FORMCHECKBOX Initial Application (Requires $150 licensing fee) FORMTEXT       FORMCHECKBOX Renewal (Requires $150 licensing fee) FORMTEXT       FORMCHECKBOX Add this location 9:;MNOcdqsu̷}m]J8&"hH^:hZ-5CJOJQJ]aJ"hH^:hZ-5CJOJQJ\aJ%hH^:hZ-5>*CJOJQJ\aJhiB*CJOJQJaJphhZ-B*CJOJQJaJphh7'HB*CJOJQJaJphh/QB*CJOJQJaJph3jhp@5>*CJOJQJU\aJmHnHu(jhH^:hp@CJUaJmHnHuhhZ-CJOJQJaJh[>CJOJQJaJ0jhhZ-CJOJQJUaJmHnHu 9Od Y . 0*L0*L0*V0*V0*V0*V0*00*0*0*% & p@ P !d$7$8$H$Ifgdg+'$ & p@ P !d7$8$H$`a$gdFa %d O gdZ- sXtRuu|~jYCj2 hh0JCJOJQJaJ+jhhCJOJQJUaJ h0J6CJOJQJ]aJ)jh0J6CJOJQJU]aJ)hZ-0J56:;CJOJQJ\aJ)h0J56:;CJOJQJ\aJ/hH^:hZ-0J56:;CJOJQJ\aJ"hH^:hZ-5CJOJQJ]aJh5CJOJQJ]aJhZ-5CJOJQJ]aJh3{5CJOJQJ]aJ : X Y - ¨kVA,)h"ihrB*CJOJQJ^JaJph)h"ihB*CJOJQJ^JaJph)h"ih/QB*CJOJQJ^JaJph)h"ihB*CJOJQJ^JaJph&h"ih5CJOJQJ\^JaJ&h"ihRH5CJOJQJ\^JaJ2h"ihFa5>*B*CJOJQJ\^JaJph)hZ-0J56:;CJOJQJ\aJ)jh0J6CJOJQJU]aJ&hhZ-0J5CJOJQJ\aJ - . / 0 1 2 B C M N 6 8 L ͶqY>q4jh"ih.CJOJQJU^JaJmHnHu/jh"ih.CJOJQJU^JaJ h"ih.CJOJQJ^JaJ)jh"ih.CJOJQJU^JaJ h"ihRHCJOJQJ^JaJhFaCJOJQJ^JaJ,h"ihFa5B*CJOJQJ^JaJph h"ihFaCJOJQJ^JaJh5CJOJQJ^JaJ&h"ih55CJOJQJ\^JaJ. / 0 1 2 3 `HV)9HVRkd $$Ifl0* ) t(P %44 la% & p@ P !d$7$8$H$IfgdFa$$If`a$gd[R?kd$$Ifl*+ t(P %44 la3 B  6 ^ ` b V VbV VZUJHVV V$$If`a$gd[Rkd$$Iflrp<*  :`  t(P %44 la $If`gdRH $If`gdFaL N P Z \ ^ `  " ҷҦ҇oҷҦ҇WҷҦF҇ h"ihcCJOJQJ^JaJ/jh"ih.CJOJQJU^JaJ/jh"ih.CJOJQJU^JaJ h"ih.CJOJQJ^JaJhRHCJOJQJ^JaJ h"ihRHCJOJQJ^JaJ4jh"ih.CJOJQJU^JaJmHnHu)jh"ih.CJOJQJU^JaJ/j#h"ih.CJOJQJU^JaJ bV VXUHHVV V V$$If`a$gd[Rkd$$Ifl4rp<*  `:` t(P %44 la $If`gdFa $If`gdRH 4 rUbHVUVU VHbVU V $If`gdc $If`gdFa$$If`a$gd[RkdS$$Ifl4rp<*   :` t(P %44 la" $ & 0 2 ҷҦҕ}ҷҦoҕWҷҦҕ?/jh"ih.CJOJQJU^JaJ/jh"ih.CJOJQJU^JaJhcCJOJQJ^JaJ/jh"ih.CJOJQJU^JaJ h"ih.CJOJQJ^JaJ h"ihcCJOJQJ^JaJ4jh"ih.CJOJQJU^JaJmHnHu)jh"ih.CJOJQJU^JaJ/j:h"ih.CJOJQJU^JaJ *rUbHVUVU VLU V $Ifgd$$If`a$gd[RRkd$$Ifl0* ) t(P %44 la&(,.dfhjꕇygUD/)jh"ih.CJOJQJU^JaJ h"ih[UQCJOJQJ^JaJ#hv)hRkd$$Ifl0* ) t(P %44 ladfhTDHVD|z7V7 V $If`gd[UQ$$If`a$gd[UQkd$$Ifl\* T  t((P %44 lap(j :±v^C5h[UQCJOJQJ^JaJ4jh"ih.CJOJQJU^JaJmHnHu/jh"ih.CJOJQJU^JaJ h"ih.CJOJQJ^JaJ)jh"ih.CJOJQJU^JaJ)h"ih[UQB*CJOJQJ^JaJph h"ih[UQCJOJQJ^JaJ)jh"ih.CJOJQJU^JaJ/jDh"ih.CJOJQJU^JaJ h"ih.CJOJQJ^JaJ@UwHVw|zjVj V $If`gd[UQ$$If`a$gd[UQxkd. $$Ifl\* T  t(P %44 la:<>@nSE4 h"ih.CJOJQJ^JaJh[UQCJOJQJ^JaJ4jh"ih.CJOJQJU^JaJmHnHu/jk!h"ih.CJOJQJU^JaJ h"ih.CJOJQJ^JaJ)jh"ih.CJOJQJU^JaJ)h"ih[UQB*CJOJQJ^JaJph h"ih[UQCJOJQJ^JaJ)jh"ih.CJOJQJU^JaJ/j h"ih.CJOJQJU^JaJjRjTjVj`jbjdjfjhjjjjlQC2 h"ih.CJOJQJ^JaJh[UQCJOJQJ^JaJ4jh"ih.CJOJQJU^JaJmHnHu/j#h"ih.CJOJQJU^JaJ h"ih.CJOJQJ^JaJ)jh"ih.CJOJQJU^JaJU)h"ih[UQB*CJOJQJ^JaJph h"ih[UQCJOJQJ^JaJ)jh"ih.CJOJQJU^JaJ/j"h"ih.CJOJQJU^JaJ(Requires $150 licensing fee) FORMTEXT       FORMCHECKBOX **Relocation of satellite FORMTEXT       FORMCHECKBOX Inactivate this location (Must terminate or transfer employees) FORMTEXT      **Former Address of Satellite FORMTEXT       FORMTEXT      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 accurate. 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. Signature of Owner/EmployeeType or Print Your Name and Business Relationship or TitleSWORN 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. Mortgage Broker Supplemental Form B2 Rev. 04/05 Page  PAGE 1 of 1 Street Address 3600 Forest Drive, 3rd Floor Columbia, SC 29204-4406 Mailing Address P.O. 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