ࡱ> WYV@ bjbj 6uuht    8,<~0F(nnn'''t<v<v<v<v<v<v<$s?RAX<^'<  nn[<jjj@ nnt<jt<jjn76;n$ 0Ehd9 `<<0<$9BrB@;    B;H'jt'''<<d`DN` STATE OF SOUTH CAROLINA DEPARTMENT OF CONSUMER AFFAIRS PROFESSIONAL EMPLOYER ORGANIZATIONS S.C. Code Ann. 40-68-10 et seq.  HYPERLINK "http://www.state.sc.us/consumer" www.state.sc.us/consumer (803) 734-4200 Controlling Person Character Reference State of County of This is to certify that before me this __________ day of ____________________, 20_____, personally appeared _______________________________. Being duly sworn, this person affirms that (he/she) is not a family member of the Applicant; is not employed by the Applicant or (his/her) company; is not an officer of a client company of the Applicants company; is not an existing or proposed controlling person of the Applicants company; and does not derive a profit from any relationship with the Applicant or the Applicants company. This person further deposes and says, that (he/she) has known ________________________________________, Applicant for a license as a Controlling Person with a Professional Employer Organization doing business in the State of South Carolina for at least three (3) years; and, that said Applicant is a person with a history of honesty, trustworthiness, fairness, a good reputation for fair dealing, and respect for the rights of others and for the laws of this State and nation. __________________________________________ Signature __________________________________________ Title/Organization/Affiliation SWORN TO AND SUBSCRIBED before me this ________ day of _____________________, 20______ ________________________________________________ (SEAL) Notary Public For __________________________________ My Commission Expires: _____________________________ Controlling Person Character Reference SCDCA Form PEO-06 Rev. 08/05 Page  PAGE 1 of  NUMPAGES 1 Street Address 3600 Forest Drive Columbia, SC 29204-4006 Mailing Address P.O. 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