Lush - kfi ky 2026

The document is a Disclosure of Location at a Residence Form required by the Kentucky Department of Financial Institutions for applicants seeking registration of a Principal or Branch office under the Mortgage Loan Company and Loan Broker Act. It confirms that the office is located in a residential dwelling, complies with local zoning regulations, and acknowledges that periodic examinations will be conducted at this location. The form includes sections for authorization and notarization.

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Click ‘Get Form’ to open it in the editor.
Begin by entering the name of the applicant in the designated field at the top of the form. Ensure that this is accurate as it represents your entity applying for registration.
Fill in the address of the proposed Principal or Branch office location. This should include street address, city, state, and zip code, ensuring compliance with local zoning regulations.
In the section regarding authorized representatives, provide their full name and title. This individual must be authorized to act on behalf of the applicant.
Complete the acknowledgment section by filling in the date and having a notary public witness your signature. This step is crucial for legal validation.

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