Lic 404 2026

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4.8 out of 5

122 votes

The document is a financial information release and verification form used by the California Department of Social Services for applicants seeking a license to operate community care facilities. It requires applicants to authorize their bank or financial institution to provide account information to the licensing agency, including details about checking and savings accounts, loans, and payment history.

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Click ‘Get Form’ to open the lic 404 in the editor.
In Section I, enter your name(s) clearly in the designated field. Ensure that you print your name for legibility.
Authorize your bank or financial institution by filling in their name and address accurately. This information is crucial for verification purposes.
Provide details of your checking and savings accounts, including account numbers and names associated with these accounts.
Sign and date the form at the bottom of Section I. Make sure your signature matches the one on file with your bank.
If applicable, complete any additional sections as required by the licensing agency or financial institution.

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Versions	Form popularity	Fillable & printable
1999	4.8 Satisfied (122 Votes)

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california 404

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