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BANK COMMISSIONER INGRID E. WHITE DEPTY BANK COMMISSIONER CRIMINAL HISTORY RECORD INFORMATION AUTHORIZATION FORM, NONDEPOSITORY LENDER/BROKER, SERVICER, RETAIL SELLER OR DEBT ADJUSTER INSTRUCTIONS: 1. As part of the Banking Department s license and registration application review process, criminal background checks are required for each of the applicant s individual direct owners/investors/beneficiaries of 10% or more, for each of the applicant s individual indirect owners/investors/be.

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