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Get State Of Connecticut Department Of Banking Consumer Credit Division 260 Constitution Plaza

E this form when requesting a change of address for a licensed location. Please advise if the 2. 3. 4. mailing address (if currently different from licensed location) will remain the same. Please return original license(s) with this form. Please forward a check in the amount of $100 (nonrefundable fee) made payable to Treasurer, State of Connecticut. If the mailing address only is being changed, please complete the bottom portion of this form. (The license does not need to be returned an.

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