OAR 836-071-0410: Limited License Application, Self-Service Storage Facility; Required Information

(1) An applicant for a self-service storage facility limited license shall submit electronically to the director of the Department of Consumer and Business Services a self-service storage limited license application in accordance with instructions located on the Division of Financial Regulation website at dfr.oregon.gov. (2) The applicant shall include all of the following information in the limited license application: (a) The applicant's corporate, firm or other business entity name, the business address, electronic mail address and telephone number of the principal place of business and the business address and telephone number of each self-service storage facility at which the applicant will transact business under the limited license; (b) All assumed business names and other names under which the applicant will engage in business under the limited license; (c) Certification that the applicant is the owner of all locations included on the application; (d) Whether the applicant or any agent or authorized representative of the applicant has: (A) Been convicted of or indicted for a crime, including a felony involving dishonesty or a breach of trust to which 18 U.S.C. 1033 applies; (B) Had a judgment entered against the applicant or person designated by the applicant as being responsible for the applicant’s compliance, for fraud; (C) A claim of indebtedness by an insurer or agent, and the details of any such indebtedness; or (D) Had any license to act in any occupational or professional capacity in this or any other state refused, revoked or suspended; (E) Filed for bankruptcy or been adjudged bankrupt; (e) All states and provinces of Canada in which the applicant currently holds a license to engage in the transaction of insurance, or has held such a license within ten years prior to the date of the application (f) Any other information requested by the director. (3) Each application shall be accompanied by a $200 fee.