Commercial Check Cashing Customer Application (1)

[Pages:4]CFSC Location_____________________________

Commercial Check Cashing Customer Application

Thank you for your inquiry regarding the establishment of a check cashing relationship with our Company. In order to proceed forward with your business, we ask that you please provide us the following information at your earliest convenience.

BUSINESS ENTITY INFORMATION

Business/Entity Name:

Doing Business As:

S Corporation (Corp., Inc., Co.) C Corporation (Corp., Inc., Co.) Limited Liability Company (LLC) Limited Company (Ltd.)

General Partnership

Limited Partnership (LP) Limited Liability Partnership (LLP) Sole Proprietorship Trust Company

FEIN / Tax ID:

License #:

State Incorporated

Date Business Opened:

Number of Locations:

Location Address:

Mailing Address:

Type of Business or Industry: _____________________________________________________________________________________

Referred By: Why are you establishing a relationship with us?

Please list products and/or services you will require with us?

Do you have a bank account? Yes

No

Can you please provide us the name of your bank, along with their address and phone number?

Do you conduct business in the local community?

Yes

No

Please provide us your projected monthly account activity (check box when complete)

How many checks will you be cashing with us permonth? What is the anticipated average check amount that will be cashed with us?

What is the largest check amount you will becashing?

Please note that we will periodically review your check cashing activity in order to meet your business needs. We look forward to building a rela4onship with your Company.

CUSTOMER INFORMATION - KNOW YOUR CUSTOMER

How many employees do you have?

Are your employees bonded?

Yes

No

BUSINESS OWNER CONTACT INFORMATION Main Contact Person(s):

Phone Number(s):

Email Address(es):

Authorized Signers, including Title/Position: 1)

2)

3)

DOCUMENTATION REQUIRED AT MINIMUM TO ESTABLISH A RELATIONSHIP INCLUDE:

Organizational documentation Corporate Resolution Proof of EIN Business License Driver's License

RESOLUTION GRANTING AUTHORITY TO CASH COMPANY CHECKS

Name of business: Form of Organization (check one):

o Corporation o Limited Liability Company o Sole Proprietorship o Not-For-Profit Entity o Partnership (limited or limited liability)

(hereafter, "Company")

I,

, do hereby certify that I am a duly appointed and

authorized representative of the Company acting in a capacity authorized by the by-laws or other

appropriate organizing agreement of the Company; that I am the custodian of the business records of

the Company; and that a meeting of the appropriate directors, members, managers, partners, trustees,

owners or other such representatives of the Company, as the case may be, was called and held on

, 20 in accordance with the law and with the by-laws or other appropriate organizing

agreement of the Company, at which meeting all necessary attendance as required by the by-laws or

other organizing agreement of the Company was met, and the following resolutions were duly adopted

by the Company, to wit.

Resolved:

1. That each of the following individuals, in the capacities shown below, are designated as signatories ("Signatories") on behalf of the Company with respect to checks issued by the Company or payable to the Company and which checks are negotiated by any affiliate of "CFSC"* and to be referred to as "CFSC", and such Signatories are authorized to endorse checks made payable to the Company or to Cash, and to receive cash and/or other proceeds in exchange for such checks, at any CFSC check cashing location:

Name of Individual

Capacity (Title)

2. That CFSC is authorized to payout the proceeds of checks endorsed by any such Signatory in cash or other proceeds without limitation to amount, without inquiry as to circumstances of issue, negotiation or endorsement thereof, and without further inquiry or regard to the authority of the person endorsing such checks.

3. That CFSC shall not be in any manner whatsoever, responsible for or required to see to the application of any of the funds disbursed to the Signatories from the cashing of checks hereunder, and that all such transactions shall be conclusively presumed to be legally binding upon the Company.

4. That, in order to induce CFSC to act pursuant to the foregoing paragraphs, the Company hereby agrees as follows:

a. This resolution shall continue in force until revoked or modified by written notice actually received by CFSC**, setting forth a certified resolution to that effect stated to have been duly authorized and adopted by the appropriate authority of the Company, and signed by one purporting to be acting in the appropriate capacity of the Company; provided, however, that such notice shall not be effective as to any exercise of powers prior to the receipt thereof, or as to any checks cashed on or prior to the date of such notice, and CFSC is authorized to rely on the last communication received by it, so authenticated, as to any resolution of the Company or as to the person or persons who may be Signatories of the Company, or as to their respective specimen signatures and/ or to any other Company matters, and CFSC shall be held harmless in such reliance, even though such resolution may have been changed or rescinded.

b. That CFSC need not recognize a claim of authority which conflicts with a claim of authority of which CFSC has had prior notice, unless the person asserting such subsequent claim shall procure an appropriate restraining order, injunction or other appropriate process against CFSC from a court of competent jurisdiction requiring CFSC to so act.

c. That Company shall utilize the check cashing services offered by CFSC only for legal business purpose, and shall not utilize such services to avoid reporting income to federal, state or municipal agencies, or to engage in any money laundering scheme, or to avoid Bank Secrecy Act or U.S.A. PATRIOT Act (as those Acts are defined in federal law) reporting requirements, or for any illegal or unlawful purpose whatsoever.

I further certify that the above resolutions have not been altered, amended, or rescinded and are now in full force and effect.

I do hereby certify that the names and that the genuine signatures of the present Signatories of the Company are as follows:

Name (Print Name)

Specimen Signature

SIGN HERE

Executed this

day of

, 20

Signature: Print Name: Title:

SIGN HERE

*Affiliates of CFSC may be found on the location finder at

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