Office of Financial Regulation - Florida Office of ...
OFFICE OF FINANCIAL REGULATION
Division of Financial Institutions
CERTIFICATE OF GOOD STANDING REQUEST
Pursuant to Section 658.73, Florida Statutes, any individual or entity, other than a financial institution chartered in Florida, must pay to the Office of Financial Regulation a fee for each “certificate of good standing” certifying that a state-chartered financial institution is licensed to conduct business in Florida under the Financial Institutions Codes. {Completion of this form and submission, with the required fee, shall serve as the required written request.} Note: State or federal regulatory agencies and law enforcements agencies are exempted from paying this fee.
Requested By:
Address:
Phone: ( ) -
[ ] We are requesting a certificate for each State Financial Institution that is headquartered in Florida listed below (Call OFR for fee at (850) 410-9800):
Total Fee Paid: $
Return to:
Office of Financial Regulation
Division of Financial Institutions
200 East Gaines Street
Tallahassee, Florida 32399-0371
|A CHECK FOR EACH CERTIFICATE, MADE payable to the |
|OFFICE OF FINANCIAL REGULATION, is attached for deposit to the |
|Financial Institutions Regulatory Trust Fund. |
|Org: 43843000000 |
|Flair Object Code: 012022 |
|EO: V1 |
|Revenue Source Code: 234 |
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