Certificate of Compliance - Oregon
Oregon Department of Consumer and Business Services Division of Financial Regulation 350 Winter St. NE, Rm. 410, Salem, Oregon 97301-3881 Mailing address: P.O. Box 14480, Salem, OR 97309-0405 503-378-4140 Fax: 503-947-7862
CERTIFICATE OF COMPLIANCE
I, the undersigned authorized filer, hereby certify that the filing submitted complies with the applicable State and Federal regulations, Bulletins, filing requirements and product standards set forth on the Division of Financial Regulation web site. I further certify the filing is not false or misleading in any material respect and that I am authorized to sign and submit this certificate on behalf of the Company identified below (hereinafter Company).
I, the undersigned authorized officer, a duly authorized officer of Company, certify that the undersigned authorized filer is authorized to certify on behalf of Company that this filing complies with the applicable State and Federal regulations, Bulletins, filing requirements, and product standards set forth on the Division of Financial Regulation web site and that the filing is not false or misleading in any material respect.
I understand that the Division of Financial Regulation will rely on this certificate and, should it be determined that this filing is materially false or misleading, appropriate corrective and disciplinary action including monetary penalties, as authorized by law, will be taken by the Division of Financial Regulation against the Company.
Name of Company
Signature of authorized filer Print name of authorized filer Title Direct telephone number of authorized filer Toll free or collect phone number
Company's form filing number or the primary form number for the filing Date Address of Company or authorized filer City State ZIP Email address of authorized filer Fax number of authorized filer
Signature of authorized officer Print name of authorized officer
440-3894 (6/17/DFR)
Officer Title Date
................
................
In order to avoid copyright disputes, this page is only a partial summary.
To fulfill the demand for quickly locating and searching documents.
It is intelligent file search solution for home and business.
Related download
- additional 10 for authentication what country oregon
- oregon combined payroll tax business change in status form 150 211 156
- publication or codes numeric codes for oregon adjustments additions
- tax information authorization and power of attorney for oregon
- department of revenue enhancing organizational culture and addressing
- corporation division secretary of state oregon
- g2g annual report 2019 dor oregon legislative assembly
- certificate of compliance oregon
- oregon small business guide to insurance and worksite safety
- department of revenue cybersecurity controls assessment oregon
Related searches
- certificate of attestation of exemption ny
- certificate of termination of existence
- certificate of attestation of exemption ce 200
- state of new jersey certificate of formation
- copy of certificate of incorporation
- certificate of incorporation of company
- purpose of certificate of incorporation
- state of missouri certificate of good standing
- copy of certificate of divorce
- copy of certificate of marriage
- copy of certificate of service
- examples of compliance issues