Indiana Code § 28-8-4.1-703

Quarterly report of authorized delegates; contents
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Sec. 703. (a) A licensee shall submit a report of authorized delegates not later than forty-five (45) days after the end of each calendar quarter. The director may use the NMLS for the submission of the report required by this section, as long as the functionality of the NMLS for such purpose is consistent with this section.       (b) An authorized delegate report under this section must include, at a minimum, the following information for each authorized delegate: (1) Company legal name. (2) Taxpayer employer identification number. (3) Principal provider identifier. (4) Physical address. (5) Mailing address. (6) Any business conducted in other states. (7) Any fictitious or trade name. (8) The name, telephone number, and electronic mail address for the authorized delegate's contact person. (9) Start date as the licensee's authorized delegate. (10) End date for acting as licensee's authorized delegate, if applicable. (11) Court orders issued under section 803 of this chapter against the authorized delegate. (12) Any other information the director reasonably requires with respect to the authorized delegate.

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