Middletown, NY · Orange County
Collateral Loan Broker License Application
This application collects information from individuals, partnerships, firms, associations, or corporations seeking a collateral loan broker license in the City of Middletown.
- licensed online notary
- ~15 min average
- Notarized PDF emailed
What you’ll need
- Government-issued photo ID
- Webcam-enabled device (laptop or phone)
- This form, ready to upload as a PDF
What this form is
The application asks about the applicant’s or principal officers’ residences, residence history, previous employment, conviction record, and proposed business address and experience as a collateral loan broker. Middletown’s form is for applicants seeking a city license under Chapter 214 of the Code of the City of Middletown. It also lists a $10,000 bond and a $200 annual license fee, and states that the license expires December 31 each year.
Who needs it
Individuals, partnerships, firms, associations, or corporations applying to conduct a collateral loan broker business in the City of Middletown need this application.
Why it needs a notary
The applicant signs above a jurat reading “Sworn to before me”; that signer must swear to the application before the notary public.
How to get this notarized
- 1
Download The Application
Get the Collateral Loan Broker License Application from the City of Middletown.
- 2
Fill In Applicant Details
Complete the section for the applicant type and provide the requested personal, business, and experience information.
- 3
Book An Online Notary
Arrange a remote notarization for the application’s sworn statement.
- 4
Sign On Video
Sign and swear to the application before the commissioned online notary.
- 5
Submit To The City
Submit the completed application and any required attachments to the City Clerk.
Preview the form
The blank PDF straight from Middletown. Look it over, then upload your filled copy to start the notary session.
You’ll need ID and a webcam.
A licensed online notary will join you on video, verify your government-issued ID, witness your signature, and apply their seal. You’ll receive the notarized PDF by email when the session ends.
Frequently asked questions
- How do I complete the collateral loan broker application?
- Provide the requested applicant or officer information, business address, and broker experience details. Attach extra sheets if needed, then sign the sworn statement before a notary and submit the application to the City Clerk.
- Do I need to sign this application before a notary?
- Yes. The form includes a “Sworn to before me” jurat. The applicant must swear to the application and sign before a notary public.
- Can I sign the application with a commissioned online notary?
- New York authorizes remote online notarization by its notaries under Executive Law §135-c, in effect since 2023. Confirm with the city, town or village if unsure.
- What else does the form list for the license application?
- The form lists a $10,000 bond to the City of Middletown and an annual $200 license fee. It states that each license expires on December 31.
Collateral Loan Broker License Application in other New York cities
Each city publishes its own version of this form. Pick the city where you’re filing.