FORM 1268-LA2                 APPLICATION/RENEWAL FOR 
   STATE OF DELAWARE             AFFILIATED FINANCE COMPANY 
   Division of Revenue                       BUSINESS LICENSE                             Rev Code 0101 
   P.O. Box 2340                             CALENDAR YEAR 12-31-                         Bus Code  706 
   Wilmington DE 19899-2340 

PART A - APPLICANT’S NAME AND ADDRESS                                                                Reset

Enter Federal Employer Identification Number                                              Print Form

Application or Renewal?          Application Renewal

Name of Business 

Address                                                                                   Zip Code 

Delaware Address if Different                                                             Zip Code 

PART B - BUSINESS ACTIVITIES OF THE APPLICANT: 
1. Is the applicant engaged in the issuing of commercial paper or other debt obligations? 
                                                                               YES        [  ]       NO [  ]  
2. Does the applicant use substantially all of the proceeds from such obligations to make loans to, or purchase 
   receivables from its affiliated corporations? 
                                                                               YES  [   ]   NO [  ]  
3. Attach statement identifying each affiliated corporation to which loans were made or from which receivables 
   were purchased. 

4. Did the applicant in the immediately preceding taxable year receive income from any source other than 
   interest and discount income from its affiliated corporations totaling more than five percent (5%) of its annual 
   net income?                                                                                             
                                                                               YES [ ]               NO [ ]
5. Attach statement listing the name and address of all persons or entities owning stock interest in the applicant 
   and indicate the percentage of ownership. 

                                             COMPUTATION OF FEE 
        IF THE CAPITAL BASE IS                      THE ANNUAL LICENSE FEE SHALL BE 

   $             0.00         to $  99,999,999.99                       $10,000
   $100,000,000.00            to $224,999,999.99                        $15,000
   $225,000,000.00            to $749,999,999.99                        $25,000
                 Over            $750,000,000.00                        $50,000

                                                 TOTAL AMOUNT PAID  $

The capital base shall be computed from the information shown on the corporation’s certified financial statement
for the year ending December 31 of the immediately preceding calendar year, or in the case of a fiscal year 
corporation, as of the end of its fiscal year ending within the immediately preceding calendar year. 
A COPY OF SUCH FINANCIAL STATEMENT MUST BE SUBMITTED WITH THIS APPLICATION AND WITH 
EACH ANNUAL RENEWAL. 

I certify that the foregoing information and attachments hereto are true, correct and complete to the best of my 
knowledge and belief: 

   Applicant’s Signature                                          Title                   Date

                                                                  *DF40315019999*
   (Revised 10/28/15)                                                   DF40315019999

                                          GENERAL INFORMATION 

House Bill 28, approved February 18, 1981 (Vol. 63, Laws of Del., Chapter 2), amended Title 30 of the Delaware 
Code by adding a new Part VI (§6301 et seq) to provide for the licensing and taxation of affiliated finance companies. 

Effective May 1, 1981, no corporation may carry on business in the State of Delaware as an AFFILIATED FINANCE 
COMPANY unless it has first obtained from the Division of Revenue a license to conduct such business and has paid a 
license fee measured by its Capital Base. 

An AFFILIATED FINANCE COMPANY is defined to mean a corporation substantially all of whose activity within 
this State is limited to the issuance of commercial paper or other debt obligations and use of the proceeds to make loans 
to one or more of its affiliated corporations or to purchase receivables from one or more of its affiliated corporations.  An 
AFFILIATED CORPORATION means two or more corporations, which are members of a controlled group of corporations 
as defined in Section 1563 of the Internal Revenue Code. 

All affiliated finance companies taxed under Part VI shall be exempt from any occupational license taxes imposed 
by Part III of Title 30 of the Delaware Code. The license issued shall be valid for one year and must be renewed annually 
and the license fee paid on or before April 30 of each year.  A copy of a corporation’s certified Financial Statement for 
the year ending December 31 of the immediately preceding calendar year, or in the case of a fiscal year corporation as 
of the end of its fiscal year ending within the immediately preceding calendar year, must be submitted with this application 
and with each annual renewal.