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INSTRUCTION SHEET Salon/Shop Registration
In order for your application to be processed, ALL REQUIRED SUPPORTING DOCUMENTATION MUST BE SUBMITTED with the application and required fee unless otherwise directed in the instructions.
To apply for registration as a cosmetology, esthetics, or nail technology salon or barber shop under the provisions of the Illinois Barber, Cosmetology, Esthetics,and Nail Technology Act of 1985, read and follow each of the steps as indicated below. This will aid you in accurately completing your application and eliminate delays in processing. You may not operate a cosmetology, esthetics, or nail technology salon or barber shop without a Certificate of Registration from the Department. Note: A separate application must be submitted for each location. STEPI--Application Use a typewriter or black pen to complete all information requested on the Application for Salon/Shop Registration. 1. Part I, D, indicate if this application is for a change of ownership. Check box and write salon/shop registration number of previous owner. Also, request that previous owner forward a signed, dated letter acknowledging change of ownership and return originalcertificate of registration to the Department. Part II, indicate if salon/shop is owned by an individual owner, corporation, limited liability company, or partnership. Indicate all owner information as requested. Application must include the name, address, and telephone number of the person, corporation, limited liability company, or partnership that owns the salon or shop. If the owner is a corporation,limited liability company, or partnership, the application must also include the name, address, and telephone number of the managing partner or the chief executive officer. 3. Part III, indicate all salon/shop information as requested. Application must include the name, address, and telephone number of the cosmetology, esthetics, or nail technology salon or barber shop. Name of salon/shop asregistered by this Department shall be the owner's name unless owner has adopted an assumed name or has a franchise agreement. If assumed name or franchise agreement exist, the registration shall include both owner's name and assumed name or franchise name. Note: The Department may reject any application including a business name that states or implies a service that cannot be legally offered by thebusiness, which is misleading to consumers, or is otherwise inconsistent with the purposes of the Act. 4. Part IV, read certifying statement and sign and date application.

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DPR-COS S/S REG 02/09 (COS)

STEP II--Registration Fee A $40.00 check or money order made payable to the Department of Financial and Professional Regulation. Fee is not refundable. STEP III--Supporting DocumentsIllinois Corporation: Copy of entire Articles of Incorporation as filed with Illinois Secretary of State. Foreign Corporation (those incorporated outside of Illinois): Copy of entire Articles of Incorporation as filed with jurisdiction where corporation is registered; Copy of certificate of authority to transact business in Illinois as filed with Illinois Secretary of State. Limited LiabilityCompany: Copy of entire Articles of Organization as filed with Illinois Secretary of State. Partnership: Copy of signed and dated partnership agreement. Franchise: Copy of signed and dated franchise agreement. Must show that franchisee has been granted right to use trade name, trademark, service name, service mark, or any other right to the exclusive use of names or symbols. Assumed Name: Individualowner--letter or certificate from county clerk's office where assumed name is filed. Corporation--letter or certificate from Illinois Secretary of State authorizing corporation to transact business under assumed corporate name. Limited Liability Company--letter or certificate from Illinois Secretary of State authorizing LLC to transact business under assumed limited liability company name....