Creditor Registration

This registration form is for creditors who are interested in, or are already exploring an agreement with a cannabis licensee using the license as collateral for the loan. This process is governed under COMAR 14.17.17. While a creditor may obtain a security interest in the value of the license, a creditor may not obtain operational control of a cannabis license in the event of a default. Rather, the license will go into receivership. The requirements, eligibility, and responsibility of a receiver may be found under COMAR 14.17.17.03-.05. It is incumbent upon the creditor to identify a receiver who meets the eligibility requirements under 14.17.17 and submit the receiver for MCA review and approval.

Name of Creditor

Is creditor a financial institution or business?

Evidence that financial institution/business is registered to do business in Maryland.

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Have you identified a licensed entity that you wish to invest in?

Licensee DBA/Entity Name

Licensee Number

I understand that as a creditor for a cannabis license:

The agreement, selection of receiver, and any subsequent disposition of a Maryland cannabis license is subject to the review and approval of the Maryland Cannabis Administration.
In the event of a default on a loan for which a cannabis license was pledged as collateral, I am responsible for the selection of an eligible receiver to manage and operate the cannabis business during the relevant period.
Any receivership or disposition of a cannabis license is subject to COMAR 14.17.17.
As a creditor, I am not able to obtain control of the cannabis license in the event of default on a loan agreement issued under this regulation or agreement unless the Maryland Cannabis Administration approves a transfer of ownership and/or control to the creditor pursuant to the transfer process set forth in COMAR 14.17.06.04 and 14.17.07.04.

I have read and acknowledge the above statements.

Signature of Creditor

First Name

Last Name

Choose how to sign

Draw Type

I agree to electronically sign and to create a legally binding contract between the other party and myself, or the entity I am authorized to represent.

The Creditor Registration will be reviewed within 30 days of submission. The MCA may contact you to request any additional information needed to process your application.