12 Pa.C.S. § 6212: Initial license application.

(a) General rule.--An initial license application shall be in writing, under oath and in the form prescribed by the department.

(b) Contents.--An initial license application shall contain the following:

(1) The name under which the business is conducted.

(2) The physical street address of the place of business.

(3) The date of registration with the Secretary of the Commonwealth of any fictitious or trade name of the business.

(4) If the applicant is a corporation:

(i) the date and place of incorporation; and

(ii) the names and addresses of the officers and directors.

(5) If the applicant is an individual owner, the name and residence address of the owner.

(6) If the applicant is a partnership, association or limited liability company, the name and residence address of each owner, partner or member and any managers.

(7) Any other information that the department requires.

(c) Process; notice.--

(1) An application filed by an association or corporation shall be accompanied by a power of attorney showing the name and address of the authorized agent in this Commonwealth upon whom judicial and other process or legal notice may be served.

(2) The department is authorized to accept service of process or notice if the agent in paragraph (1):

(i) has died;

(ii) is removed from this Commonwealth; or

(iii) is under a legal disability or otherwise disqualified from serving as agent.