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Secretary of State

Indiana Securities Division

Securities Division > File a Complaint > Securities Division Complaint Form Securities Division Complaint Form


The Indiana Securities Division can investigate possible violations of these statutes:

  • Indiana Securities Act (IC 23-19)
  • Indiana Loan Broker Act (IC 23-2-5)
  • Indiana Franchise Act (IC 23-2-2.5)
  • Indiana Takeover Offers Act (IC 23-2-3.1)
  • Indiana Collection Agency Act (IC 25-11)

* Required field



Loan Broker
Collection Agency
Takeover Offers

II. Please supply the following information about yourself:















Cell Phone:


* III. Please supply the following information about the
person(s) and entities who you believe may have violated Indiana law:









Individual(s) involved:





















Note: Please include any additional names in Section VI "Other Information".


V. Do you have any records of the transaction?

Yes   No

Please describe the documents you have:

VI. Please provide any other information here: