An applicant for a dealer’s license shall: submit to the Secretary an application on the form that the Secretary provides; and pay to the Secretary an application fee of $50, payable to the Comptroller. A refund or proration of the application fee is prohibited. An application for a dealer’s license shall contain: the applicant’s name, address, Social Security number, place and date of birth, height, weight, race, eye and hair color, and signature; a clear and recognizable photograph of the applicant, unless the photograph has been submitted with a prior year’s application; a set of the applicant’s fingerprints, unless the fingerprints have been submitted with a prior year’s application; and a statement by the applicant that the applicant: is a citizen of the United States; is at least 21 years old; has never been convicted of a disqualifying crime; has never been convicted of a violation classified as a common law crime and received a term of imprisonment of more than 2 years; is not a fugitive from justice; is not a habitual drunkard; is not addicted to a controlled dangerous substance or is not a habitual user; and has never spent more than 30 consecutive days in a medical institution for treatment of a mental disorder, unless a physician’s certificate issued within 30 days before the date of application is attached to the application, certifying that the applicant is capable of possessing a regulated firearm without undue danger to the applicant or to another. Each application for a dealer’s license shall contain the following statement: “Any false information supplied or statement made in this application is a crime which may be punished by imprisonment for a period of not more than 3 years, or a fine of not more than $5,000 or both.”. If an applicant is a corporation, a corporate officer who is a resident of the State shall complete and execute the application.