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MSB Forms and Applications

• Application & Reporting Forms 
• Check Sellers and Money Transmitters: Required Reporting
• Laws, Regulations and Other Forms
• Bank Secrecy Act Information and News Items
• On-Line Payments/Reporting/Record Updates
• **RENEWALS**: Seller of Checks & Money Transmitter Renewals
• **RENEWALS**: Check Casher LICENSE Renewals
• **RENEWALS**: Check Casher REGISTRATION Renewals

 

>>Applications & Reporting Forms
Applications: CHECK CASHER
Application for a Full Service Check Cashing LICENSE		PDF	Word
Application for a Check Cashing REGISTRATION		PDF	Word
CHANGE IN CONTROL Application for CHECK CASHER License/Registration		PDF	Word
Applications & Semi-Annual Reporting Forms: SALE OF CHECK AND MONEY TRANMISSION COMPANIES
Application for a Sale of Check OR Money Transmitter LICENSE PDF Word CHANGE IN CONTROL Application for SALE OF CHECK or MONEY TRANSMITTER License PDF Word Semi-Annual Report for Sale of Check Licensees
Semi-Annual Report for Money Transmitter Licensees
>> Laws, Regulations and Other Forms:
State Code Sections and Regulations - Money Service Businesses:
MSB LAWS - Code Sections, Regulations, & Administrative Policies - Revised effective 8/25/2008 Policy Statement - Definition of "agent" - Posted 9/6/2007
Supervisory Employee Package, Employee Package, & Report of Apparent Crime:
Supervisory Employee Package (Check Cashers ONLY)		PDF	Word
Employee Package (Check Cashers ONLY) NOTE: These forms are for use in complying with Rule 80-3-1-.02(6) of the Department's Rules and Regulations pertaining to personnel of check casher licensees.		PDF	Word
MSB-3 Form - Personnel Background & Credit Check Authorization (PDF Only)		SOC/MT	CCasher
Background Check Authorization Form ONLY - (PDF Only)		PDF
Report of Apparent Crime NOTE: This form is for use in complying with Rule 80-3-1-.06(4) of the Department's Rules and Regulations pertaining to any criminal act or apparent criminal act by any officer, director, or employee of such licensee occurring in this state and relating to the business of the licensee.		PDF	Word
Fingerprint Card Request Forms NOTE: This form is for use in complying with Rule 80-3-1-.06(4) of the Department's Rules and Regulations pertaining to any criminal act or apparent criminal act by any officer, director, or employee of such licensee occurring in this state and relating to the business of the licensee.  REQUEST ON-LINE BELOW.		PDF	Word
>> Bank Secrecy Act Information & News Items:
State vs. Federal Licensing and Registration Requirements
Elements of a Sound Bank Secrecy Act/Anti-Money Laundering Compliance Program
Form 107 - MSB Registration Form  (for FinCEN Registration-Effective September 1, 2008)
Form 109 - MSB Suspicious Activity Reporting (SAR) Form (Rev Instructions - October 1, 2008)
FinCEN/Interagency Guidance on BSA and Maintaining Banking Relationships
Money Service Business (MSB) Information (Links off-site to FINCEN) This link will take you to a website created to address the needs of a special category of financial institutions under the Bank Secrecy Act (BSA) referred to as Money Services Businesses or MSBs. Click on the link above to learn more.

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>> ON-LINE LICENSEE INFORMATION UPDATES AND REPORTING:

• Mailing Address Changes
• Main Office Relocation/Address Change
• Branch Office/Location Relocations/Address Change
• Office Closure Notification
• Contact Changes: Company, Complaint, Registered Agent
• Online Semi-Annual Reporting for Check Sellers
• Online Semi-Annual Reporting for Money Transmitters
• On-line EXAMINATION FEE Payments
• On-line FINE Payments
• Fingerprint Card Request Forms

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Calendar Year 2009 CHECK SELLER & MONEY TRANSMITTER RENEWALS
License Period 01-01-2009 to 12-31-2009
RENEWAL PERIOD NOW OPEN

The FY2009 license renewal application system is now open. If you fail to renew your license by December 31, 2008 you will have to apply for a reinstatement.  See REINSTATEMENT information below.  Please select from the appropriate link below at that time to renew your license.

Requirements	Access Information
CHECK SELLER Renewal Website	Click Here
MONEY TRANSMITTERS Renewal Website	Click Here
User ID	Your License Number
Password	Password Provided in Renewal Notice Letter

*PAYMENT*: On-line payments may be made by ACH (draft of your checking account) or by Visa, American Express, Discover,  or MasterCard credit cards.

*INCOMPLETE or "INFORMATION REQUIRED" APPLICATIONS*: Should any additional information be required for any renewal, the licensee will be contacted by e-mail or fax ONLY. Renewals requiring additional information cannot be approved until such information is received and approved. All fines and fees must be paid.  Submit any required supporting documentation along with the cover sheet provided at the end of the renewal application process.

*LATE FILINGS*: If you have attempted access but been unable to utilize this on-line system, contact the Department However, failure to complete the renewal in a timely manner will NOT prevent the assessment of the late fee if the renewal deadline has passed.

RENEWAL FEES, DUE DATE, & PAYMENT TYPES:

Type	Seller of Checks License	Money Transmitters License
Renewal Fee	$2,000	$1,000
	Late Fee Seller of Checks	Late Fee Money Transmitters
Renewal Late Fee	$300	$300
DUE IN TO THE DEPARTMENT ANNUALLY ON OR BEFORE November 1
LATE FEES ASSESSED BEGINNING November 1
Payments-Online : Credit Card or ACH Draft
2009 LICENSE RENEWAL LINK (Select One)
Renewal Web Site: Check Seller or Money Transmitter

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FY2009 CHECK CASHER RENEWALS
CLOSED
License/Registration Period 10-01-2008 to 9-30-2009

Next Renewal Period
FY2010 CHECK CASHER RENEWALS
Available MID-JUNE 2009 to SEPTEMBER 30, 2009

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The FY2010 license/registration renewal application system will be available beginning mid-June 2009 for any entity properly licensed or registered at that time. ALL licensees and registrants MUST complete their renewal application ON-LINE. Notices will be E-Mailed to the address on record. Any licensee or registrant failing to renew their license or registration before it expires on September 30, 2008 must reapply. See REINSTATEMENT information below.

NOTE: To login and access the online systems below, you MUST have Internet Explorer (IE) 6.0 or Netscape Navigator 7.0 or higher. ACCEPT THE DEPARTMENT SECURITY CERTIFICATE at log-in when see the Security Alert. Note that if you are using IE 7 or higher, you may see a security certificate problem message. Please be assured that the security certificate on our wesite is issued by a valid certificate authority and is secure. You may proceed safely by clicking on "Continue to this website."

Licensees and Registrants should use their USER ID and PASSWORD as noted below. Please contact the Department if you have a problem using this information to access the system: Phone 770-986-1652.

Significant changes in the Check Casher statutes in July 2007 may change the type of license or registration required for your business. The links below will provide guidance to help you determine if you now need a full service license based on your check cashing activity, or if you now qualify to downgrade to a registration. PLEASE READ THE INTRODUCTORY PAGES CAREFULLY! AVAILABLE MID-JUNE 2008!

Requirements	Access Information
Full Service LICENSE Renewal Website	Click Here
REGISTRATION Renewal Website	Click Here
User ID	Your LICENSE or REGISTRATION Number
Password	Password Provided in Renewal Notice Information

*PAYMENT*: On-line payments may be made by ACH (draft of your checking account) or by Visa, American Express, Discover,  or MasterCard credit cards.

*INCOMPLETE or "INFORMATION REQUIRED" APPLICATIONS*: Should any additional information be required for any renewal, the licensee will be contacted by e-mail or fax ONLY. Renewals requiring additional information cannot be approved until such information is received and approved. All fines and fees must be paid.  Submit any required supporting documentation along with the cover sheet provided at the end of the renewal application process.

*LATE FILINGS*: If you have attempted access but been unable to utilize this on-line system, contact the Department However, failure to complete the renewal in a timely manner will NOT prevent the assessment of the late fee if the renewal deadline has passed.

*QUESTIONS OR COMMENTS*: Please contact the Department with your renewal questions at: renewal@dbf.state.ga.us

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RENEWAL FEES, DUE DATE, & PAYMENT TYPES:

Type	Full Service License	Check Casher Registration	Branch Fee-LICENSEES Only
Renewal Fee	$500	$100	$50/Location over 1
	Late Fee Licensee	Late Fee Registration
Renewal Late Fee	$300	$100
DUE IN TO THE DEPARTMENT ANNUALLY BY August 1
LATE FEES ASSESSED BEGINNING August 2
Payments-Online : Visa, Discover, MasterCard, American Express, or by ACH Draft
FY2009 LICENSE RENEWAL LINK (Select One)
Renewal Web Site: Registration or Full Service License

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LICENSE REINSTATEMENTS-Money Service Businesses

Failure to have renewed the appropriate MSB license by the due dates noted above requires the reinstatement of the license. This requires the submission of a hard-copy license or registration application form and all supporting documents. The application form is the same available above for NEW licensees. Indicate "Reinstatement" when submitting the application form.

Once a reinstatement application is submitted, the licensee or registrant will be contacted only by e-mail or fax in the event additional information is required. Reinstatement applications requiring additional information cannot be approved until such additional information is received and approved. All fines and fees must be paid before a reinstatement license or registration is issued.