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MSB Forms and Applications

• Application & Reporting Forms 
  

  IMPORTANT NOTE: Application fees for new licenses/registrations are non-refundable, regardless of whether a license or registration is granted.  A checklist is included in the application package to assist applicants in ensuring that they submit all appropriate documents to the Department. 

• Check Sellers and Money Transmitters: Required Reporting
• Fingerprint Processing 
   
• 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
• Print my 2012 Check Seller or Money Transmitter License Certificate
  
  
• **RENEWALS**: Check Casher LICENSE Renewals
• **RENEWALS**: Check Casher REGISTRATION Renewals
• Print my FY2012 Check Casher License or Registration Certificate

 

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 TRANSMISSION 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:
PINK BOOK - Code Sections, Regulations, & Administrative Policies - Revised 8/22/2011 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
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
Check Casher Surety Bond - Drafts Accepted for Collection with Payment Deferred NOTE: This surety bond is for use in complying with O.C.G.A. Section 7-1-705(d).		PDF
Verification of Lawful Presence within the U.S.  NOTE: This form should be completed for individuals who apply to have a license or registration in their own names.		PDF
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 104 - Currency Transaction Report FinCEN Announces Electronic Filing for MSB Registrations (7/18/2011) Form 107 - MSB Registration Form  (for FinCEN Registration) MSB Registration Query website (new! - 1/27/2012) Form 109 - MSB Suspicious Activity Reporting (SAR) Form 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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FINGERPRINT PROCESSING  - "GAPS"

Fingerprint processing is available statewide through the Georgia Applicant Processing Services (GAPS). License and registration applicants who need to provide the Department with fingerprints for owners, officers and control persons, or for employees who may require the submission of fingerprint cards as a result of incomplete or questionable background check processing may now use the GAPS service. Out-of-state applicants without access to a Georgia GAPS location may still request fingerprint cards for submission directly to the Department.  In-State applicants should use a GAPS location if possible.  For more information and instructions, click on the GAPS links below.  The GAPS form is a fillable form for completion and return to the Department.  On-line requests for hardcopy cards will be handled generally on the next business day.

• GAPS Application/Instructions in Adobe  - Revised 1/2010
  
• Fingerprint Card (hardcopy) Requests

 

>> 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
• Fingerprints

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NOTE: Check sellers and money transmitters who have a current and valid license may use the button/link above to access a secure site for retrieving and printing their 2012 license certificate. Please note that the password is the same one used for renewal of your license.  After a successful login, please be sure to click on the link to open the printing instructions to ensure the best quality printing of your certificate.

CY2012 CHECK SELLER & MONEY TRANSMITTER RENEWALS
License Period 01-01-2012 to 12-31-2012

The 2012 license renewal application system is now closed.   

RENEWAL FEES, DUE DATE, & PAYMENT TYPES:

Requirements	Access Information
CHECK SELLER Renewal Website	https://bkgfin.dbf.state.ga.us/socmtrenewal.html
MONEY TRANSMITTERS Renewal Website	https://bkgfin.dbf.state.ga.us/socmtrenewal.html
User ID	Your License Number
Password	Password Provided in Renewal Notice e-mail

*INCOMPLETE or "INFORMATION REQUIRED" APPLICATIONS*: Should any additional information be required for any renewal, the licensee will be contacted by e-mail 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 online 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: msb@dbf.state.ga.us

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 1st
LATE FEES ASSESSED BEGINNING November 2nd
Payments-Online : Credit Card or ACH Draft

 

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NOTE: Check cashers who have a current and valid license or registration may use the button/link above to access a secure site for retrieving and printing their license or registration certificate. Please note that the password is the same one used for renewal of your license or registration.  After a successful login, please be sure to click on the link to open the printing instructions to ensure the best quality printing of your certificate.

FY2012 CHECK CASHER RENEWALS
License/Registration Period
10-01-2011 to 9-30-2012

The FY2012 online license/registration renewal system is closed.    

Requirements	Access Information
LICENSE OR REGISTRATION Renewal Website	Click Here
User ID	Your LICENSE or REGISTRATION Number
Password	Password Provided in Renewal Notice e-mail

*PAYMENT*: Online 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 ONLY. Renewals requiring additional information cannot be approved until such information is received and approved. All fines and fees must be paid online. 

*LATE FILINGS*: 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: msb@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 1st
LATE FEES ASSESSED BEGINNING August 2nd
Payments-Online : Visa, Discover, MasterCard, American Express, or by ACH Draft
Renewal Web Site: https://bkgfin.dbf.state.ga.us/CCRenewal.html

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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.

>>Applications & Reporting Forms