The Official Portal for the State of Georgia

Department of Banking and Finance

MSB Forms and Applications


 

FINGERPRINT PROCESSING  - "GAPS"

Fingerprint processing is now 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.

 

>>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 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 effective 9/7/2009

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 12008)

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:

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Calendar Year 2010 CHECK SELLER & MONEY TRANSMITTER RENEWALS
License Period 01-01-2010 to 12-31-2010
RENEWAL PERIOD CLOSED

The 2010 license renewal application system is now closed.  If you failed to renew your license by midnight December 31, 2009, you will have to apply for a REINSTATEMENT.  Select from the appropriate link below during the open renewl period to renew your license. 

RENEWAL FEES, DUE DATE, & PAYMENT TYPES:

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

*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.

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

 

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FY2010 CHECK CASHER RENEWALS
License/Registration Period 10-01-2009 to 9-30-2010
RENEWAL PERIOD CLOSED

The FY2010 license/registration renewal application system is now closed.   Any licensee or registrant failing to renew their license or registration before it expired on September 30, 2009 must apply to have their license REINSTATED.

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


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

FY2010 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.