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Credit Union Purchase and Assumption (Merger) Applications

Application forms for Purchase and Assumption (P&A) / Merger transactions where a Georgia state-chartered credit union is involved.

Credit Union Field of Membership Expansion Applications

Applications for credit union field of membership (FOM) expansion.

Check Seller and Money Transmitter Biographical Statement and Consent Form (MSB3)

Check Seller and Money Transmitter Biographical Statement and Consent Form (MSB3):

Application for Change in Control of Check Seller or Money Transmitter Licensee

Application for Change in Control of Check Seller or Money Transmitter Licensee:

This application must be filed by any/each person seeking to acquire 10% or more of the voting shares of a corporation or a 10% or more controlling interest in any other entity licensed to conduct business as a check seller or money transmitter in Georgia.

MSB Report of Apparent Crime

MSB Report of Apparent Crime:

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 a licensee occurring in this state and relating to the business of the licensee.

Check Casher Employee Criminal History Record Information Consent Form

Employee Criminal History Record Information Consent Form:

Each person employed shall complete an authorization for Criminal History Record Information Consent Form.  Prior to employment or not later than 30 days following employment the licensee shall cause a criminal background check to be performed on the person employed.

Check Casher Biographical Statement and Consent Form (MSB3)

Check Casher Biographical Statement and Consent Form (MSB3):

Application for Change in Control of Check Casher Licensee or Registrant

Application for Change in Control of Check Casher Licensee or Registrant

A check casher change in control is only applicable and/or allowed for licensees/registrants that are owned by a corporation. The application and all supporting documents should be submitted on all new owners of 10% or more of the voting shares of a corporation licensed/registered to conduct business as a check casher in Georgia.

Application for Check Casher License or Registration

Application for Check Casher License or Registration:

Application package for a Check Casher license or registration (available in Word and PDF).