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MSB Report of Apparent Crime

MSB Report of Apparent Crime:

This form is for use in complying with Rule 80-3-1-.06(3) 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.

Application for Check Casher License

Application for Check Casher License:

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

Please do not bind, hole punch or staple the completed application package.

Application for Seller-Issuer of Payment Instruments OR Money Transmitter License

Application for Seller-Issuer of Payment Instruments OR Money Transmitter License:

Application package for a Seller-Issuer of Payment Instruments or Money Transmitter license (available in Word and PDF). 

Please do not bind, hole punch or staple the completed application package.

Application for Change in Control/Ownership of Seller-Issuer of Payment Instruments or Money Transmitter Licensee

Application for Change in Control/Ownership of  Seller-Issuer of Payment Instruments 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 Seller-Issuer of Payment Instruments or Money Transmitter in Georgia.  There is a non-refundable application fee of 500 dollars.

Application for Change in Control/Ownership of Check Casher Licensee

Application for Change in Control/Ownership of Check Casher Licensee

A check casher change in control is only applicable for licensees that are owned by a corporation. A sole proprietorship or partnership that is experiencing a change in control must apply for a new license.

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.

Seller-Issuer of Payment Instruments and Money Transmitter Biographical Statement and Consent Form (MSB3)

Seller-Issuer of Payment Instruments and Money Transmitter Biographical Statement and Consent Form (MSB3):

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.