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Forms for Existing Check Casher Licensees

Application for a Change in Control of a Check Casher


June 30, 2014
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.

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 Casher in Georgia.  There is a non-refundable application fee of 500 dollars.

Change in Officer or Director of a Licensee - Prior to taking position, any/each person seeking to be an officer or director of a check casher licensee must provide certain documentation in order to be approved by this Department. This is similar to the process for one seeking to acquire 10% or more.

Note that a credit report will be pulled as permission is granted by the MSB3 Form. Issues including collections, charge-offs with balances, public records/liens, will need to be resolved prior to approval.


  1. One company buys or invests directly or indirectly in a licensee
  2. Individuals become owners of 10% or more
  3. New directors join the Board of Directors
  4. Officer changes occur, including the Compliance Officer

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


Check Casher Biographical Statement and Consent Form (MSB3):
Check Casher MSB-3 Form242.04 KB



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.



MSB Guide for Developing an Anti-Money Laundering (AML) Policy:


Verification of Lawful Presence within the United States (MSBs):

The Georgia Department of Banking and Finance is required to verify the lawful presence of every individual, corporation, partnership, limited liability company or other business entity submitting a new or renewal application.


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.

MSB Report of Apparent Crime85.5 KB


May 23, 2014

Check Casher Surety Bond - Drafts Accepted for Collection with Payment Deferred

Check Casher Surety Bond73.26 KB



FinCEN Forms and Guidance (for compliance with applicable federal laws):



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