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Forms for Existing Money Transmitter Licensees

Surety Bond Form
Fingerprint Processing
Other Department Forms and Guidance
FinCEN Forms and Guidance

May 23, 2014

Surety Bond form for Seller-Issuer of Payment Instruments and Money Transmitter Licensees

Surety Bond Form (fillable PDF)50.31 KB




Fingerprint Processing  - "GAPS"

February 15, 2015

For certain applicants and individuals, the Department requires background checks (criminal history record searches using fingerprints). Georgia Application Processing Services (GAPS) provides fixed office locations throughout the state of Georgia for fingerprint services in a non-criminal justice environment. Individuals that reside in Georgia are required to have their fingerprint background checks processed at a GAPS location but must first contact the Department to be registered to do so. In-state individuals, please see the Attachment below entitled, “GA DBF In-State GAPS Fingerprint Instructions.”

For out-of-state applicants, GAPS provides a procedure for fingerprint cards to be submitted directly to 3M Cogent. Out-of-state individuals, please see the Attachment below entitled, “GA DBF Out-of-State Fingerprint Instructions.”



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


April 29, 2015
Verification of Lawful Presence for Mortgage and Money Services Applicants:

Pursuant to the Official Code of Georgia Annotated § 50-36-1, the Georgia Department of Banking and Finance (“Department”) is required to verify the lawful presence of every individual, corporation, partnership, limited liability company or other business entity submitting a new application.  Legal permanent residents, qualified aliens and non-immigrants are required to reverify their lawful presence annually at renewal.

Mortgage Loan Originators and Sole Proprietor Mortgage or Money Service Business applicants, seeking to obtain a license or registration in his or her own name will provide affidavit testimony regarding his or her legal presence in the United States using the attached Citizenship Affidavit.

For Mortgage Broker, Mortgage Lender, Check Casher, Money Transmitter and Seller of Payment Instrument company applicants (corporations, partnerships, limited liability companies or other business entities), only one individual, an owner or officer with the authority to act on behalf of the company, must complete and submit a signed, notarized affidavit.  The designated individual will be the “affiant,” providing affidavit testimony regarding his or her legal presence in the United States.

Please note that if the individual applicant, or the designated individual for a company, is not a United States citizen, this Department may be required by O.C.G.A. §50-36-1 to verify their immigration status through the Federal Systematic Alien Verification of Entitlement (SAVE) program.  Additional documentation may be requested.

Checklist for Completion

  • Print the Applicant or Licensee’s Name and NMLS (Nationwide Mortgage Licensing System) number.  This is the name in which the license is or will be held and its unique NMLS identifier.
  • Check only one of the boxes to indicate the affiant’s legal status (U.S. citizen, legal permanent resident, or qualified alien or non-immigrant).  A qualified alien or non-immigrant must also include his or her federally issued alien number along with a Foreign Passport and I-94, or an Employment Authorization Document that contains a photograph.
  • Check one of the secure and verifiable documents that will be submitted to verify the affiant’s legal status and attach a legible copy (front and back) to the affidavit. 
  • Print the city and state in which the document was executed.
  • Print the name of the Affiant and, for company applicants, his or her title for the company.
  • Affiant should sign the document in the presence of a notary who will affix his or her seal to the document.
  • Submit the original, signed, notarized affidavit along with a legible copy (front and back) of the secure and verifiable document selected to the Department.

Applications will not be processed without a complete and notarized affidavit.


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




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