Forms for Existing Seller-Issuer of Payment Instruments Licensees

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

June 6, 2019

In addition to the mandatory quarterly filings required through the NMLS, licensees are required to submit Average Daily Balance of Outstandings directly to the Department via email to msb@dbf.state.ga.us.  This fillable PDF form replaces the webform that was utilized previously.

Please email the completed Quarterly Report of Outstandings for Sale of Payment Instruments and Money Transmitter Licensees PDF form to msb@dbf.state.ga.us.

The NMLS mandatory filings - Money Service Business Call Report (MSBCR) and Uniform Authorized Agent Report (UAAR) - and the Quarterly Report of Outstandings must be completed within 45 days after the quarter end. Licensees that fail to file all required reports by the deadline will be assessed a fine of $1,000 and may subject their Georgia license to revocation.


Electronic Surety Bonds (ESB)

Electronic surety bonds (ESB) for money transmitters and sellers of payment instruments were available in NMLS starting January 23, 2017.  Licensees of these types are required to meet all surety bond requirements by completing the electronic surety bond process. Any changes to the ESB should be made through the NMLS.

 

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Fingerprint Processing

As of 9/12/2016, criminal history background checks on MU2 individuals should be authorized and submitted through the NMLS.

 

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OTHER FORMS AND GUIDANCE:

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

 

 

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.

 

 

 

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

 

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