Forms

  • Forms that are marked with a Y in the Fill column can be completed on-line through Adobe Acrobat Reader.
  • Users with Adobe 6.0 and above will need to change a setting before completing the forms so that the tabbing order works correctly. Open Adobe Acrobat, go to the tab on top labeled Edit, go to Preferences, and Accessibility. Make sure the box Use document structure for tab order when no explicit tab order is specified is not checked.
  • Dates must be entered in the following format: mm/dd/yyyy.
  • When printing a form from Adobe Acrobat, the Page Scaling needs to be set to None. This can be found under File, Print, Page Handling Section. There will be a section called Page Scaling with drop down options. Please select None from those options. If any of the other options are selected, additional white space will be added to the margins of the form and the form will shrink.

Department of Financial Institutions - Public Form(s)

SFNTitleSizeDateFillable
2096 ARTICLES OF AMENDMENT TO CERT OF ORGANIZ 168 kb 07/06/2012 Y
2097 ARTICLES OF AMENDMENTS TO BYLAWS CREDIT 158 kb 07/06/2012 Y
2115 SURETY BOND FOR OPERATION OF COLLECTION 142 kb 07/06/2012 Y
2121 MONEY BROKER SURETY BOND 142 kb 07/06/2012 Y
2144 OATH OF TRUST OFFICER 195 kb 07/06/2012 Y
2145 OATH OF TRUST DIRECTOR 212 kb 07/06/2012 Y
2146 OATH OF BANK OFFICER 195 kb 07/06/2012 Y
2147 OATH OF BANK DIRECTORS 212 kb 07/06/2012 Y
2148 RECORD OF ANNUAL MEETING OF STOCKHOLDERS 234 kb 07/06/2012 Y
2149 LIST OF STOCKHOLDERS 444 kb 07/06/2012 Y
2150 REPORT OF EXAMINING COMMITTEE 474 kb 07/06/2012 Y
7344 ARTICLES OF AMENDMENT CERTIFICATE OF ORG 144 kb 07/06/2012 Y
7361 ARTICLES OF AMENDMENT TO BYLAWS (DIRECTO 144 kb 07/06/2012 Y
7386 APPL TO EXPAND FIELD OF MEMBERSHIP 331 kb 07/06/2012 Y
7391 APPLICATION TO ESTABLISH A BRANCH 501 kb 07/06/2012 Y
18857 APPLICATION TO MOVE MAIN OFFICE; OR BANKING HOUSE OR OFFICE; 843 kb 07/06/2012 Y
19249 LOAN PRODUCTION OFFICE APPLICATION 259 kb 07/06/2012 Y
19433 BANK DIVIDEND WORKSHEET 178 kb 07/06/2012 Y
50470 APPL TO ESTABLISH A STATE-CHARTERED BANK TRUST BRANCH 534 kb 07/18/2012 Y
50702 CONSUMER COMPLAINT 372 kb 07/06/2012 Y
50788 APPLICATION TO ESTABLISH A FACILITY 383 kb 09/13/2012 Y
50950 MODIFIED APPLICATION TO ESTABLISH A FACILITY 405 kb 07/06/2012 Y
52923 SURETY BOND TO OPERATE DEFERRED PRESENTMENT SERVICE PROVIDER 142 kb 07/06/2012 Y
53086 APPLICATION TO ESTABLISH A BRANCH OR OPERATING SUBSIDIARY 585 kb 08/24/2010 N
54496 SURETY BOND FOR MONEY TRANSMITTERS 121 kb 08/06/2010 N
58679 EXTENSION REQUEST-OTHER REAL ESTATE OWNED 398 kb 07/06/2012 Y
59982 SURETY BOND FOR DEBT SETTLEMENT PROVIDERS 544 kb 06/10/2016 Y
60238 QUARTERLY TRUST OFFICERS'S QUESTIONNAIRE 144 kb 10/03/2012 Y
60901 PAYDAY RECEIVABLES 314 kb 08/12/2015 Y
60903 MONEY TRANSMITTER SALES & PERMISSIBLE INVESTMENT REPORT 509 kb 08/19/2015 Y
60926 COLLECTION AGENCY ACTIVITY REPORT 348 kb 09/01/2015 Y