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Department of Labor & Economic GrowthMichigan.gov, Official Web Site for the State of Michigan
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Consumer Financial Services Forms

• FIS 2053 PDF icon
Financial Statement Disclosure

• Fee Schedule Consumer Financial Services PDF icon

• Consumer Financial Services Annual Report letter PDF icon

• FIS 1078 Consumer Financial Services Annual Report PDF icon

• FIS 1098 PDF icon
Consumer Financial Services Application

• FIS 2050 PDF icon
Entity Application Disclosure

• FIS 2051 PDF icon
Affiliation Disclosure

• FIS 2054 PDF icon
Certificate of Resolution

• Consumer Financial Services Application Bundle PDF icon
Contains Forms: FIS-1098, FIS-2050, FIS-2051, FIS-2053, and FIS-2054

Credit Card Forms

• FIS 1082 Credit Card Activity Report PDF icon

• Fee Schedule Credit Card PDF icon

• Credit Card Activity Report letter PDF icon

• FIS 1030 PDF icon
License Application - Application and Procedures

Debt Management
Debt Management forms are moving from Securities to Mortgage and Consumer Finance. They temporarily appear in both places. Please use this link to bookmark DM forms' new location: http://www.michigan.gov/dleg/0,1607,7-154-10555_13044_13188---,00.html

• FIS 0506 Debt Management Initial Application Packet PDF icon
Complete application packet except that applicants must also download and file either form FIS 0508 Surety Bond OR FIS 0509 Deposit of Cash or Securities. Read form instructions for details.

• Debt Management Schedule of Fees PDF icon

• FIS 0506 PDF icon
Application form only (additional forms are required to make application)

• FIS 0507 PDF icon
Renewal Application form only (additional forms are required complete your renewal filing)

• FIS 0508 PDF icon
Bond for Licensee

• FIS 0509 PDF icon
Deposit of Cash or Securities in Lieu of Bond

• FIS 0510 PDF icon
Application for Consent to Service of Process

• FIS 0511 PDF icon
Employment List

• FIS 0512 PDF icon
Business History Form

• FIS 0513 PDF icon
Affidavit of Character

• FIS 0514 PDF icon
Financial Statement

• FIS 0515 PDF icon
Employment Notification

• FIS 0516 PDF icon
Termination Notification

• FIS 0517 PDF icon
Alternative Bond in Lieu of Michigan Based Trust Account

• FIS 0550 PDF icon
Debt Management Fee Processing Card

• Debt Management Examination Study Aid PDF icon

• FIS 0590 PDF icon
Debt Management Complaint Form

Deferred Presentment Service Providers

• Fee Schedule Deferred Presentment PDF icon

• License Requirement Date and Record Maintenance letter dated 5/19/2006 PDF icon

• Deferred Presentment Transactions Record Maintenance spreadsheet Excel icon

• Application forms packet for Deferred Presentment Service Providers (DPSPs) PDF icon
Forms to make application for initial license to transact business as a Deferred Presentment Services Provider in Michigan. Also see optional Substitute FIS 2041 Branch Offices List below.

• Substitute for form FIS 2041 Branch Office List for Deferred Presentment Service Providers (DPSPs) Excel icon
Excel compatible spreadsheet to file Branch Office data on a CD in lieu of paper form FIS 2041. For initial applications with four or more branch listings only.

Money Transmission Services Providers

• Fee Schedule Money Transmission PDF icon

• FIS 2060 and related forms PDF icon
Package to make application for a license to conduct business as a Money Transmission Services Provider in Michigan. All required forms for application except form FIS 2061 (use link below).

• FIS 2061 Excel icon
List of Authorized Delegates and Additional Locations. This filing can be made by enclosing a CD containing the completed file in an Excel compatible format.

Motor Vehicle Sales Fin. / Install. Seller Forms

• Motor Vehicle Sales Renewal Notice PDF icon

• FIS 1028 PDF icon
Application and Procedures

Regulatory Loan Forms

• Fee Schedule Regulatory Loan PDF icon

• Regulatory Loan Annual Report letter PDF icon

• FIS 1026 PDF icon
Application and Procedures

• FIS 1079 Regulatory Loan Annual Report PDF icon

Mortgage Loan Officer Registration

• FIS 2080 Loan Officer Request for Registration and Michigan-Specific Supplement to Form MU4 PDF icon

• Nationwide Mortgage Licensing System (NMLS)

• Schedule of Fees for Loan Officer Registration PDF icon

Mortgage Broker, Lender, or Servicer Forms

• First Mortgage Renewal Notice PDF icon

• Fee Schedule First Mortgage PDF icon

• FIS 2053 PDF icon
Financial Statement Disclosure

• EFFECTIVE IMMEDIATELY First and Second Mortgage applications are combined.
Start with form FIS 1140 Michigan Specific Forms for Mortgage Application.

• FIS 1140 MI Specific Forms for Mortgage Application PDF icon
Start with form FIS 1140 Michigan Specific Forms for Mortgage Application.

• Form MU-1 DOC icon

• Form MU-2 DOC icon

• Fee Schedule Secondary Mortgage PDF icon

• Annual Report - First Mortgage
FIS 1077 Updated here after each annual mailing.

• First Mortgage Brokers, Lenders and Servicers Annual Report letter PDF icon

• First Mortgage Brokers, Lenders and Servicers Financial Statement letter PDF icon

• FIS 1076 Financial Statement PDF icon

Secondary Mortgage Forms

• EFFECTIVE IMMEDIATELY First and Second Mortgage applications are combined.
Start with form FIS 1140 Michigan Specific Forms for Mortgage Application.

• Annual Report - Secondary Mortgage
FIS 1080 Updated here after each annual mailing.

• Secondary Mortgage Loan Annual Report letter PDF icon

• Secondary Mortgage Loan Financial Statement letter PDF icon

• FIS 1076 Financial Statement PDF icon


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