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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

• 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 2053 PDF icon
Financial Statement 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

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 Broker, Lender, or Servicer Forms

• First Mortgage Renewal Notice PDF icon

• Fee Schedule First Mortgage PDF icon

• 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

• FIS 2053 PDF icon
Financial Statement Disclosure

• 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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