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Consumer Financial Services Forms

• Fee Schedule - Consumer Financial Services PDF icon

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

• FIS 1098 PDF icon Consumer Financial Services Application

• FIS 2053 PDF icon Financial Statement Disclosure


Credit Card Forms

• Fee Schedule - Credit Card PDF icon

• FIS 1030 PDF icon License Application - Application and Procedures


Debt Management

• Fee Schedule - Debt Management PDF icon

• 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.

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

• 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 1010 PDF icon Financial Institution or Consumer Lender Complaint Form


Deferred Presentment Service Providers

• Fee Schedule - Deferred Presentment PDF 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

• Fee Schedule - Motor Vehicle Sales Finance PDF icon

• FIS 1028 PDF icon Application, Procedures and Fees


Mortgage Loan Originator License Forms

• Fee Schedule - Mortgage Loan Originators PDF icon

• Nationwide Mortgage Licensing System (NMLS)

• FIS 2135 Surety Bond PDF icon Bond - Mortgage Loan Originator - INDIVIDUAL

• FIS 2137 PDF icon Bond - Mortgage Loan Originator - COMPANY


Mortgage Broker, Lender, or Servicer Forms

• Fee Schedule - First Mortgage PDF icon

• FIS 2053 PDF icon Financial Statement Disclosure

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

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

• FIS 1076 Financial Statement PDF icon


Premium Finance Company Forms

• Fee Schedule - Premium Finance PDF icon

• FIS 0852 PDF icon Instructions for Application for Licensure

• FIS 0853 PDF icon Premium Finance Company License Fee Card

• FIS 0854 PDF icon Annual Statement for Insurance Premium Finance Company

• FIS 0855 PDF icon Premium Finance Company Balance Sheet

• FIS 0856 PDF icon Application For Insurance Premium Finance Company License

• FIS 0857 PDF icon Statement of Owners, Officers, and Directors of a Premium Finance Company

• FIS 0858 PDF icon Insurance Premium Finance Company Corporate Surety Bond


Regulatory Loan Forms

• Fee Schedule - Regulatory Loan PDF icon

• FIS 1026 PDF icon Application and Procedures


Secondary Mortgage Forms

• Fee Schedule - Secondary Mortgage PDF icon

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

• FIS 1076 Financial Statement PDF icon




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