|
|
|
Form |
Description |
|
Background Check Providers - updated
6-1-2010
|
Background Check/Fingerprints Current List of Providers (As of June 1, 2010) |
|
Background Check Information and Instruction Form
|
Background Check Information and Instruction Form |
|
Establish, Acquire or Relocate A Banking Office |
Notice of intent for a Bank, Savings and Loan Association, or Savings Bank to establish,
acquire, or relocate a banking office. |
|
Bank Merger |
Application for approval of a reorganization including, if applicable, the creation
of an interim bank to faciliate the transacation
|
|
Board of Directors Amendment to Article of
Incorporation |
Application for approval of an amendment adopted by the Board of Directors
|
|
Share Holders Amendment to Article of
Incorporation |
Application for approval of an amendment adopted by the shareholders |
|
Notice of Change of Control |
Application for notice of a proposed change of control
|
|
Convert to a State-Charter Institution |
Application for authority to convert a nationl bank, savings association, or savings
bank into a state bank |
|
Convert to a Federal-Charter Institution |
Instructions to convert from a state-chartered bank to a federal charter bank |
|
Merger into a Federal Institution |
Instructions for completing the merger of a state-chartered institution into a national
bank or federal savings association |
|
Name Reservation |
Instructions for submitting a name reservation |
|
Director Listing |
List of Directors Form |
|
Directors Oath - Single |
Oath of Director |
|
Directors Oath - Collectively |
Oath of Directors |
|
Closing a Banking Office |
Procedures for Closing a Banking Office - Ohio Administrative Code 1301:1-4-12
|
|
|
|
Form |
Description |
|
Form to Request Approval to
Pay Dividends |
Form to Request Approval to Pay Dividends |
|
Auditor-Notice of Employment or Change
in Employment of Outside Auditor |
Section 1733.191 (A) of the Ohio Revised Code requires that the employment or changes
pertaining to the employment of an outside auditor be reported to the Superintendent
within 10 days after employment.
Section 1733.191 (B) of the Ohio Revised Code requires an institution that terminates
its relationship with an outside auditor to submit to the Superintendent within
15 days of the termination, a statement of the reasons for the termination and the
circumstances surrounding such termination. The institution may elect to attach
the required statement to this form or forward a separate statement to the Superintendent
within the 15-day time period. |
|
Conversion from Federal Charter to State
Charter Application |
Application for the conversion of a federal credit union to a state-chartered credit
union |
|
CU Board Resolution |
Sample Board Resolution Form |
|
Field of Membership - Select Group Expansion Application |
This is an application of the credit union named below to add the following named
select group to its field of membership. The application form must be completed
fully or it will be returned to the credit union for completion and re-submission.
The Division reserves the right to request additional information relating to the
field of membership expansion, as provided by rule 1301:9-2-17 of the Ohio Administrative
Code. |
|
Merger Application |
Application for a state to state or federal to state or state to federal credit
union merger |
|
Certificate
of Merger |
Merger Information from the Secretary of State |
|
Oath of Director |
Oath of credit union director |
|
Oath of Officer |
Oath of credit union officer |
|
Roster of Credit Union Officials |
Form to report Credit Union Officials |
|
Certificate of Amendment to the Code of Regulations |
Amendments by the Board of Directors |
|
Certificate
of Amendment to the Articles of Incorporation |
Amendments by the Board of Directors |
|
Certificate of Amendment to the Code of Regulations |
Amendments by the Members |
|
Certificate
of Amendment of Articles of Incorporation |
Amendments by the Members |
|
|
|
Form |
Description |
|
Ohio Check Cashing Act - Statute |
Ohio Revised Code 1315.21 to 1315.30 |
|
Ohio Check Cashing Act - Rules |
Ohio Administrative Code |
|
Background Check Explanation & Instructions
|
Background Check/Fingerprints Explanation and Instructions
(To be used by non-mortgage broker & loan originator applicants) |
|
Background Check Providers - updated
6-1-2010
|
Background Check/Fingerprints Current List of Providers (As of June 1, 2010) |
|
Branch Office Application Package for Check
Casher |
Branch Office Application Package for Check Casher |
|
Change of Ownership Packet |
Change of Ownership Packet - updated 8-18-07 |
|
Company Information |
Company Information |
|
Company Resolution |
Company Resolution |
|
Criminal History Attestation |
Criminal History Attestation |
|
Declaration of Material Assistance |
Declaration of Material Assistance (New 08-02-06) |
|
Financial Statement
|
Financial Statement |
|
Main Office Application for Check Casher
Package |
Main Office Application for Check Casher Package - updated 8-18-07 |
|
Office Relocation Application for Check Casher |
Office Relocation Application for Check Casher |
|
Registration of Money
Services Business- FinCEN Form 107 |
Registration of Money Services Business- FinCEN Form 107 |
|
Schedule A |
Schedule A - updated 8-18-07 |
|
Surrender/Closure Form |
Surrender/Closure Form |
|
Terrorist
Exclusion List |
U.S. Department of State List of Designated Foreign Terrorist Organizations |
|
|
|
Form |
Description |
|
Continuing Education Additional Offerings Request
MB |
Continuing Education Additional Offerings Request MB - Updated 1-1-07
(New
offering requests will only be accepted through April 30, 2010.) |
|
|
|
Form |
Description |
|
Ohio Credit Services Organization Act |
Ohio Revised Code 4712 |
|
Background Check Explanation & Instructions
|
Background Check/Fingerprints Explanation and Instructions
(To be used by non-mortgage
broker & loan officer applicants) |
|
Background Check Providers - updated
6-1-2010
|
Background Check/Fingerprints Current List of Providers (As of June 1, 2010) |
|
Bond for Credit Service Organization |
Bond for Credit Service Organization |
|
Change of Ownership Packet |
Change of Ownership Packet - updated 8-18-07 |
|
Company Information |
Company Information |
|
Company Resolution |
Company Resolution |
|
Credit Service Organization Application Package |
Credit Service Organization Application Package - updated 8-18-07 |
|
Criminal History Attestation |
Criminal History Attestation |
|
Disclosure of Litigation for Credit
Service Organization
|
Disclosure of Litigation for Credit Service Organization |
|
Financial Statement
|
Financial Statement |
|
Schedule A |
Schedule A - updated 8-18-07 |
|
|
|
Form |
Description |
|
Ohio Mortgage Broker Act - Statute |
Ohio Revised Code 1322 |
|
Ohio Mortgage Broker Act - Rules |
Ohio Administrative Code |
|
Background Check Explanation & Instructions |
Background Check Explanation & Instructions - updated 4-18-07
(To be used by
company owners & officers only) |
|
Background Check Providers |
Background Check/Fingerprints Current List of Providers (As of June 3, 2009)
(To
be used by company owners & officers only) |
|
Mortgage Broker/Loan Officer Notification
of Action |
Mortgage Broker/Loan Officer Notification of Action |
|
Mortgage Broker/Loan Officer
Notification of Guilty Plea/Conviction |
Mortgage Broker/Loan Officer Notification of Guilty Plea/Conviction |
|
Mortgage Broker/Loan Officer Notification
of Judgment |
Mortgage Broker/Loan Officer Notification of Judgment |
|
Mortgage Broker Office Closure Part A |
Mortgage Broker Office Closure Part A |
|
Mortgage Broker Office Closure Part B |
Mortgage Broker Office Closure Part B |
|
Operations Manager – Change Application |
Application to change Mortgage Broker Operations Manager |
- Consumer Finance - Mortgage Broker Disclosure
Forms
- (Use of these exact forms is not required but if registrants or licensees choose
to use alternate forms they bear the burden of ensuring their forms meet all of
the required provisions of the applicable statute.)
|
|
Form |
Description |
|
Business Relationships Disclosure
Notice |
Business Relationships Disclosure Notice (mandatory disclosure, if applicable) |
|
Escrow of Taxes & Regular
Monthly Payment
|
Escrow of Taxes & Regular Monthly Payment (mandatory disclosure, if applicable) |
|
High Loan to Value Disclosure
|
High Loan to Value Disclosure (mandatory disclosure for loans with LTVs >90%) |
|
MLODS
|
Ohio Mortgage Loan Origination Disclosure Statement |
|
Mortgage Loan Origination Disclosure
Statement (MLODS) Addendum
|
MLODS Addendum - mandatory disclosure (formerly known as the Good Faith Estimate
Addendum) |
|
Notice of Change in Mortgage Terms |
Notice of Change in Mortgage Terms |
|
Ohio Homeowners Equity Protection Act (HOEPA)
Disclosure Requirements |
Mandatory disclosure for covered loans under Ohio HOEPA |
|
Prepurchase Counseling Verification
|
Prepurchase Counseling Verification (mandatory disclosure, if applicable) |
|
Attorney General required disclosures |
|
Acknowledgement of Receipt of Informational Document
|
Acknowledgement of Receipt of Informational Document |
|
Informational Document
|
Informational Document |
|
Closing Disclosure Form
|
Closing Disclosure Form |
|
|
|
Form |
Description |
|
2006 OMLA Annual Report |
Compilation of OMLA registrant activity during calendar year 2006
|
|
2007 OMLA Annual Report |
Compilation of OMLA registrant activity during calendar year 2007
|
|
2008 OMLA Annual Report |
Compilation of OMLA registrant activity during calendar year 2008 |
|
Ohio Mortgage Loan Act - Statute |
Ohio Revised Code 1321.51 to 1321.60 |
|
Ohio Mortgage Loan Act - Rules |
Ohio Administrative Code |
|
Background Check Explanation & Instructions |
Background Check/Fingerprints Explanation and Instructions
(To be used by non-mortgage
broker & loan officer applicants) |
|
Office Relocation Application OMLA
|
Office Relocation Application OMLA - updated 6-22-07 |
|
|
|
Form |
Description |
|
Ohio Pawnbroker Act - Statute |
Ohio Revised Code 4727 |
|
Ohio Pawnbroker Act - Rules |
Ohio Administrative Code |
|
Ohio Precious Metals Dealers Act - Statute |
Ohio Revised Code 4728 |
|
Ohio Precious Metals Dealers Act - Rules |
Ohio Administrative Code |
|
Background Check Explanation & Instructions |
Background Check/Fingerprints Explanation and Instructions
.(To be used by
non-mortgage broker & loan officer applicants) |
|
Background Check Providers - updated
6-1-2010 |
Background Check/Fingerprints Current List of Providers (As of June 1, 2010) |
|
Bond for Precious Metals Dealers
|
Bond for Precious Metals Dealers |
|
Change of Ownership Packet |
Change of Ownership Packet - updated 8-18-07 |
|
Company Information |
Company Information Sheet |
|
Company Resolution |
Company Resolution Sheet |
|
Consent to Service for Pawnbrokers |
Consent to Service for Pawnbrokers |
|
Consent to Service for Precious Metals Dealers |
Consent to Service for Precious Metals Dealers |
|
Continuing Education Designee Form
|
Continuing Education Designee Form |
|
Criminal History Attestation |
Criminal History Attestation |
|
Financial Statement |
Financial Statement |
|
Pawnbroker Application Package
|
Pawnbroker Application Package |
|
Precious Metals Dealers Application Package |
Precious Metals Dealers Application Package |
|
Relocation Application for Pawnbroker |
Relocation Application for Pawnbroker |
|
Relocation Application for Precious Metals Dealers |
Relocation Application for Precious Metals Dealers |
|
Schedule A |
Schedule A - updated 8-18-07 |
|
|
|
Form |
Description |
|
Ohio Insurance Premium Finance Act - Statute |
Ohio Revised Code 1321.71 to 1321.84 |
|
Ohio Insurance Premium Finance Act -
Rules |
Ohio Administrative Code |
|
Background Check Explanation & Instructions |
Background Check/Fingerprints Explanation and Instructions
(To be used by non-mortgage
broker & loan officer applicants) |
|
Background Check Providers - updated
6-1-2010 |
Background Check/Fingerprints Current List of Providers (As of June 1, 2010) |
|
Branch Office Application Package
for Insurance Premium Finance |
Branch Office Application Package for Insurance Premium Finance |
|
Change of Ownership Packet |
Change of Ownership Packet - updated 8-18-07 |
|
Company Information |
Company Information |
|
Company Resolution |
Company Resolution |
|
Criminal History Attestation |
Criminal History Attestation |
|
Financial Statement |
Financial Statement |
|
Main Office Application Package
for Insurance Premium Finance |
Main Office Application Package for Insurance Premium Finance - updated 08-18-2007 |
|
Office Relocation Application for Insurance Premium
Finance |
Office Relocation Application for Insurance Premium Finance |
|
Schedule A |
Schedule A - updated 8-18-07 |
|
|
|
Form |
Description |
|
Ohio Small Loan Act - Statute |
Ohio Revised Code 1321.01 to 1321.20 |
|
Ohio Small Loan Act - Rules |
Ohio Administrative Code |
|
Background Check Explanation & Instructions |
Background Check/Fingerprints Explanation and Instructions
(To be used by non-mortgage
broker & loan officer applicants) |
|
Background Check Providers - updated
6-1-2010 |
Background Check/Fingerprints Current List of Providers (As of June 1, 2010) |
|
Branch Office Application Package
for Small Loan |
Branch Office Application Package for Small Loan |
|
Change of Ownership Packet |
Change of Ownership Packet - updated 8-18-07 |
|
Company Information |
Company Information Sheet |
|
Company Resolution |
Company Resolution |
|
Criminal History Attestation |
Criminal History Attestation |
|
Financial Statement |
Financial Statement |
|
Main Office Application Package for Small Loan |
Main Office Application Package for Small Loan - updated 08-18-2007 |
|
Schedule A |
Schedule A - updated 8-18-07 |
|
Small Loan Office Relocation Application |
Small Loan Office Relocation Application |
|
|
|
Form |
Description |
|
High Loan to Value Disclosure |
High Loan to Value Disclosure (mandatory disclosure for loans with LTVs > 90%) |
|
Notice of Change in Mortgage Terms |
Notice of Change in Mortgage Terms |
|
Notice of Escrow of Taxes/Insurance
and Regular Monthly Payment |
Escrow of Taxes and Regular Monthly Payment (mandatory disclosure) |
|
|
|
Form |
Description |
|
Ohio Short Term Loan Act - Statute |
Ohio Revised Code 1321.37 to 1321.48 |
|
Ohio Short Term Loan Act - Rules |
Ohio Administrative Code |
|
Branch Office Application Package for Short
Term Loan |
Branch Office Application Package for Short Term Loan |
|
Main Office Application for Short Term Loan Package |
Main Office Application for Short Term Loan Package |
|
Surrender/Closure Packet |
Surrender/Closure Packet |
|
|
|
Form |
Description |
|
Application for Money Transmitter License |
Application for Money Transmitter License |
|
Background Check Explanation and Instructions |
Background Check/Fingerprints Explanation and Instructions
(To be used by applicants
for money transmitter licenses) |
|
Background Check Providers List
- Updated 6-3-09 |
Background Check Providers List - Updated 8-4-08 |
|
Change in Control |
This application form and biographical and financial report are required to acquire
control of an Ohio Money Transmitter pursuant to Ohio Revised Code Section 1315.10.
This application and the subsequent Superintendent approval must be received prior
to the actual change of control. |
|
Disclosure Form |
For purposes of filing an Application for a Money Transmitter License, the following
natural persons must each submit a separate Money Transmitter Disclosure Form:
- Corporation, each senior officer, and anyone who owns 5% or more of the business
- Partnership, every partner and each senior officer
- L.L.C., each member and each senior officer
- Sole Proprietor, the owner |
|
Declaration of Material Assistance |
Declaration regarding material assistance/nonassistance to a terrorit organization |
|
DMA Terrorist
Exclusion List |
DMA Terrorist Exclusion List as published by the Ohio Department of Public Safety
(For use in completing the Declaration of Material Assistance Form)
|
|
FinCEN
Form 107 |
Registration of Money Services Business |
|
Office of Foreign
Assets Control (OFAC) List of Specially Designated Nationals and Blocked Persons |
|
|
Security Device Form Pledge |
Security Device Pledge - Ohio Revised Code Section 1315.07 (Money Transmission Applicants
Only) |
|
Security Device Form Surety Bond |
|
|
|
|
Form |
Description |
|
Background Check Providers - updated
6-1-2010
|
Background Check/Fingerprints Current List of Providers (As of June 1, 2010) |
|
Background Check Information and Instruction Form
|
Background Check Information and Instruction Form |
|
Establish, Acquire or Relocate A Banking Office |
Notice of intent for a bank, savings and loan association, or savings bank to establish,
acquire, or relocate a banking office. |
|
Reorganization of a Savings & Loan Association |
Application for approval of a reorganization involving the formation of an interim
savings and loan association |
|
Reorganization of a Savings Bank |
Application for approval of a reorganization involving the formation of an interim
savings bank |
|
Convert a Savings Bank from a Mutual to
Stock Form of Ownership |
Instructions to convert a savings bank from a mutual to stock form of ownership |
|
Convert a Savings & Loan from a Mutual to
Stock Form of Ownership |
Instructions to convert a savings & loan from a mutual to stock form of ownership |
|
Convert a Savings & Loan into a Savings Bank |
Instructions to convert a savings & loan into a savings bank |
|
Certificate of Amendment Form to amend
the constitution or bylaws for a Savings Bank or Savings & Loan Association |
Certificate of Amendment Form to amend the constitution or bylaws for a Savings
Bank or Savings & Loan Association |
|
Change of Auditor form |
Notice of Change in Employment of Independent Auditor |
|
Application for authority to conduct Trust
Business by a Savings & Loan Association |
Application for trust powers by a State-Chartered savings and loan association |
|
Directors oath form to be used by a Savings Bank
and/or Savings & Loan Association |
Oath of Officers, Directors, and Appraisers |
|
Interagency Merger Application |
Interagency bank merger act application |