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DFI Forms - Master List (by number)

Notice to Individual - Use of Information

• Non-Traditional Mortgage Loan Survey (August 2007) (Excel)
• Citizen Complaint Form (Adobe PDF)
• Citizen Complaint Form Instructions
• Complaint Regarding Unlicensed Transmitter of Money Abroad (Adobe PDF)
• Division 1.2 Management Certification (Word)
  
  • Frequently Asked Questions (Adobe PDF)
  • Schedule of Non Affiliates for Management Certificate Form (Excel)
• FDIC 3064-0006 - Interagency Biographical and Financial Report Form
• FDIC 3064-0006 - Interagency Biographical and Financial Report Form Instructions (Adobe PDF)
• Form 2 - Personal Financial Statement (Rev.01-06) (Adobe PDF)
• Form 3 - Confidential Resume (Rev.02-07) (Adobe PDF)
• Form 10 - Application for Authority to Organize Bank (Rev.01-06) (Adobe PDF)
• Form 25 - Uniform California Application/Notice (Rev.01-06) (Word)
• Form 25 - Uniform California Application/Notice (Rev.01-06) (Adobe PDF)
• Form 25 - Uniform California Application/Notice Instructions (Rev.01-06) (Word)
• Form 55 - Appointment of the Commissioner of Financial Institutions as Attorney for Service of Process (Foreign (Other State) Insured Bank Facility) (Rev.01-06) (Adobe PDF)
• Form 55 - Appointment of the Commissioner of Financial Institutions as Attorney for Service of Process (Foreign (Other State) Insured Bank Facility) Instructions (Adobe PDF)
• Form 65 - Appointment of the Commissioner of Financial Institutions as Attorney for Service of Process (Foreign (Other State) Non-Insured Bank Facility) (Rev.01-06) (Adobe PDF)
• Form 65 - Appointment of the Commissioner of Financial Institutions as Attorney for Service of Process (Foreign (Other State) Non-Insured Bank Facility) Instructions (Adobe PDF)
• Form 75 - Appointment of the Commissioner of Financial Institutions as Attorney for Service of Process (Representative Office Application) (Rev.01-06) (Adobe PDF)
• Form 75 - Appointment of the Commissioner of Financial Institutions as Attorney for Service of Process (Representative Office Application) Instructions (Adobe PDF)
• Form 85 - Appointment of the Commissioner of Financial Institutions as Attorney for Service of Process (Agency or Branch Application) (Rev.01-06) (Adobe PDF)
• Form 85 - Appointment of the Commissioner of Financial Institutions as Attorney for Service of Process (Agency or Branch Application) Instructions (Adobe PDF)
• Form 88 - Application for Approval to Act as Approved Depository (Rev.02-07) (Adobe PDF)
• Form 90 - Agreement of Approved Depository (Rev.02-07) (Adobe PDF)
• Form 93 - Application for Approval for Withdrawal and Release of Eligible Assets (Rev.02-07) (Adobe PDF)
• Form 95 - Report of Applicable Minimum (Rev.02-07)
• Form 301 - Summary of Merger Approval Process - Credit Unions (Rev.01-06) (Adobe PDF)
• Form 310 - Sample Form of Application - Credit Unions (Rev.01-06) (Adobe PDF)
• Form 320 - Sample Form of Plan of Merger - Credit Unions (Rev.01-06) (Adobe PDF)
• Form 330 - Sample Form of Notice of Merger - Credit Unions (Rev.01-06) (Adobe PDF)
• Form 340 - Sample Form of Officers' Certificate Regarding Giving of Notice - Credit Unions (Rev.02-07) (Adobe PDF)
• Form 350 - Sample Form of Certificate of Merger of Surviving Credit Union (Rev.01-06) (Adobe PDF)
• Form 360 - Sample Form of Certificate of Merger of Disappearing Credit Union (Rev.02-07) (Adobe PDF)
• Form 370 - Residential Mortgage Loan Report - Credit Unions (Rev.01-06) (Adobe PDF)
• Form 380 - Credit Union Official - Questionnaire (Rev.01-06) (Adobe PDF)
• Form 502 - Trust Company Report of Condition (Excel)
• Form 502 - Trust Company Report of Condition Instructions (Adobe PDF)
• Form 505 - Schedule T - Fiduciary and Related Services (Excel)
• Form 505 - Schedule T - Fiduciary and Related Services Instructions (Adobe PDF)
• Form 506 - Schedule U (Excel)
• Form 506 - Schedule U Instructions (Adobe PDF)
• Form 507 - Call Report Schedule S (Word)
• Form 507 - Call Report Schedule S Instructions (Adobe PDF)
• Form 507C - Call Report Certification Page for State Chartered Banks (Adobe PDF)
• Form 510 - Depositaries (Rev.02-07) (Adobe PDF)
• Form 523 - Report of Income for Foreign Banks (Excel)
• Form 523 - Report of Income for Foreign Banks Instructions (Adobe PDF)
• Form 523C - Call Report Certification Page for Foreign Banks (Adobe PDF)
• Form 524 - Trust Company Report of Income (Excel)
• Form 524 - Trust Company Report of Income Instructions (Adobe PDF)
• Form 525 - Call Report for Money Transmitters, Payment Instruments and Travelers Check (Excel)
• Form 550 - Emergency Contact Person Information (Rev.01-06) (Adobe PDF)
• Form 700 - Application for Specific Authorization to Invest in Corporation (Rev.02-07) (Adobe PDF)
• Form 702 - Report of Investment in Corporation (Rev. 02-07) (Adobe PDF)
• Form 704 - Agreement (Rev.02-07) (Adobe PDF)
• Form 706 - Appointment of Commissioner of Financial Institutions as Agent for Service of Process (Rev.01-06) (Adobe PDF)
• Form 801 - Consumer Complaint Form (Word)
• Form 801 - Consumer Complaint Form (Adobe PDF)
• Form 801B - Formulario para quejas del consumidor al DFI (Word)
• Form 1004 - Local Agency Security Program Collateral Transfer (Adobe PDF)
• Form 801 - Consumer Complaint Form Instructiions (Adobe PDF)
• Form 1010 - Application for License as Business and Industrial Development Corporation (Rev.02-07) (Adobe PDF)
• Form 1802 - Stock Purchase Questionnaire (Rev.01-06) (Adobe PDF)
• Form 1815 - Before the Department of Financial Institutions (Rev.01-06) (Adobe PDF)
• Form 1820 - For Item 2(d) of the Premium Finance Company Application (Rev.01-06) (Adobe PDF)
• Form 1821 - Customer Authorization of Disclosure of Financial Records (Rev.01-06) (Adobe PDF)
• Form 2110 - Application for a License to Engage in the Business of Receiving Money for the Purpose of Transmitting the Same or its Equivalent to Foreign Countries (Rev. 02-07) (Adobe PDF)
• Form 2110 - Application for a License to Engage in the Business of Receiving Money for the Purpose of Transmitting the Same or its Equivalent to Foreign Countries Instructions (Adobe PDF)
• Form 2112 - Application by Transmitter of Money Abroad for Authority to establish a Branch Office (Other than an Office of an Agent) (Rev.02-07) (Adobe PDF)
• Form 2112 - Application by Transmitter of Money Abroad for Authority to establish a Branch Office (Other than an Office of an Agent) Instructions (Adobe PDF)
• Form 2118 - Application for Approval to Acquire Control of Transmitter of Money Abroad (Rev.02-07) (Adobe PDF)
• Form 2118 - Application for Approval to Acquire Control of Transmitter of Money Abroad Instructions (Adobe PDF)
• Form 4010TC - Application for License under Travelers Checks Act (Rev.02-07) (Adobe PDF)
• Form 4020TC - Contract of Applicant for License under Travelers Checks Act (Adobe PDF)
• Form 4025PI - Appointment of Commissioner of Financial Institutions as Agent for Service of Process (Payment Instruments) (Rev.02-07) (Adobe PDF)
• Form 4025TC - Appointment of Commissioner of Financial Institutions as Agent for Service of Process (Travelers Checks) (Rev. 02-07) (Adobe PDF)
• Form 4030 - Authorization for Release of Information (Transmitters of Money Abroad) (Rev.02-07) (Adobe PDF)
• Form 4030PI - Authorization for Release of Information (Payment Instruments) (Rev.02-07) (Adobe PDF)
• Form 4030TC - Authorization for Release of Information (Travelers Check) (Rev.02-07) (Adobe PDF)
• Form 5010PI - Application for License under Payment Instruments Law (Rev.02-07) (Adobe PDF)
• Form 5020PI - Agreement of Applicant for License under Payment Instruments Law (Rev.02-07) (Adobe PDF)
• Form 5025TMA - Appointment of Commissioner of Financial Institutions as Agent for Service of Process (Transmitter of Money Abroad) (Adobe PDF)