REQUEST FOR PERMISSION TO USE "BANK", "CREDIT UNION" "TRUST" AND/OR SIMILAR WORD(S)

Request for Permission to use “bank”, "credit union", “trust” and/or similar word(s):

This on-line application to the Georgia Department of Banking and Finance for permission to use “bank”, "credit union", “trust” and/or similar word(s) in a name is provided pursuant to Section 7-1-243 of the Official Code of Georgia, Annotated.

Please note that “bank”, "credit union", “trust” and/or similar word(s) may not be used in Georgia if the entity engages/proposes to engage primarily in the business of lending of money, underwriting or sale of securities, acting as a financial planner, financial service provider, investment or trust adviser, or acting as a loan broker unless such entity is affiliated with a federally insured financial institution.

Application Fee: $150 per request NON-REFUNDABLE

At the end of the on-line name permission application process, you will be directed to the fee payment screen. The name permission application will be deemed to have been received upon the Department’s receipt of the application fee.

Payment On-Line:

The $150 application fee must be paid on-line by ACH draft or by credit card. ACH payment will be made by authorizing a draft of your checking account.

IMPORTANT NOTICE:

BY SUBMITTING THE NAME PERMISSSION APPLICATION ON-LINE, YOU ARE PROVIDING AN AFFIDAVIT THAT THE INFORMATION CONTAINED IN YOUR APPLICATION IS TRUE AND CORRECT.

TO BEGIN THE NAME PERMISSION APPLICATION ON-LINE PROCESS, PROVIDE THE FOLLOWING INFORMATION:
Use Mixed Case, do NOT use ALL CAPS

REQUESTED FIELDS

INFORMATION

 INFORMATION NEEDED TO PROCESS YOUR REQUEST

Requested Name:
Status:
 Profit Non-Profit
Business purpose(s) of entity:
Relationship (if any) to a financial institution:
None    Yes 
If Yes, explain:
Reason for using "bank", "credit union", "trust", and/or similar words:
Other pertinent information:
 

 CONTACT INFORMATION

Contact name:
Salutation
First name
Middle initial
Last name
Designation
Title:
Telephone #:  Use format: ###-###-####
E-mail Address:
Company:
Address (1):
Address (2):
City:
State:
Zip Code:
 


You can use your browser's PRINT option at any time during this on-line process when you want to print a record of your responses.

If you have any questions and/or difficulty completing this on-line application, please call (770) 986-1645 and/or send an e-mail to murali@dbf.state.ga.us.


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