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Bureau of Financial Institutions

Application Forms - Savings Institutions

Application forms for various certificates of authority or licenses or for the acquisition of regulated entities are grouped by type of institution regulated by the Bureau of Financial Institutions. Application forms are in PDF format and can be downloaded by using the print function of your browser. Each application form includes filing instructions. For many application types, the filing of certain supplemental forms is also required. In each instance, the appropriate supplemental form(s) are listed directly following the application form and can be downloaded in the same manner as the application. It is important to carefully read and follow all instructions and to provide full and complete responses. Investigation of the application may be delayed if the application is incomplete.

Links to related laws and regulations appear below. Code and Regulation Sections can be viewed and downloaded individually or a report of multiple Sections can be created and downloaded. To download multiple Sections click on “create report” at the beginning of the table of contents for the specific Chapter and enter the beginning and ending Section of the sequence you wish to download. It is your responsibility to read and comply with all applicable laws and regulations.

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  • ESTABLISH A NEW SAVINGS AND LOAN ASSOCIATION
  • CCB-1121 Application of a New Bank or a New Savings and Loan Association for a Certificate of Authority to Begin Business in Virginia
  • SUPPLEMENTAL FORMS
    • CCB-1123 Personal Financial Report and Disclosure Statement
    • CCB-1147 Certification Form for Interagency Biographical and Financial Report
    • CCB-1150 Employment and Business Affiliation Disclosure Form
    • CCB-2206 Savings Institution Directors Responsibilities Certification
  • CERTIFICATE OF AUTHORITY TO BEGIN BUSINESS AS A SAVINGS BANK
  • CCB-2215 Application for a Certificate of Authority to Begin Business as a Savings Bank Pursuant to Title 6.2, Chapter 11, Article 2 of the Code of Virginia
  • SUPPLEMENTAL FORMS
    • CCB-1123 Personal Financial Report and Disclosure Statement
    • CCB-1147 Certification Form for Interagency Biographical and Financial Report
    • CCB-1150 Employment and Business Affiliation Disclosure Form
    • CCB-2206 Savings Institution Directors Responsibilities Certification
  • CONVERSION TO A STATE CHARTERED SAVINGS INSTITUTION
  • CCB-1146 Application to Convert Pursuant to Title 6.2 of the Code of Virginia
  • SUPPLEMENTAL FORMS
    • CCB-1123 Personal Financial Report and Disclosure Statement
    • CCB-1140 Oath of Office of Organizing Directors of Financial Institutions
    • CCB-1147 Certification Form for Interagency Biographical and Financial Report
    • CCB-1150 Employment and Business Affiliation Disclosure Form
    • CCB-2206 Savings Institution Directors Responsibilities Certification
  • ESTABLISH A SAVINGS INSTITUTION BRANCH
  • CCB-2201 Application to Establish a Savings Institution Branch
  • RELOCATE A MAIN OFFICE OF SAVINGS INSTITUTION BRANCH
  • CCB-1126 Application to Change the Location of a Main Office or Branch Pursuant to Title 6.2 of the Code of Virginia
  • NOTICE OF PROPOSED CHANGE OF LOCATION (WITHIN ONE MILE) OF A MAIN OFFICE OR BRANCH OF A SAVINGS INSTITUTION
  • CCB-2212 Notice of Proposed Change of Location of a Main Office or Branch of a Savings Institution Pursuant to Title 6.2, Chapter 11 of the Code of Virginia
  • NOTICE OF INTENT TO ESTABLISH A NON-DEPOSITORY OFFICE BY A SAVINGS INSTITUTION
  • CCB-2213 Notice of Intent to Establish a Non-Depository Office by a Savings Institution Pursuant to Section 6.2-1133 of the Code of Virginia
  • SAVINGS INSTITUTION HOLDING COMPANY FOR ACQUISITION OF CONTROL
  • CCB-2207 Application of a Savings Institution Holding Company for Acquisition of Control Pursuant to Section 6.2-1147 of the Code of Virginia and 10 VAC 5-30-10, ET SEQ.
  • SUPPLEMENTAL FORMS
    • CCB-1123 Personal Financial Report and Disclosure Statement
    • CCB-1137A Consent to Service of Process
    • CCB-1147 Certification Form for Interagency Biographical and Financial Report
    • CCB-1150 Employment and Business Affiliation Disclosure Form
  • OUT-OF-STATE SAVINGS INSTITUTION TO TRANSACT A SAVINGS INSTITUTION BUSINESS IN VIRGINIA
  • CCB-2209 Application by an Out-of-State Savings Institution to Transact a Savings Institution Business in Virginia Pursuant to Title 6.2, Chapter 11, Article 5 of the Code of Virginia
  • SUPPLEMENTAL FORMS
    • CCB-1123 Personal Financial Report and Disclosure Statement
    • CCB-1147 Certification Form for Interagency Biographical and Financial Report
    • CCB-1150 Employment and Business Affiliation Disclosure Form
    • CCB-2206 Savings Institution Directors Responsibilities Certification
  • ACQUIRE A VIRGINIA SAVINGS INSTITUTION HOLDING COMPANY OR VIRGINIA SAVINGS INSTITUTION
  • CCB-2210 Application to Acquire a Virginia Savings Institution Holding Company or Virginia Savings Institution Pursuant to Title 6.2, Chapter 11, Article 5 of the Code of Virginia
  • SUPPLEMENTAL FORMS
    • CCB-1123 Personal Financial Report and Disclosure Statement
    • CCB-1143 Limited Personal Financial Report and Disclosure Statement
    • CCB-1150 Employment and Business Affiliation Disclosure Form
    • CCB-2206 Savings Institution Directors Responsibilities Certification
  • NOTICE OF INTENT TO ACQUIRE A SAVINGS INSTITUTION OUTSIDE VIRGINIA
  • CCB-2211 Notice of Intent to Acquire a Savings Institution Outside Virginia Pursuant to Section 6.2-1160 of the Code of Virginia

Note: All applications are investigated by the Bureau of Financial Institutions. Certain application decisions are made by the Commissioner of Financial Institutions under delegated authority from the State Corporation Commission. In the event you wish to appeal either a determination made by the Bureau of Financial Institutions in the course of its investigation of your application or the Commissioner of Financial Institutions’ decision on your application, you may request a formal review by the State Corporation Commission in accordance with its Rules of Practice and Procedure