Search Results: "forms"
PP-13-68-01-20
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Application Forms
Applicants for new mortgage lender/broker licenses and branches must submit their applications to Virginia through Nationwide Multistate Licensing System (NMLS). Applications for acquisition of control of licensees and for determination of a bona fide non-profit status are not currently processed through NMLS and will continue to be submitted through the mail. Each application form includes filing instructions. When applicable, the appropriate supplemental forms are listed directly following the application form. 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.
Application Forms
- ACQUIRE CONTROL OF A MORTGAGE LENDER AND/OR BROKER LICENSEE
- CCB-8808 Application for Permission to Acquire Control of a Mortgage Lender and or Broker Licensee Pursuant to §6.2-1608 of the Code of Virginia
- SUPPLEMENTAL FORMS
- CCB-8821 Application for Determination of a Bona Fide Non-Profit Status Pursuant to §6.2-1701.1 of the Code of Virginia
- CCB-8823 Exclusive Agent Conditions of Licensure
- CCB-8808 Application for Permission to Acquire Control of a Mortgage Lender and or Broker Licensee Pursuant to §6.2-1608 of the Code of Virginia
Insurance Holding Companies Forms (14 VAC 5-260)
| Form - Description |
|---|
| Form A - Instructions for Application for Approval of Acquisition of Control of or Merger with a Domestic Insurer |
| Form B - Instructions for Insurance Holding Company System Annual Registration Statement |
| Form C - Instructions for Summary of Changes to Registration Statement |
| Form D - Instructions for Prior Notice and Application for Approval of Certain Transactions |
| Form E - Instructions for Pre-Acquisition Notification Form Regarding the Potential Competitive Impact of a Proposed Merger or Acquisition by a Non-Domiciliary Insurer Doing Business in this Commonwealth or by a Domestic Insurer |
| Form F - Instructions for Enterprise Risk Report |
| Form G - Instructions for Notice of Dividends and Distributions to Shareholders |
Application Forms
Applications for qualified education loan servicer licenses must be submitted through the Nationwide Multistate Licensing System (NMLS). Federal student loan servicing contractors who qualify for automatic issuance of a license pursuant to § 6.2-2602 of the Code of Virginia may also document their eligibility and request the license through NMLS.
Applications for acquisition of control of existing licensees must be submitted outside of NMLS using form CCB-12003. The application may require the filing of one or more of the supplemental forms listed below. 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.
Application Forms
- APPLICATION FOR PERMISSION TO ACQUIRE CONTROL OF A QUALIFIED EDUCATION LOAN SERVICER LICENSEE
- CCB-12003 Application for permission to acquire control of a qualified education loan servicer licensee Pursuant to § 6.2-2609 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-1149 Depository Institution Authorization Form
- CCB-1150 Employment and Business Affiliation Disclosure Form
- CCB-12004 Criminal history records consent and fingerprinting instructions
- SUPPLEMENTAL FORMS
- CCB-12003 Application for permission to acquire control of a qualified education loan servicer licensee Pursuant to § 6.2-2609 of the Code of Virginia
Forms
| Form Name (Format) | Frequency | Due Date |
| List of PST Locality District Codes (Excel) | N/A | N/A |
| Electric Utility Consumption Tax Monthly Report (Word) | Monthly | Last Day of Month |
| Natural Gas Consumption Tax Monthly Report (Word) | Monthly | Last Day of Month |
| Real Estate Transaction Form (Word) | As Occurs | Feb. 1 |
| Annual Report for Assessment of Rolling Stock (Excel) | Annually | Mar. 1 |
| Railroad Estimated Gross Transportation Receipts (Excel) | Annually | Mar. 1 |
| Railroad Statement of Gross Transportation Receipts (Excel) | Annually | Apr. 15 |
| Motor Vehicle Carrier Special Tax Form (Excel) | Annually | Apr. 15 |
| Virginia Pilots Association Special Tax Form (Excel) | Annually | Apr. 15 |
| Telecom Annual Tax Report/Statement of Gross Receipts (Excel) | Annually | Apr. 15 |
| Electric Annual Tax Report/Statement of Gross Receipts (Excel) | Annually | Apr. 15 |
| Water Annual Tax Report/Statement of Gross Receipts (Excel) | Annually | Apr. 15 |
| Gas Annual Tax Report (Excel) | Annually | Apr. 15 |
