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.
Note: Links to the Code of Virginia and Virginia Administrative Code in the menus
below are external links
Select_Code_of_Va
Title
6.2, Chapter 11
Select_VAC
10VAC5-10
10VAC5-20
10VAC5-22
10VAC5-30
10VAC5-130
10VAC5-140
10VAC5-180
10VAC5-190
Select_Admin_Letters
Register of Administrative Letters
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 FormCCB-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 FormCCB-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 VirginiaSUPPLEMENTAL 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 FormCCB-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 ProcessCCB-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 VirginiaSUPPLEMENTAL 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 FormCCB-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 StatementCCB-1150 Employment and Business Affiliation
Disclosure FormCCB-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