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Department of Labor & Economic GrowthMichigan.gov, Official Web Site for the State of Michigan
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Agent and Broker-Dealer Registration Forms

• FIS 0523 PDF icon
Michigan Non-NASD Broker-Dealer renewal

• FIS 0524 PDF icon
Michigan Issuer-Agent renewal

• FIS 0553 PDF icon
Personal Balance Sheet

• Registration Exemption for Canadian Broker-Dealers

• R 451.605.2 Class R. Broker-Dealer PDF icon

• Form BD PDF icon
Uniform Application for Broker-Dealer Registration

• Form BDW PDF icon
Uniform Request for Broker-Dealer Withdrawal

• Form U-4 PDF icon
Uniform Application for Securities Industry Registration or Transfer

• Form U-5 PDF icon
Uniform Termination Notice for Securities Industry Registration

Debt Management Forms
Debt Management forms are moving from Securities to Mortgage and Consumer Finance. They temporarily appear in both places. Please use this link to bookmark DM forms' new location: http://www.michigan.gov/dleg/0,1607,7-154-10555_13044_13188---,00.html

• FIS 0506 Debt Management Initial Application Packet PDF icon
Complete application packet except that applicants must also download and file either form FIS 0508 Surety Bond OR FIS 0509 Deposit of Cash or Securities. Read form instructions for details.

• FIS 0507 Debt Management Renewal Application Packet PDF icon
This is the complete renewal application packet for companies that are currently licensed in Michigan.

• FIS 0506 PDF icon
Application form only (additional forms are required to make application)

• FIS 0507 PDF icon
Renewal Application form only (additional forms are required complete your renewal filing)

• FIS 0508 PDF icon
Bond for Licensee

• FIS 0509 PDF icon
Deposit of Cash or Securities in Lieu of Bond

• FIS 0510 PDF icon
Application for Consent to Service of Process

• FIS 0511 PDF icon
Employment List

• FIS 0512 PDF icon
Business History Form

• FIS 0513 PDF icon
Affidavit of Character

• FIS 0514 PDF icon
Financial Statement

• FIS 0515 PDF icon
Employment Notification

• FIS 0516 PDF icon
Termination Notification

• FIS 0517 PDF icon
Alternative Bond in Lieu of Michigan Based Trust Account

• FIS 0550 PDF icon
Debt Management Fee Processing Card

• Debt Management Examination Study Aid PDF icon

• FIS 0590 PDF icon
Debt Management Complaint Form

Enforcement Forms

• How to File a Complaint PDF icon

• FIS 0500 PDF icon
Complaint Form

Investment Advisor Forms

• Form ADV Instructions PDF icon

• Release No. 93-3-BD PDF icon

• FIS 0570 PDF icon
Consent and Guaranty

• FIS 0569 PDF icon
Investment Adviser Supplemental Application Form

• Form ADV PDF icon
Uniform Application for Investment Adviser Registration

• Form ADV Part II PDF icon
Part 2 of the Uniform Application for Investment Adviser Registration

• Form ADV-W
Notice of Withdrawal From Registration as Investment Adviser

Living Care Forms

• FIS 0501 PDF icon
Registration Application

• FIS 0560 PDF icon
Consent to Service of Process

• FIS 0518 PDF icon
Disclosure Statement Instructions

• FIS 0504 PDF icon
Escrow Agreement

• FIS 0562 PDF icon
Corporate Acknowledgment

• FIS 0502 PDF icon
Occupancy/Sales and Proceeds Report

Securities Filing Forms

• NASAA SCOR Issuer's Manual PDF icon

• NASAA SCOR - U-7 PDF icon

• FIS 0554 PDF icon
Uniform Application to Register Securities (U-1)(SCOR)

• FIS 0555 PDF icon
Instructions for Uniform Application to Register Securities (U-7)

• FIS 0563 PDF icon
Securities Escrow Agreement (SCOR)

• FIS 0564 PDF icon
Application to Register Securities by Notification

• FIS 0565 PDF icon
Statement Demonstrating Eligibility for Registration by Notification

• FIS 0559 PDF icon
Securities Sales Report

• FIS 0556 PDF icon
Information Relative to Not for Profit Church Bond Financing

• FIS 0558 PDF icon
Escrow Agreement

• FIS 0567 PDF icon
ULOE Consent & Undertaking

• FIS 0568 PDF icon
Confidential Report Form

• FIS 0557 PDF icon
ACE-NET Report Form

• Form NF PDF icon
Uniform Investment Company Notice Filing

• Form U-1 PDF icon
Uniform Application to Register Securities

• Form U-2a PDF icon
Uniform Corporate Resolution

• FIS 0530 PDF icon
Application to Register Securities by Qualification

• FIS 0531 PDF icon
Prospectus Instructions

• FIS 0532 PDF icon
Business History

• FIS 0539 PDF icon
Securities Escrow Agreement

Nat. Coordinated Equity Review Pgm. Package Forms

• Overview of CR-Equity

• NASAA Statements of Policy (CR-Equity)

• Commonly Asked Questions (CR-Equity)

• Application form (CR-Equity)

Regulation A Forms

• Regulation A Forms

Regulation D Forms

• Michigan Uniform Limited Offering Exemption Information PDF icon

• Midwest Regional Review Forms

• Regulation D

• Form D PDF icon
Notice of Sales of Securities Pursuant to Regulation D [SEC 1972 (2-99)]


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