AzDFI: Download Required Reports/Forms

Download Required Reports/Forms

To print a blank report form, click on the appropriate report form below. Once the file has been downloaded, print the form. Send the completed form to us at

Licensing
Arizona Department of Financial Institutions
2910 N. 44th Street, Suite 310
Phoenix, AZ 85018

Required Reports

Note:

Reports	Forms
Collection Agency: Due 06/30 Annually	Escrow Agent Rate Filing Form
Consumer Lender: Due 10/01 Annually	Escrow Agent Income and Expense Analysis
Debt Managerment: Due 08/15 Annually	Escrow Agent Proposed Rate or Change of Rate
Escrow Agent: Due Semi-annually	Arizona Statement of Citizenship and Alien Status for State Public Benefits
Escrow Recovery Fund Real Property: Due Quarterly	Biographical Statement
Escrow Recovery Fund Other: Due Quarterly	Collection Agency Bond
Money Transmitter: Due Quarterly	Collection Agency Financial Statement
Premium Finance Company: Due 02/01 Annually	Debt Management Bond
Trust Company: Due 03/31 Annually	Deferred Presentment Companies City of Phoenix Zoning Clearence Form
Consumer Lender Standard Rate of Charge Report	Escrow Agent Bond
Company Financial Statement	Escrow Agent Certification by Licensing Agency or Supervisory Board
Personal Financial Statement	Escrow Agent Industry Experience Questionnaire
	Money Transmitter Bond
	Money Transmitter Certification by Licensing Agency or Supervisory Board
	Money Transmitter Identification Statement

06.17.2007