Consumer Discount Company Forms
ALL documents that will be mailed to the Non-Depository Deputate or placed in the drop-box MUST be sent electronically to the appropriate email address below. If there is a paper check included in the mail for an application fee or otherwise, a copy of the check must be included in the email."
Licensing: ra-AskLicensing@pa.gov
Examinations: ra-AskExams@pa.gov
Compliance: ra-AskCompliance@pa.gov
All forms, unless noted, are in PDF format.
Address Change Form [PDF]
Use this form to notify the Department of Banking and Securities of any office location changes.
Alternate Site Recordkeeping [PDF]
Use this form to request permission to store records at a site other than the principal place of business or to make changes to previously approved requests.
Use this bond form for all Non-Mortgage Consumer Discount Companies.
Contact Change Form [PDF]
Use this form to notify the Department of Banking and Securities of any changes to your primary contacts.
Name Change Form [PDF]
Use this form to notify the Department of Banking and Securities of business name changes.
Officer Change Form [PDF]
Use this form to notify the Department of Banking and Securities of Officer or Branch Manager changes.