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This version of the form is not currently in use and is provided for reference only. Download this version of
Form FIS2041A
for the current year.
Form FIS2041A Additional Branch Office Listing for Deferred Presentment Service Providers - Michigan
What Is Form FIS2041A?
This is a legal form that was released by the Michigan Department of Insurance and Financial Services - a government authority operating within Michigan. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is FIS2041A?
A: FIS2041A is a form used to provide additional branch office listing for Deferred Presentment Service Providers in Michigan.
Q: Who needs to fill out FIS2041A?
A: Deferred Presentment Service Providers in Michigan who have additional branch offices need to fill out FIS2041A.
Q: What information is required on FIS2041A?
A: FIS2041A requires the name, address, and phone number of each additional branch office.
Q: Is there a fee for submitting FIS2041A?
A: There is no fee for submitting FIS2041A.
Form Details:
- Released on April 1, 2020;
- The latest edition provided by the Michigan Department of Insurance and Financial Services;
- Easy to use and ready to print;
- Quick to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a fillable version of Form FIS2041A by clicking the link below or browse more documents and templates provided by the Michigan Department of Insurance and Financial Services.
Download Form FIS2041A Additional Branch Office Listing for Deferred Presentment Service Providers - Michigan
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