MS Dept of Banking & Consumer Finance




Exam General Information Questionnaire

Insurance Premium Finance Licensing Information:

Minimum Requirements
  1. $750 initial license fee, $475 renewal license fee
  2. Financial statement: Assets, liabilities, and capital, if corporation; Assets, liabilities, and net worth if applicant is not a corporation. Assets, liabilities, and capital of parent corporation, if license is being requested for subsidiary office of corporation.
  3. Proposed rate schedule
  4. Statement as to type of business activity proposed
  5. Registered with the Mississippi Secretary of State as required by state law

Insurance Premium Finance Application Forms:

Each applicant must download complete and submit each of the forms below:

Insurance Premium Finance License Application - PDF
Insurance Premium Finance Contact List - PDF
Insurance Premium Finance Initial Instructions - PDF

Forms to Update Existing Office(s)

Insurance Premium Finance Application for Relocation of Existing Office - PDF
Insurance Premium Finance Application for Name Change - PDF

If you have any questions please send us an email at andrea.salers@dbcf.ms.gov