Get Compliance Affidavit - Dfs Ny

The compliance affidavit is an essential document for businesses seeking to operate as licensed cashers of checks in New York. This guide provides a clear and supportive overview of how to complete the form efficiently and accurately online.

Follow the steps to complete the compliance affidavit with ease.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by entering the licensee's name in the designated field to identify the business applying for the license.
3. In the proposed location section, provide the specific address where the business will operate. This ensures local zoning compliance.
4. Next, in the area where you will enter your name, write your full name as the undersigned individual. This confirms your identity for the affidavit.
5. Proceed to affirm that the proposed location complies with local zoning regulations by checking the appropriate affirmation box within the form.
6. Confirm that the proposed business location is not within 1,584 feet of any existing licensed retail check casher by stating this fact clearly in the designated area.
7. Indicate that the dimensions of the proposed location meet the requirement of at least 480 contiguous square feet.
8. Affirm that the primary business conducted will be financial services by providing the necessary details in the respective section.
9. Ensure that net liquid assets of at least $10,000 are available on each business day as required and affirm this in the relevant section.
10. State that the tangible net worth will be maintained at a minimum of $50,000 for each proposed location.
11. Commit to compliance with privacy provisions under the Gramm-Leach-Bliley Act by filling out the information as instructed.
12. Confirm adherence to the USA PATRIOT Act provisions by outlining your planned internal anti-money laundering program.
13. Enter the name of the compliance officer in the specified field to ensure accountability within your organization.
14. After completing the affidavit, provide your authorized signature and title in the appropriate fields.
15. Lastly, ensure the affidavit is notarized by entering the necessary information in the notary public section and signing on the specified date.
16. Once all fields are accurately filled, save your changes, and consider downloading or printing the document for your records. You can also share the completed form as needed.

Complete your compliance affidavit online today to ensure a smooth licensing process.