5 Del.C. §§2111 and 2112
Effective Date: April 11, 2014
A completed, signed report may be scanned and submitted by e-mail to bco_reports@state.de.us not later than July 31 and January 31.
1. Name of Licensee: ____________________________________________________
2. Is this a consolidated report? Yes _____ No _____
3. License No.: __________ (If consolidated, list all license numbers): ______________
________________________________________________________________________
4. List the address where the loan files are maintained:
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
5. Examination contact person’s name, title, phone number, fax number and e-mail address:
________________________________________________________________________
________________________________________________________________________
6. List the Delaware business conducted (number of loans) in each of the following categories:
A. Loans Placed, per agreement: _________________________
Total Dollar Value: $________________________
B. Loans Rescinded: _________________________
C. Applications Denied: _________________________
7. Reporting Period: __________________ to ___________________
________ _____________________________ ________________________