5 Del.C. §2210(e)
Effective Date: April 11, 2014
A completed, signed report may be scanned and submitted by e-mail to bco_reports@state.de.us no later than July 31 and January 31.
Failure to submit this report when due will be a violation of this regulation. In addition, an examination may be scheduled and examination staff allocated without respect to the licensee’s volume of Delaware loans. This may result in additional examination costs.
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 Executed: _________________________
Total Dollar Value: $_______________________
B. Loans Brokered _________________________
Total Dollar Value $________________________
C. Loans Paid Off at Maturity: _________________________
D. Loans Paid Off Prior to Maturity: _____________________
E. Applications Denied: _________________________
F. Loans in Litigation: _________________________
G. Credit Life Insurance Claims: _________________________
H. Credit A & H Insurance Claims: ________________________
7. Reporting Period: __________________ to __________________
________ ____________________________ ________________________