California Code of Regulations › Title 10 - Investment › Chapter 3 - Commissioner of Financial Protection and Innovation › Subchapter 6 - California Financing Law › Article 14 - Pilot Program for Increased Access to Responsible Small Dollar Loans › Subarticle 4 - Reports › Section 1606 - Annual Report: Form

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Each
					 licensee shall file an annual report as set forth in subsection (b) of this
					 section, with the Commissioner, on or before the
					 15th of March, providing information concerning the
					 business and operations conducted by the licensee under the Increased Access to
					 Responsible Small Dollar Loans program, and information pertaining to each
					 finder and the licensee's relationship and business arrangements with each
					 finder, during the preceding calendar year. The annual report required under
					 this section is in addition to the annual report of the total business
					 operations of a licensee required under Section
					 22159 of
					 the Financial Code.
(b) The
					 individual annual report required under Sections
					 22367 and
					 22375, subdivision (c), of the
					 Financial Code shall be submitted on the following form:
INSTRUCTIONS FOR COMPLETING THE 20XX ANNUAL REPORT
						FOR LICENSEES PARTICIPATING IN THE PILOT PROGRAM FOR INCREASED ACCESS TO
						RESPONSIBLE SMALL DOLLAR LOANS
WHO MUST FILE THE REPORT:
Every licensee under the California Financing Law approved by the Commissioner
						of Financial Protection and Innovation (Commissioner) to participate in the
						Pilot Program for Increased Access to Responsible Small Dollar Loans (RSDL
						pilot program) shall file the annual report. The annual report shall include
						information on all business conducted under the RSDL pilot program.
NO BUSINESS OR INACTIVE
						LICENSES
: An annual report shall be filed even if no business
						was conducted under the license in 20XX. If no business was conducted under the
						RSDL pilot program during the calendar year 20XX, complete question numbers 1
						through 10 and the Verification section only. Include a statement at the bottom
						of the Verification section that "
No business was conducted under the
						RSDL pilot program during the calendar year 20XX
." "No business" means
						no loans were made under the RSDL pilot program in 20XX.
FORMER PILOT PROGRAM FOR AFFORDABLE
						CREDIT-BUILDING OPPORTUNITIES:
Licensees that were approved by
						the Commissioner to participate in the former Pilot Program for Affordable
						Credit-Building Opportunities must report information on all business conducted
						under the pilot program during the calendar year ended December 31, 2013. The
						information shall be filed on the annual report form in Section
						1606.1 of Title 10 of the
						California Code of Regulations.
WHEN IS THE REPORT DUE/ PENALTY FOR FAILURE
						TO FILE THE REPORT
: The report is due on or before
March
						15, 20XX. No extension of the filing date shall be granted. Failure to file the
						report may result in summary revocation of the California Financing Law
						license(s)
.
WHAT IS THE PURPOSE OF THE ANNUAL
						REPORT
: The information reported in the annual report is used
						to publish the Department of Financial Protection and Innovation's
Annual Report - Operation of Finance Companies Participating in the
						Increased Access to Responsible Small Dollar Loans Program.
The annual
						consolidated report shall be posted on the Commissioner's Internet Web site at
www.dfpi.ca.gov
by July 1, 2015, and
						annually on or before July 1, 2017, to July 1, 2026, inclusive, as required
						under Financial Code Section
						22380,
						subdivision (a).
WHERE TO FILE THE REPORT
: The annual
						report form is no longer available in paper form. Annual report forms are
						available at the Department's self-service portal,
https://docqnet.dfpi.ca.gov
.
THE ANNUAL REPORT MUST BE COMPLETED AND FILED ELECTRONICALLY, through the
						Department of Financial Protection and Innovation's self-service portal
,
https://docqnet.dfpi.ca.gov
.
THE ANNUAL REPORT FORM
: The
						information must be submitted on the annual report form prescribed by the
						Department of Financial Protection and Innovation [Form CFL 1606 (08/21)].
ALL AMOUNTS MUST BE ROUNDED TO THE NEAREST WHOLE DOLLAR.
Do not
						add ".00" to represent rounding to the nearest dollar. In addition, do not
						round items to the nearest thousand or million dollars, or round intermediate
						calculations.
COMPLETENESS &
						ACCURACY
: The annual report shall be rejected by the Department
						of Financial Protection and Innovation, with a status indicating the licensee
						has not filed its annual report, if the information provided is incomplete or
						incorrect. All questions and schedules must be completed. If any schedule is
						inapplicable, indicate "Not Applicable" at the top of the page. All information
						provided in the annual report is subject to verification. Accordingly, due care
						should be exercised in the completion of the report.
PERIOD COVERED BY THE
						REPORT
: The reporting period is either (1) January 1, 20XX to
						December 31, 20XX, or (2) the effective date of approval to participate in the
						RSDL pilot program in 20XX to December 31, 20XX.
SCHEDULES A THROUGH
						J
If any loans were made under the RSDL pilot program
						during the year 20XX, Schedules A through I must be completed. The following
						schedules provide space to report activities associated with seven finders. If
						no loans were made in 20XX, state "None" on the applicable schedules.
SCHEDULE A (SCHEDULE OF APPLICATIONS
						RECEIVED AND LOANS MADE BY SIZE AND TERM)
: All loan
						applications received and loans made must be scheduled in Section A. Multiple
						loans made to the same borrower should be reported as separate loans
						transactions. Do not include loans that were not made under the RSDL pilot
						program. Report percentages to the nearest whole percentage (e.g. report .457
						as 46, not 45.7 or 46%). Report loans in Schedule A based on the terms of the
						loan at the time the loan was made. Report the distribution of loans per
						borrower in Schedule A-5, for those borrowers who obtained more than one
						program loan.
SCHEDULE B (SCHEDULE OF LOANS BY INCOME
						DISTRIBUTION OF CENSUS TRACTS AND BORROWERS WITH BANK
						ACCOUNTS)
: Schedule the number of loans by the income
						distribution of census tract of the borrowers at the time of the loan
						origination. Use the following federal Community Reinvestment Act
						(12 U.S.C.
						2901) and the Federal Financial Institutions
						Examination Council:
If the Median Family Income % is < 50%, then the
						Income Level is
Low
.
If the Median Family Income % is >= 50% and < 80%,
						then the Income Level is
Moderate
.
If the Median Family Income % is >= 80% and < 120%,
						then the Income Level is
Middle
.
If the Median Family Income % is >= 120%, then the
						Income Level is
Upper
.
If the Median Family Income % is 0%, then the Income
						Level is
Not Known
.
Information on income distribution of census tract may be
						found at
http://www.ffiec.gov/
and
http://www.ffiec.gov/census/default.aspx
Report in Schedule B-2 information on the number of
						borrowers who, at the time of the loan application, self-reported that they had
						or did not have a bank account, self-reported that they had a bank account and
						used check-cashing services, and self-reported that they had a bank account and
						used payday loan services.
SCHEDULE C (SCHEDULE OF LATE FEES CHARGED
						DURING THE YEAR BY SIZE OF THE LOAN):
Report the number of loans in which late fees were
						assessed in Schedule C-1 and the number of late fees assessed on the loans in
						Schedule C-2, the total dollar amount of late fees assessed on the loans in
						Schedule C-3, the average number of late fees assessed per loan in Schedule
						C-4, and the percentage of loans that were assessed late fees in Schedule
						C-5.
SCHEDULE D (SCHEDULE OF LOANS MADE BY LOAN
						PURPOSE):
Report the primary purpose of the loans based on borrower
						responses at the time of the loan applications.
SCHEDULE E (SCHEDULE OF LOANS BY RATE
						CHARGES)
: Report loans in Schedules E-1, E-2, E-3 and E-4 based
						on annual percentage rate (APR) calculated in accordance with Federal Reserve
						Board Regulation Z. Do not report in these schedules the agreed upon contract
						rate of the loan.
SCHEDULE F (SCHEDULE OF LOAN
						PERFORMANCE)
: Report loan performance based on delinquencies in
						the account history, and not on the loan's current status. The information on
						the percentage of delinquent borrowers must be reported in the schedules by
						length of the delinquency and principal loan amount.
SCHEDULE G (SCHEDULE OF LOANS MADE BY
						LANGUAGE AND CREDIT EDUCATION PROGRAM OR SEMINAR OFFERED)
:
						Report under the appropriate language column, the number of loans negotiated
						orally or in writing in that language. The languages are English, Spanish,
						Chinese, Tagalog, Vietnamese, Korean, and Other. In column A, report the number
						of borrowers who were offered a credit education program or seminar in the same
						language in which the loan was negotiated. For example, if five loans were
						negotiated in English and all five borrowers were offered a credit education
						program or seminar in English, report "5" under the column labeled "English"
						and "5" in column A. If known, report in column B the number of borrowers who
						attended the offered credit education program or seminar.
SCHEDULE H (SCHEDULE OF
						FINDERS)
: Report all finders utilized during the calendar year
						20XX.
SCHEDULE I (SCHEDULE OF REFINANCE
						LOANS):
For purposes of the RSDL pilot program, "refinance"
						means the replacement or revision of an existing loan contract with a borrower
						that results in an extension of additional principal to that borrower. A
						licensee shall not refinance a loan made under this pilot program, unless all
						of the following conditions are met at the time the borrower submits an
						application to refinance:
(a) The
					 borrower has repaid at least 60 percent of the outstanding principal remaining
					 on his or her loan.
(b) The
					 borrower is current on his or her outstanding loan.
(c) The licensee underwrites the new loan in
					 accordance with paragraph (4) of subdivision (g) of Financial Code Section
					 22370.
(d) If the loan proceeds of both the original
					 loan and the refinance loan are to be used for personal, family, or household
					 purposes, the borrower has not previously refinanced the outstanding loan more
					 than once.
Loans made under the former Pilot Program for Affordable
						Credit-Building Opportunities and subsequently refinanced in compliance with
						the requirements for refinance under the RSDL pilot program, must be included
						in Schedule I of this annual report.
In Schedule I-2, the total number of borrowers who
						refinanced once, twice, or more than two times should equal the total number of
						borrowers who received one or more refinance loans in Schedule I-1.
SCHEDULE J (RECOMMENDATIONS FOR IMPROVING
						THE RSDL PILOT PROGRAM):
Provide any comments or information to help improve the
						program.
COMPANIES WITH MULTIPLE
						LOCATIONS:
Companies with multiple locations shall prepare one
						annual report consolidating the information of all locations into the
						report.
ANNUAL REPORT FORM
						SUBMISSION:
The annual report form is no longer available in paper
						form. Annual report forms for calendar year 2017, and following, are available
						at the Department's self-service portal,
https://docqnet.dfpi.ca.gov
.
THE ANNUAL REPORT MUST BE COMPLETED AND FILED ELECTRONICALLY, through the
						Department of Financial Protection and Innovation's self-service portal,
https://docqnet.dfpi.ca.gov
.
VERIFICATION
: The
						Verification section must be completed in accordance with the instructions, and
						signed, by the licensed individual, a general partner if the licensee is a
						partnership, or a corporate officer if the licensee is a corporation. The
						Verification must include an original signature on the annual report filed with
						the Department of Financial Protection and Innovation. The Verification must be
						downloaded, printed, and signed by the required individual. The signed
						Verification page must be submitted, as a separate attachment, to the annual
						report completed and submitted electronically to the Department of Financial
						Protection and Innovation.
Incomplete Verification or a missing signature
						in the Verification shall result in a status indicating that the licensee has
						NOT FILED its annual report due for that year.
FEE
: No fee is required to
						file the Annual Report.
PUBLIC INSPECTION
: The
						Department of Financial Protection and Innovation shall prepare an annual
						consolidated report that aggregates the information received from each annual
						report submitted by licensees for the designated year. The annual consolidated
						report shall be available to the public.
FOR ASSISTANCE AND INFORMATION REGARDING
						THE ANNUAL REPORT
: Contact the Department of Financial
						Protection and Innovation at
213-576-7690
.
CFL 1606 (08/21)
ANNUAL REPORT FOR CALIFORNIA FINANCING LAW
						LICENSEES ENGAGED IN BUSINESS UNDER THE PILOT PROGRAM FOR INCREASED ACCESS TO
						RESPONSIBLE SMALL DOLLAR LOANS FOR THE YEAR ENDED DECEMBER 31,
						20XX
THIS REPORT IS REQUIRED UNDER SECTIONS
						22367 AND
						22375 OF THE FINANCIAL
						CODE.
(PLEASE READ THE ATTACHED INSTRUCTIONS CAREFULLY BEFORE
						COMPLETING THE ANNUAL REPORT.)
1. Name
					 of licensee (as shown on the license):
___________________________
2. License number:
					 ______________________________
3.
					 Business phone number: (_____) ______________________________
4. Fax number: (_____)
					 ______________________________
5.
					 Web site address: ______________________________
6. Total number of licensed locations at
					 which business was conducted under the pilot program as of December 31, 20XX:
					 ____________________
7. Total
					 number of finders used during the calendar year: ____________________
8. Total number of finder locations used
					 during the calendar year: ______________________________
9. Business was conducted under the pilot
					 program during the calendar year 20XX: [] YES [] NO
10. Disclose by finder, the licensee's
					 relationship, including ownership or other financial relationship, and business
					 arrangement with each finder.
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
SCHEDULE A
SCHEDULE OF APPLICATIONS TAKEN AND LOANS MADE BY
						SIZE AND TERM FOR THE CALENDAR YEAR 20XX
A-1(a) Total Number Of Applications Received And
						Loans Made Using A Finder
Finder
Number Of
								  Applications Received
Number Of Loans
								  Made
Total Principal
								  Amount Of Loans Made
___________________________
___________________________
___________________________
___________________________
1.
$
___________________________
___________________________
___________________________
___________________________
2.
___________________________
___________________________
___________________________
___________________________
3.
___________________________
___________________________
___________________________
___________________________
4.
___________________________
___________________________
___________________________
___________________________
5.
___________________________
___________________________
___________________________
___________________________
6.
___________________________
___________________________
___________________________
___________________________
7.
___________________________
___________________________
___________________________
___________________________
Totals
$
___________________________
___________________________
___________________________
A-1(b) Number Of Applications Received And Loans
						Made Without Using A Finder
Number
								  Of
Total
								  Principal
Applications
Number
								Of
Amount Of
								  Loans
Received
Loans
								Made
Made
___________________________
___________________________
___________________________
Totals
$
___________________________
___________________________
___________________________
A-2(a) Number Of Loans Made By Size Of Loan Using A
						Finder
Finder
Principal
								Balance $ 300 - 499
Principal Balance $
								500 - 999
Principal Balance $ 1,000 -
								1,499
Principal Balance $ 1,500 -
								2,499
Principal Balance $ 2,500 -
								7,499
Total Loans
								Made
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
1.
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
2.
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
3.
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
4.
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
5.
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
6.
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
7.
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
Totals
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
A--2(b) Number Of Loans Made By Size Of Loan
						Without Using A Finder
Principal Balance $ 300 -
								499
Principal Balance $ 500 -
								999
Principal Balance $ 1,000 -
								1,499
Principal Balance $ 1,500 -
								2,499
Principal Balance $ 2,500 -
								7,499
Total Loans
								Made
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
Totals
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
A-3(a) Number Of Borrowers Who Obtained More Than
						One Loan Using A Finder
Finder
Number
								Of Borrowers Who Obtained More Than One
								Loan
Number Of Borrowers With Credit
								Scores That Increased Over The Previous
								Loan
Percentage Of Borrowers With
								Increased Credit Scores (e.g.,
								.458=46)
Average Size Of
								Increase In Credit Scores (Include Only Borrowers With Increased
								Scores)
Average Size Of Increase/Decrease
								In Credit Scores For All Borrowers
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
1.
%
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
2.
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
3.
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
4.
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
5.
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
6.
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
7.
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
Totals
%
___________________________
___________________________
___________________________
___________________________
___________________________
A-3(b) Number Of Borrowers Who Obtained More Than
						One Loan Without Using A Finder
Number Of Borrowers Who
								Obtained More Than One Loan
Number Of
								Borrowers With Credit Scores That Increased Over The Previous
								Loan
Percentage Of Borrowers With
								Increased Credit Scores (e.g.,
								.458=46)
Average Size Of
								Increase In Credit Scores (Include Only Borrowers With Increased
								Scores)
Average Size Of Increase/Decrease
								In Credit Scores For All Borrowers
___________________________
___________________________
___________________________
___________________________
___________________________
Totals
%
___________________________
___________________________
___________________________
___________________________
___________________________
A-4(a) Number Of Loans By Loan Term For Loans Made
						Using A Finder
Finder
Term
								Length 90 - 119 Days
Term Length 120 -
								179 Days
Term Length 180-269
								Days
Term Length 270 - 359
								days
Term Length >360
								Days
Total Loans
								Made
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
1.
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
2.
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
3.
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
4.
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
5.
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
6.
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
7.
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
Totals
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
A-4(b) Number Of Loans By Loan Term For Loans Made
						Without Using A Finder
Term Length 90 - 119
								Days
Term Length 120 - 179
								Days
Term Length 180 - 269
								Days
Term Length 270 - 359
								Days
Term Length >360
								Days
Total Loans
								Made
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
Totals
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
A-5(a) Number Of Borrowers Who Obtained One Or More
						Loans Using A Finder
Finder
Number Of Borrowers Who
								Obtained 2 Loans
Number Of Borrowers Who
								Obtained 3 Loans
Number Of Borrowers Who
								Obtained 4 Or More Loans
Total Number Of
								Borrowers Who Obtained More Than One Loan
___________________________
___________________________
___________________________
___________________________
___________________________
1.
___________________________
___________________________
___________________________
___________________________
___________________________
2.
___________________________
___________________________
___________________________
___________________________
___________________________
3.
___________________________
___________________________
___________________________
___________________________
___________________________
4.
___________________________
___________________________
___________________________
___________________________
___________________________
5.
___________________________
___________________________
___________________________
___________________________
___________________________
6.
___________________________
___________________________
___________________________
___________________________
___________________________
7.
___________________________
___________________________
___________________________
___________________________
___________________________
Totals
___________________________
___________________________
___________________________
___________________________
A-5(b) Number Of Borrowers Who Obtained One Or More
						Loans Without Using A Finder
Number Of Borrowers Who
								Obtained 2 Loans
Number Of Borrowers Who
								Obtained 3 Loans
Number Of Borrowers Who
								Obtained 4 Or More Loans
Total Number Of
								Borrowers Who Obtained More Than One Loan
___________________________
___________________________
___________________________
___________________________
Totals
Totals
___________________________
___________________________
___________________________
___________________________
SCHEDULE B
SCHEDULE OF LOANS BY INCOME DISTRIBUTION OF CENSUS
						TRACTS AND BORROWERS WITH BANK ACCOUNTS FOR CALENDAR YEAR 20XX
B-1(a) Number Of Loans By Income Distribution Of
						Census Tract (Using A Finder)
Finder
Low
Moderate
Middle
Upper
Not
								Known
Total Loans
								Made
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
1.
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
2.
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
3.
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
4.
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
5.
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
6.
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
7.
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
Totals
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
B-1(b) Number Of Loans By Income Distribution Of
						Census Tract (Without Using A Finder)
Low
Moderate
Middle
Upper
Not
								Known
Total Loans
								Made
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
Totals
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
B-2(a) Number Of Loans Made To Borrowers With Bank
						Account (Loans Made Using A Finder)
Finder
Number
								With Bank Account(s)
Number Without Bank
								Account(s)
Number Of Borrowers Who
								Obtained More Than One Loan
Number Of
								Borrowers With A Bank Account And Also Used Check-Cashing
								Services
Number Of Borrowers With A Bank
								Account And Also Used Payday Loan Services
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
1.
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
2.
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
3.
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
4.
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
5.
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
6.
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
7.
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
Totals
___________________________
___________________________
___________________________
___________________________
___________________________
B-2(b) Number Of Loans Made To Borrowers With Bank
						Account (Loans Made Without Using A Finder)
Number With Bank
								Account(s)
Number Without Bank
								Account(s)
Number Of Borrowers Who
								Obtained More Than One Loan
Number Of
								Borrowers With A Bank Account And Also Used Check-Cashing
								Services
Number Of Borrowers With A Bank
								Account And Also Used Payday Loan Services
___________________________
___________________________
___________________________
___________________________
___________________________
Totals
___________________________
___________________________
___________________________
___________________________
___________________________
SCHEDULE C
SCHEDULE OF LATE FEES CHARGED DURING THE YEAR BY
						SIZE OF LOAN FOR CALENDAR YEAR 20XX
C-1(a) Number Of Loans In Which Late Fees Were
						Assessed (Loans Made Using A Finder)
Finder
Principal
								Balance $ 300 - 499
Principal Balance
								$500 - 999
Principal Balance $ 1,000 -
								1,499
Principal Balance $ 1,500 -
								2,499
Principal Balance $2,500 -
								7,499
Total Loans
								Made
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
1.
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
2.
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
3.
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
4.
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
5.
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
6.
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
7.
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
Totals
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
C-1(b) Number Of Loans In Which Late Fees Were
						Assessed (Loans Made Without Using A Finder)
Principal Balance $300 -
								499
Principal Balance $ 500 -
								999
Principal Balance $ 1,000 -
								1,499
Principal Balance $ 1,500 -
								2,499
Principal Balance $2,500 -
								7,499
Total Loans
								Made
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
Totals
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
C-2(a) Number Of Late Fees Assessed On Loans Made
						Using A Finder
Finder
Principal
								Balance $ 300 - 499
Principal Balance $
								500 - 999
Principal Balance $ 1,000 -
								1,499
Principal Balance $ 1,500 -
								2,499
Principal Balance $2,500 -
								7,499
Total Number Of Late
								Fees
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
1.
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
2.
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
3.
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
4.
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
5.
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
6.
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
7.
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
Totals
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
C-2(b) Number Of Late Fees Assessed On Loans Made
						Without Using A Finder
Principal Balance $300 -
								499
Principal Balance $ 500 -
								999
Principal Balance $ 1,000 -
								1,499
Principal Balance $ 1,500 -
								2,499
Principal Balance $2,500 -
								7,499
Total Number of Late
								Fees
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
Totals
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
C-3(a) Total Dollar Amount Of Late Fees Assessed On
						Loans Made Using A Finder
Finder
Principal
								Balance $300 - 499
Principal Balance $500
								- 999
Principal Balance $ 1,000 -
								1,499
Principal Balance $ 1,500 -
								2,499
Principal Balance $2,500 -
								7,499
Total Amount of Late Fees In
								Dollars
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
1.
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
2.
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
3.
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
4.
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
5.
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
6.
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
7.
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
Totals
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
C-3(b) Total Dollar Amount Of Late Fees Assessed On
						Loans Made Without Using A Finder
Principal Balance $ 300 -
								499
Principal Balance $ 500 -
								999
Principal Balance $ 1,000 -
								1,499
Principal Balance $ 1,500 -
								2,499
Principal Balance $2,500 -
								7,499
Total Amount of Late Fees In
								Dollars
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
Totals
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
C-4(a) Average Number Of Late Fees Assessed Per
						Loan Made Using A Finder
Finder
Principal
								Balance $300 - 499
Principal Balance $
								500 - 999
Principal Balance $1,000 -
								1,499
Principal Balance $1,500 -
								2,499
Principal Balance $2,500 -
								7,499
Overall
								Average
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
1.
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
2.
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
3.
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
4.
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
5.
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
6.
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
7.
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
Totals
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
C-4(b) Average Number Of Late Fee Assessed Per Loan
						Made Without Using A Finder
Principal Balance $ 300 -
								499
Principal Balance $ 500 -
								999
Principal Balance $ 1,000 -
								1,499
Principal Balance $ 1,500 -
								2,499
Principal Balance $2,500 -
								7,499
Overall
								Average
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
Totals
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
C-5(a) Percentage Of Loans Assessed Late Fees (Loan
						Made Using A Finder)
Finder
Principal
								Balance $ 300 - 499
Principal
								Balance $ 500 - 999
Principal
								Balance $ 1,000 -
								1,499
Principal Balance $ 1,500
								- 2,499
Principal Balance $2,500
								- 7,499
Overall
								Percentage
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
1.
%
%
%
%
%
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
2.
%
%
%
%
%
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
3.
%
%
%
%
%
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
4.
%
%
%
%
%
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
5.
%
%
%
%
%
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
6.
%
%
%
%
%
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
7.
%
%
%
%
%
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
Totals
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
C-5(b) Percentage Of Loans Assessed Late Fees (Loan
						Made Without Using A Finder)
Principal Balance $ 300 -
								499
Principal Balance $ 500 -
								999
Principal Balance $ 1,000 -
								1,499
Principal Balance $ 1,500
								- 2,499
Principal Balance $
								2,500 - 7,499
Overall
								Percentage
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
%
%
%
%
%
Totals
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
SCHEDULE D
SCHEDULE OF LOANS MADE BY LOAN PURPOSE FOR CALENDAR
						YEAR 20XX
D-1(a) Number Of Loans Made By Loan Purpose Using A
						Finder
Finder
Medical
Other
								Emergency
Vehicle
								Repair
Vehicle
								Purchase
To Pay
								Bills
To Consolidate
								Debt
To Build or Repair
								Credit
Purchase Goods or Services Other
								Than a Vehicle
For Other Than Personal,
								Family or Household Purposes
Other
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
1.
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
2.
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
3.
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
4.
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
5.
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
6.
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
7.
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
TOTALS
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
D-1(b) Number Of Loans Made By Loan Purpose Without
						Using A Finder
Medical
Other
								Emergency
Vehicle
								Repair
Vehicle
								Purchase
To Pay
								Bills
To Consolidate
								Debt
To Build or Repair
								Credit
Purchase Goods or Services Other
								Than a Vehicle
For Other Than Personal,
								Family or Household
								Purposes
Other
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
TOTALS
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
SCHEDULE E
SCHEDULE OF LOANS BY RATE CHARGES FOR CALENDAR YEAR
						20XX
E-1 (a) Number Of Loans Made Between $300 - $499
						Using A Finder
Number Of Loans Made
								  Per Annual Percentage Rate (APR)
Finder
Up to
								14.99%
15.00% - 19.99%
20.00% - 24.99%
25.00% -
								29.99%
30.00% - 34.99%
35.00% - 39.99%
40.00% -
								49.99%
50.00% or more
Total Loans Made
1.
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
2.
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
3.
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
4.
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
5.
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
6.
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
7.
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
Totals
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
E-1(b) Number Of Loans Made Between $300 - $499
						Without Using A Finder
Number Of Loans Made
								  Per Annual Percentage Rate (APR)
Up to 14.99%
15.00% -
								19.99%
20.00% - 24.99%
25.00% - 29.99%
30.00% -
								34.99%
35.00% - 39.99%
40.00% - 49.99%
50.00% or
								more
Total Loans Made
Totals
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
E-2(a) Number Of Loans Made Between $500 - $999
						Using A Finder
Number Of Loans Made
								  Per Annual Percentage Rate (APR)
Finder
Up to
								14.99%
15.00% - 19.99%
20.00% - 24.99%
25.00% -
								29.99%
30.00% - 34.99%
35.00% - 39.99%
40.00% -
								49.99%
50.00% or more
Total Loans Made
1.
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
2.
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
3.
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
4.
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
5.
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
6.
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
7.
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
Totals
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
E-2(b) Number Of Loans Made Between $500 - $999
						Without Using A Finder
C2-10
Number Of Loans
								  Made Per Annual Percentage Rate (APR)
Up to 14.99%
15.00% -
								19.99%
20.00% - 24.99%
25.00% - 29.99%
30.00% -
								34.99%
35.00% - 39.99%
40.00% - 49.99%
50.00% or
								more
Total Loans Made
Totals
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
E-3(a) Number Of Loans Made Between $1,000 - $1,499
						Using A Finder
Number Of Loans Made
								  Per Annual Percentage Rate (APR)
Finder
Up to
								14.99%
15.00% - 19.99%
20.00% - 24.99%
25.00% -
								29.99%
30.00% - 34.99%
35.00% - 39.99%
40.00% -
								49.99%
50.00% or more
Total Loans Made
1.
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
2.
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
3.
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
4.
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
5.
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
6.
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
7.
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
Totals
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
E-3(b) Number Of Loans Made Between $1,000 - $1,499
						Without Using A Finder
Number Of Loans Made
								  Per Annual Percentage Rate (APR)
Up to 14.99%
15.00% -
								19.99%
20.00% - 24.99%
25.00% - 29.99%
30.00% -
								34.99%
35.00% - 39.99%
40.00% - 49.99%
50.00% or
								more
Total Loans Made
Totals
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
E-4(a) Number Of Loans
								Made Between $1,500 - $2,499 Using A Finder
Number Of Loans Made Per
								Annual Percentage Rate (APR)
Finder
Up to
								14.99%
15.00% - 19.99%
20.00% - 24.99%
25.00% -
								29.99%
30.00% - 34.99%
35.00% - 39.99%
40.00% -
								49.99%
50.00% or more
Total Loans Made
1.
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
2.
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
3.
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
4.
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
5.
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
6.
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
7.
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
Totals
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
E-4(b) Number Of Loans Made Between $1,500 - $2,499
						Without Using A Finder
Number Of Loans Made
								  Per Annual Percentage Rate (APR)
Up to 14.99%
15.00% -
								19.99%
20.00% - 24.99%
25.00% - 29.99%
30.00% -
								34.99%
35.00% - 39.99%
40.00% - 49.99%
50.00% or
								more
Total Loans Made
Totals
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
E-5(a) Number Of Loans
								Made Between $2,500 - $7,499 Using A Finder
Number Of Loans Made Per
								Annual Percentage Rate (APR)
Finder
Up to
								14.99%
15.00% - 19.99%
20.00% - 24.99%
25.00% -
								29.99%
30.00% - 34.99%
35.00% - 39.99%
40.00% -
								49.99%
50.00% or more
Total Loans Made
1.
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
2.
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
3.
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
4.
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
5.
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
6.
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
7.
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
Totals
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
E-5(b) Number Of Loans Made Between $2,500 - $7,499
						Without Using A Finder
Number Of Loans Made
								  Per Annual Percentage Rate (APR)
Up to 14.99%
15.00% -
								19.99%
20.00% - 24.99%
25.00% - 29.99%
30.00% -
								34.99%
35.00% - 39.99%
40.00% - 49.99%
50.00% or
								more
Total Loans Made
Totals
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
SCHEDULE F
SCHEDULE OF LOAN PERFORMANCE AS OF YEAR END
						20XX
F-1(a) Number And Percentage Of Loans With At Least
						One Delinquency Lasting Between 7 - 29 Days
For Loans Made Using A Finder
Number Of Loans With At
								Least One Delinquency
Percentage Of Loans With At Least One
								Delinquency
Finder
Principal Balance $300 -
								499
Principal Balance $500 - 999
Principal Balance $ 1,000 -
								1,499
Principal Balance $ 1,500 - 2,499
Principal Balance $
								2,500 - 7,499
Principal Balance $300 - 499
Principal Balance
								$500 - 999
Principal Balance $ 1,000 - 1,499
Principal Balance
								$ 1,500 - 2,499
Principal Balance $ 2,500 - 7,499
1.
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
2.
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
3.
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
4.
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
5.
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
6.
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
7.
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
Totals
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
F-1(b) Number And Percentage Of Loans With At Least
						One Delinquency Lasting Between 7-29 Days For Loans
Made Without Using A Finder
Number Of Loans With At
								Least One Delinquency
Percentage Of Loans With At Least One
								Delinquency
Principal Balance
Principal
								Balance
Principal Balance
Principal Balance
Principal
								Balance
Principal Balance
Principal Balance
Principal
								Balance
Principal Balance
Principal Balance
$ 300 - 499
$ 500 - 999
$
								1,000 - 1,499
$ 1,500 - 2,499
$ 2,500 - 7,499
$ 300 -
								499
$ 500 - 999
$ 1,000 - 1,499
$ 1,500 -
								2,499
$ 2,500 - 7,499
Totals
___________________________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
F-2(a) Number And
								Percentage Of Loans With At Least One Delinquency Lasting Between 30 - 59 Days
								For Loans Made Using A Finder
Number Of Loans With
								At Least One Delinquency
Percentage Of
								Loans With At Least One Delinquency
Finder
Principal Balance $ 300
								- 499
Principal Balance $ 500 - 999
Principal Balance $ 1,000 -
								1,499
Principal Balance $ 1,500 - 2,499
Principal Balance $
								2,500 - 7,499
Principal Balance $ 300 - 499
Principal Balance $
								500 - 999
Principal Balance $ 1,000 - 1,499
Principal Balance $
								1,500 - 2,499
Principal Balance $ 2,500 - 7,499
1.
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
2.
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
3.
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
4.
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
5.
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
6.
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
7.
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
Totals
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
_____________
F-2(b) Number And Percentage Of Loans With At Least
						One Delinquency Lasting Between 30 - 59 Days For Loans Made Without Using A
						Finder
Number Of Loans
								With At Least One Delinquency
Percentage
								Of Loans With At Least One
								Delinquency
Principal Balance $ 300 -
								499
Principal Balance $ 500 - 999
Principal Balance $ 1,000 -
								1,499
Principal Balance $ 1,500 - 2,499
Principal Balance $
								2,500 - 7,499
Principal Balance $ 300 - 499
Principal Balance $
								500 - 999
Principal Balance $ 1,000 - 1,499
Principal Balance $
								1,500 - 2,499
Principal Balance $ 2,500 - 7,499
Totals
_______________________
_______________________
_______________________
_______________________
_______________________
_______________________
_______________________
_______________________
_______________________
_______________________
F-3(a) Number And
								Percentage Of Loans With At Least One Delinquency Lasting 60 Days Or More For
								Loans Made Using A Finder
Number Of Loans With At
								  Least One Delinquency
Percentage Of Loans With
								  At Least One Delinquency
Finder
Principal Balance $ 300 -
								499
Principal Balance $ 500 - 999
Principal Balance $ 1,000 -
								1,499
Principal Balance $ 1,500 - 2,499
Principal Balance $
								2,500 - 7,499
Principal Balance $ 300 - 499
Principal Balance $
								500 - 999
Principal Balance $ 1,000 - 1,499
Principal Balance $
								1,500 - 2,499
Principal Balance $ 2,500 - 7,499
1.
____________________
____________________
____________________
____________________
____________________
____________________
____________________
____________________
____________________
____________________
2.
____________________
____________________
____________________
____________________
____________________
____________________
____________________
____________________
____________________
____________________
3.
____________________
____________________
____________________
____________________
____________________
____________________
____________________
____________________
____________________
____________________
4.
____________________
____________________
____________________
____________________
____________________
____________________
____________________
____________________
____________________
____________________
5.
____________________
____________________
____________________
____________________
____________________
____________________
____________________
____________________
____________________
____________________
6.
____________________
____________________
____________________
____________________
____________________
____________________
____________________
____________________
____________________
____________________
7.
____________________
____________________
____________________
____________________
____________________
____________________
____________________
____________________
____________________
____________________
Totals
____________________
____________________
____________________
____________________
____________________
____________________
____________________
____________________
____________________
F-3(b) Number And Percentage Of Loans With At Least
						One Delinquency Lasting 60 Days Or More For Loans Made Without Using A
						Finder
Number Of Loans With
								  At Least One Delinquency
Percentage Of Loans
								  With At Least One Delinquency
Principal Balance $ 300 -
								499
Principal Balance $ 500 - 999
Principal Balance $ 1,000 -
								1,499
Principal Balance $ 1,500 - 2,499
Principal Balance $
								2,500 - 7,499
Principal Balance $ 300 - 499
Principal Balance $
								500 - 999
Principal Balance $ 1,000 - 1,499
Principal Balance $
								1,500 - 2,499
Principal Balance $ 2,500 - 7,499
Totals
______________
______________
______________
______________
______________
______________
______________
______________
______________
______________
F-4(a) Loans With At Least One Delinquency Of
						Greater Than 7 Days For Loans Made Using A Finder
Finder
Number
								Of Loans With At Least One Delinquency Of Greater Than 7 Days And Were Not
								Subsequently Brought Current
For Loans
								That Were Delinquent 7 Days Or More, Average Number Of Times Borrowers Were
								Delinquent 7 Days Or More
_____________________________
_____________________________________________
_______________________________________________________________________
1.
___________________________
_____________________________________________
_______________________________________________________________________
2.
___________________________
_____________________________________________
_______________________________________________________________________
3.
___________________________
_____________________________________________
_______________________________________________________________________
4.
___________________________
_____________________________________________
_______________________________________________________________________
5.
___________________________
_____________________________________________
_______________________________________________________________________
6.
___________________________
_____________________________________________
_______________________________________________________________________
7.
___________________________
_____________________________________________
_______________________________________________________________________
Totals
_____________________________________________
_______________________________________________________________________
F-4(b) Loans With At Least One Delinquency Of
						Greater Than 7 Days For Loans Made Without Using A Finder
Number Of Loans With At
								Least One Delinquency Of Greater Than 7 Days And Were Not Subsequently Brought
								Current
For Loans That Were Delinquent 7
								Days Or More, Average Number Of Times Borrowers Were Delinquent 7 Days Or
								More
__________________________________________________________________________
___________________________________________________________
Totals
__________________________________________________________________________
_____________________________________________________________
SCHEDULE G
SCHEDULE OF LOANS MADE BY LANGUAGE AND CREDIT
						EDUCATION PROGRAM OR SEMINAR OFFERED
FOR THE CALENDAR YEAR 20XX
G-1(a) Number Of Loans Made Using A Finder (For
						Columns A and B, See Instructions)
Finder
English
A
B
Spanish
A
B
Chinese
A
B
Tagalog
A
B
Vietnamese
A
B
Korean
A
B
Other
A
B
_________________________
___________________________
______________________
______________________
___________________________
______________________
______________________
___________________________
______________________
______________________
___________________________
__________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
1.
___________________________
______________________
______________________
___________________________
______________________
______________________
___________________________
______________________
______________________
___________________________
____________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
2.
___________________________
______________________
______________________
___________________________
______________________
______________________
___________________________
______________________
______________________
___________________________
_________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
3.
___________________________
______________________
______________________
___________________________
______________________
______________________
___________________________
______________________
______________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
4.
___________________________
______________________
______________________
___________________________
______________________
______________________
___________________________
______________________
______________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
5.
___________________________
______________________
______________________
___________________________
______________________
______________________
___________________________
______________________
______________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
6.
___________________________
______________________
______________________
___________________________
______________________
______________________
___________________________
______________________
______________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
7.
___________________________
______________________
______________________
___________________________
______________________
______________________
___________________________
______________________
______________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
8.
___________________________
______________________
______________________
___________________________
______________________
______________________
___________________________
______________________
______________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
9.
___________________________
______________________
______________________
___________________________
______________________
______________________
___________________________
______________________
______________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
10.
___________________________
______________________
______________________
___________________________
______________________
______________________
___________________________
______________________
______________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
Total
___________________________
______________________
______________________
___________________________
______________________
______________________
___________________________
______________________
______________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
G-1(b) Number Of Loans Made Without Using A Finder
						(See Instructions Before Completing)
English
A
B
Spanish
A
B
Chinese
A
B
Tagalog
A
B
Vietnamese
A
B
Korean
A
B
Other
A
B
__________________________
______________________
______________________
___________________________
______________________
______________________
___________________________
______________________
______________________
___________________________
______________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
Total
__________________________
______________________
______________________
___________________________
______________________
______________________
___________________________
______________________
______________________
___________________________
______________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
SCHEDULE H
SCHEDULE OF FINDERS FOR CALENDAR YEAR
						20XX
FINDER
CONTACT
								PERSON
VOLUME OF BUSINESS IN LOAN
								$$
TYPE OF BUSINESS OPERATED BY
								FINDER
AMOUNT OF FEES PAID TO
								FINDER
PROVIDE TYPE OF LICENSE &
								LICENSE NUMBER HELD BY FINDER
OWNERSHIP
								OR OTHER FINANCIAL RELATIONSHIP WITH LICENSEE (YES OR
								NO)
NUMBER OF BUSINESS LOCATIONS AT WHICH
								PILOT PROGRAM ACTIVITIES WERE
								CONDUCTED
BUSINESS ADDRESS (Street, City,
								State, & Zip Code)
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
SCHEDULE I
SCHEDULE OF REFINANCE LOANS FOR THE CALENDAR YEAR
						20XX
I-1(a) Number Of Refinance Loans Made Using A
						Finder
Finder
Number
								Of Borrowers Who Applied for A Refinance
								Loan
Percentage Of Borrowers Who Applied
								For A Refinance Loan
Number Of
								Borrowers Who Obtained One or More Refinance
								Loans
Percentage Of Borrowers Who
								Refinanced A Loan
Total
								Principal Amount Of Refinance Loans Made
_____________________________
___________________________
___________________________
___________________________
___________________________
___________________________
1.
%
%
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
2.
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
3.
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
4.
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
5.
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
6.
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
7.
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
Totals
%
%
___________________________
___________________________
___________________________
___________________________
___________________________
I-1(b) Number Of Refinance Loans Made Without Using
						A Finder
Number Of Borrowers Who
								Applied For A Refinance Loan
Percentage
								Of Borrowers Who Applied For A Refinance
								Loan
Number Of Borrowers Who
								Obtained One or More Refinance
								Loans
Percentage Of Borrowers Who
								Refinanced A Loan
Total
								Principal Amount Of Refinance Loans Made
___________________________
___________________________
___________________________
___________________________
___________________________
Totals
%
%
___________________________
___________________________
___________________________
___________________________
___________________________
I-2(a) Detail Of Refinance Loans For Loans Made
						Using A Finder
Finder
Number
								Of Borrowers Who Refinanced
								Once
Percentage Of Borrowers Who
								Refinanced Once
Number Of
								Borrowers Who Refinanced Twice
Percentage
								Of Borrowers Who Refinanced
								Twice
Number Of Borrowers Who
								Refinanced More than Twice
Percentage Of
								Borrowers Who Refinanced More Than Twice
__________________________
______________________
______________________
______________________
______________________
______________________
1.
%
%
%
________________________
______________________
______________________
______________________
______________________
______________________
______________________
2.
%
%
%
________________________
______________________
______________________
______________________
______________________
______________________
______________________
3.
%
%
%
________________________
______________________
______________________
______________________
______________________
______________________
______________________
4.
%
%
%
________________________
______________________
______________________
______________________
______________________
______________________
______________________
5.
%
%
%
________________________
______________________
______________________
______________________
______________________
______________________
______________________
6.
%
%
%
________________________
______________________
______________________
______________________
______________________
______________________
______________________
7.
%
%
%
________________________
______________________
______________________
______________________
______________________
______________________
______________________
Totals
%
%
%
______________________
______________________
______________________
______________________
______________________
______________________
I-2(b) Detail Of Refinance Loans For Loans Made
						Without Using A Finder
Number Of Borrowers Who
								Refinanced Once
Percentage Of Borrowers
								Who Refinanced Once
Number Of
								Borrowers Who Refinanced Twice
Percentage
								Of Borrowers Who Refinanced
								Twice
Number Of Borrowers Who
								Refinanced More Than Twice
Percentage Of
								Borrowers Who Refinanced More Than Twice
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
Totals
%
%
%
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
I-3(a) Average Percentage Of Principal Paid Down,
						Late Fees Made, And Additional Principal Extended On Refinanced Loans Made
						Using A Finder
Finder
Average
								Percentage Of Principal Paid Down Before Obtaining A Refinance
								Loan
Average Number Of Late
								Payments Made On Loan That Was
								Refinanced
Average Amount Of
								Additional Principal Extended On Refinance Loans
___________________________
___________________________
___________________________
___________________________
1.
%
$
_________________________
___________________________
___________________________
___________________________
2.
_________________________
___________________________
___________________________
___________________________
3.
_________________________
___________________________
___________________________
___________________________
4.
_________________________
___________________________
___________________________
___________________________
5.
_________________________
___________________________
___________________________
___________________________
6.
_________________________
___________________________
___________________________
___________________________
7.
_________________________
___________________________
___________________________
___________________________
Totals
%
$
___________________________
___________________________
I-3(b) Average Percentage Of Principal Paid Down,
						Late Fees Made, And Additional Principal Extended On Refinanced Loans Made
						Without Using A Finder
Average Percentage Of
								Principal Paid Down Before Obtaining A Refinance
								Loan
Average Number Of Late
								Payments Made On Loan That Was
								Refinanced
Average Amount Of
								Additional Principal Extended On Refinance Loans
___________________________
___________________________
___________________________
Totals
%
$
___________________________
___________________________
___________________________
SCHEDULE J
RECOMMENDATIONS FOR IMPROVING THE PILOT
						PROGRAM
Please provide any comments or information to help
						improve the program.
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
VERIFICATION
State of ____________________)
County of _______________)
I, the undersigned, state: That I am an officer, a
						general partner or the sole proprietor, or have a position of similar
						proprietary interest of (
Insert name as shown on the
						license
)
___________________________
and I have read and signed the report and know the
						contents of the information filed herewith. I certify that the statistical
						information provided in this annual report is to the best of my knowledge true
						and exact.
Complete Section (A) OR Section (B) as
						appropriate.
___________________________
(A)
IF LOCATED IN CALIFORNIA OR IN A
					 STATE WHICH PERMITS A DECLARATION UNDER PENALTY OF PERJURY, COMPLETE THIS
					 SECTION. NOTARIZATION IS NOT NECESSARY.
Date ___________________________, _______________ at
						_____, _______________
(Month/Day)
(Year)
(City)
(State)
I certify (or declare) under the penalty of perjury that
						the foregoing is true and correct.
___________________________
___________________________Phone
								Number: (___)
(Signature of Declarant)
___________________________
___________________________Fax Number: (___)
(Name and Title, type or print)
E-mail Address: ____________________
(B)
IF LOCATED OUTSIDE OF CALIFORNIA IN
					 A STATE WHICH DOES NOT PERMIT A DECLARATION UNDER PENALTY OF PERJURY, COMPLETE
					 THIS SECTION. NOTARIZATION IS REQUIRED.
Date
___________________________
,
___________________________
___________________________
(Month/Day)
(Year)
Signature of Affiant
at
___________________________
_______________________________________
(City)
Name
								and Title (
Please type or print
)
___________________________
(State)
Subscribed and sworn to before me on
__________________
,
_______________
(Month/Date)
(Year)
(Seal)
______________________________________
Notary
								Public in and for said County and State
Phone Number: ( ___ ) ____________________ Fax Number: (
						___ ) ____________________
E-mail Address: _________________________
CFL 1606
						(8/21)