California Code of Regulations › Title 10 - Investment › Chapter 3 - Commissioner of Financial Protection and Innovation › Subchapter 6 - California Financing Law › Article 3 - Books, Records and Examinations › Section 1430 - Annual Report

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
STATE OF CALIFORNIA -- BUSINESS, CONSUMER SERVICES AND
					 HOUSING AGENCY
DEPARTMENT OF BUSINESS OVERSIGHT
INSTRUCTIONS FOR COMPLETING THE 20XX ANNUAL
					 REPORT FOR LENDERS AND BROKERS LICENSED UNDER THE CALIFORNIA FINANCE LENDERS
					 LAW
WHO MUST FILE THE REPORT
:
Every licensee under the California Finance Lenders Law as of December 31, 20XX
					 must file the annual report. The report must include information on all
					 businesses conducted under the California Finance Lenders license by licensees
					 located in or outside the State of California.
NO BUSINESS OR INACTIVE
					 LICENSES
:
An annual report must be filed even if no business
					 was conducted under the license(s) in 20XX. If no business was conducted under
					 the license(s) during the calendar year 20XX, complete Schedules A through C-3,
					 Schedule K and Verification section only. Include a statement at the bottom of
					 the Verification section
"No business was conducted under the license(s)
					 during the calendar year 20XX."
"No business" means no loans were made,
					 refinanced, or brokered in 20XX, and no loan payments or broker fees were
					 received in 20XX.
WHEN IS THE REPORT DUE/PENALTY FOR FAILURE TO
					 FILE THE ANNUAL REPORT
:
The annual report is due on or before
March 15, 20XX
. No extension of the filing date shall be granted.
					 Failure to file the report will result in summary revocation of your
					 license(s). Under Government Code Section
					 11522, a
					 licensee whose license has been revoked may have to wait a period of not less
					 than one year from the date of revocation before applying for a license.
WHAT IS THE PURPOSE OF THE ANNUAL
					 REPORT
:
The information reported in the annual report is used
					 to publish the Department of Business Oversight's
Annual Report --
					 Operation of Finance Companies
. In addition, each licensee's annual
					 assessment is based on income reported by the licensee as earned from
					 activities conducted under the California Finance Lenders license. The
					 information reported is also used to determine the licensee's compliance with
					 the statutory net worth requirement.
WHERE TO FILE THE
							 REPORT
:
DEPARTMENT OF BUSINESS OVERSIGHT
FINANCIAL SERVICES DIVISION
320 WEST FOURTH STREET, SUITE 750
LOS ANGELES, CA 90013
THE ANNUAL REPORT FORM
:
The
					 information must be prepared in the annual report form prescribed by the
					 Department of Business Oversight in Form CFL 812A (Rev. 11/13)), including
					 Schedule B-1 Balance Sheet and Schedule C-1 Statement of Income and Expenses.
					 Financial statements attached to the report will
not
be accepted
					 in place of Schedule B-1 and Schedule C-1.
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. The annual report is
					 electronically scanned and therefore the information must be
TYPED
in the annual report form, and the
ORIGINAL
signed copy of the
					 annual report must be filed with the Department of Business Oversight.
COMPLETENESS & ACCURACY
:
The annual report will be rejected by the Department of Business Oversight and
					 returned to the licensee 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. Attach a
					 supplemental page(s) if more space is needed. All information provided in the
					 report is subject to verification. Accordingly, due care should be exercised in
					 the completion of the report. The annual assessment is calculated from the
					 information provided in the annual report. If the annual report filed contains
					 incorrect information, it may result in an incorrect annual assessment.
					 Assessment notices will be distributed to licensees on or before September 30,
					 20XX.
HOW TO READ THE MAILING
					 LABEL
:
If you received an annual report form from the
					 Department of Business Oversight in the mail, a mailing label is attached at
					 line 1 of Schedule A of the form. The mailing label provides information on
					 your license. Your license number or the mailing number assigned if you possess
					 multiple licenses, and the number of licenses held by you as of December 31,
					 20XX is shown on the top line of the label.
PERIOD COVERED BY THE REPORT
:
The reporting period is either (1) January 1, 20XX to December 31, 20XX, or (2)
					 the effective date of licensure in 20XX to December 31, 20XX.
WHICH SCHEDULES MUST BE
					 COMPLETED
:
The Table of Schedules To Be Completed in the annual
					 report identifies the schedules that must be completed by the type of
					 license(s) held. If your business consists of more than one location, a single
					 consolidated annual report must be submitted. Do not submit a separate annual
					 report for each location.
FAILURE TO COMPLETE THE REQUIRED SCHEDULES WILL
					 RESULT IN THE REJECTION AND RETURN OF THE ANNUAL REPORT TO THE
					 LICENSEE.
SCHEDULE A (GENERAL
					 INFORMATION)
:
Item 1.
If the Department of Business
							 Oversight's mailing label is attached to the annual report form, item 1 (name
							 and main office address of the licensee) does not need to be completed.
Item 5.
If the annual report includes more
							 than one licensed location, the license number and address of each licensed
							 location must be listed on a separate attachment, marked as Schedule A, Item
							 Number 5.
SCHEDULE B-1 (BALANCE SHEET)
:
This schedule must be prepared on a basis consistent with generally accepted
					 accounting principles. Licensees are required to maintain a net worth of at
					 least $25,000. A licensed lender employing one or more mortgage loan
					 originators must maintain a minimum net worth of at least $250,000, and a
					 licensed broker employing one or more mortgage loan originators must maintain a
					 minimum net worth of at least $50,000.
Failure to maintain the required
					 net worth is grounds for administrative action.
SCHEDULE B-2 (ANALYSIS OF LOANS AND
					 RECEIVABLES OUTSTANDING)
:
Record all receivables not subject to
					 the California Finance Lenders license as Other Receivables on lines 7 through
					 14. Exercise care in classifying the receivables because certain sales
					 contracts, leases, and other receivables may be subject to the California
					 Finance Lenders Law. Flooring and accounts receivable financing are examples of
					 transactions subject to the California Finance Lenders Law. In addition,
					 certain types of leases such as dollar buy out, direct financing, abandonment,
					 and purchase leases may be subject to the California Finance Lenders Law. If
					 so, the receivables must be classified under California Finance Lenders Loan
					 Receivables on lines 1 through 6.
SCHEDULE C-1 (STATEMENT OF INCOME AND
					 EXPENSES) AND SCHEDULE C-2 (INCOME RECEIVED FROM CFLL LENDERS AND BROKERS
					 LOANS)
:
These schedules must be prepared on a basis consistent
					 with generally accepted accounting principles. For reporting purposes, treat
					 20XX income earned
from loans originated
under the Personal
					 Property Brokers, Consumer Finance Lenders, and Commercial Finance Lenders laws
					 as Gross Income from CFLL Loans and CFLL Brokered Loans on line 1 of Schedule
					 C-1. Also report only the amount of income earned during the year under the
					 California Finance Lenders license. Loss on loan receivables must be shown as a
					 separate line item on line 4 of Schedule C-1. Do not deduct any loss on loans
					 receivables from the gross income on line 1 of Schedule C-1.
The income reported on lines 1 through 16 of Schedule C-2
					 is income received under your California Finance Lender license and may include
					 income from loans made under the Personal Property Broker, Consumer Finance
					 Lender, and Commercial Finance Lender Laws. Double-check your calculations. The
					 income received must be accurately reported in the schedules because the amount
					 you report is used to determine the amount of your annual assessment under the
					 California Finance Lenders Law to renew your license(s) for the next year. Your
					 annual assessment is based on the gross income you report on activities
					 conducted under your California Finance Lenders Law license. Income earned
					 under other state or federal lending licenses, activities not requiring a
					 license, or activities conducted under licenses of other government agencies
					 should not be reported on line 1 of Schedule C-1 or on lines 1 through 16 of
					 Schedule C-2.
SCHEDULE C-3 (INCOME FROM OTHER BUSINESS AND
					 SOURCES)
:
Report under All Other Business and Sources, lines 1
					 through 7, only those revenues
not
subject to the California
					 Finance Lenders Law. See instructions for Schedule B-2 above for classification
					 of receivables under the California Finance Lenders Law. Any income received
					 from your California Finance Lender license must be reported in Schedule
					 C-2.
SCHEDULE D (SCHEDULE OF BROKERED
					 LOANS):
All loans brokered in 20XX under your California
					 Finance Lenders license must be scheduled. Schedule A. Schedule of CFLL
					 Brokered Loans must be completed by a licensee that brokered loans to any
					 lender licensed under the California Finance Lenders Law. For a definition of
					 consumer loans and commercial loans, refer to the instructions for Schedules E,
					 F, and G (Loan Statistics) below.
Line 8(a) -- Residential Mortgage Loans Brokered. From the
					 "Total Consumer Loans Brokered" reported on line 8, indicate on line 8(a) the
					 number of loans brokered, the principal amount of loans and the amount of
					 commissions received on residential mortgage loans.
Section B. Schedule of Other Brokered Loans must be
					 completed by licensees that have brokered loans to any lender not licensed
					 under the California Finance Lenders Law, such as mortgage loans made under a
					 Department of Real Estate license. The name of the regulatory agency and
					 license number that authorizes you to broker these loans must be
					 provided.
SCHEDULES E, F, & G (LOAN
					 STATISTICS)
:
If any loans were made under your California
					 Finance Lenders license during the year 20XX, Schedules E, F, and G must be
					 completed. The loans made in 20XX must be categorized in Schedules E, F and G
					 as either
consumer loans
or
commercial loans
as
					 follows:
(1)
Consumer
				  Loan
-- a loan, whether secured by real or personal property, or both,
				  or unsecured, the proceeds of which are intended by the borrower for use
				  primarily for personal, family, or household purposes.
Consumer loan also includes a loan of a principal amount of
					 less than $5,000, the proceeds of which are intended by the borrower for use
					 primarily for other than personal, family, or household purposes. An example is
					 a loan of $4,000 used for your rental business.
For the purpose of completing "Auto Title Loans" in
					 Schedule F, an auto title loan has the characteristics of a short-term loan
					 (typically 12 to 36 months) in which a borrower with clear title to his or her
					 vehicle may immediately receive a loan secured by the borrower's vehicle. These
					 loans typically are more than $2,500 and have a higher interest rate. The loans
					 differ from traditional auto loans, which are financed and secured by a lien on
					 the vehicle in the purchase or refinance of a car.
(2)
Commercial Loan
-- means a
				  loan principal amount of $5,000 or more, or any loan under an open-end credit
				  program, whether secured by real or personal property, or both, or unsecured,
				  the proceeds of which are intended by the borrower for use primarily for other
				  than personal, family, or household purposes.
(3)
Open-End Credit Loans (Revolving
				  Credit Loans):
For the purposes of completing Schedules E, F, and G for
				  open-end credit loans, the following guidelines must be followed:
(a) Total all advances made during the year
				  under the
same
open-end credit loan agreement. This total
				  constitutes the "Principal Amount" of the loan and counts as one loan made in
				  Schedules E, F and G.
(b) Classify
				  the loans by size, by the total advances made during the year. As an example,
				  if five advances were made in 20XX amounting to $15,000 under the
same
line of credit agreement of $5,000, it should be reported as
				  one loan made under "Number of Loans", $15,000 under "Principal Amount", and
				  under the column "Loans $10,000 or More" in Schedules E, F and G.
SCHEDULE I (SALE OF LOANS TO INSTITUTIONAL
					 INVESTORS AND LOANS SERVICED)
:
Item 2 -- Loans Serviced Under
					 the California Finance Lenders License must include all loans originated,
					 purchased or sold.
SCHEDULED K (DIRECTORY OF DIRECTORS,
					 OFFICERS, ETC.)
:
All licensees must provide information on
all
directors, officers, members, managing members, branch
					 managers and any person (as defined in Section
					 22008 of
					 the Financial Code) owning or controlling directly or indirectly 10 percent or
					 more of the outstanding interests or equity securities. If an individual was
					 required to be included in the initial application for a license under the
					 California Finance Lenders Law or in a subsequent report of changes in
					 personnel, the individual must be included in Schedule K.
A self-designed form may be substituted in place of
					 Schedule K if a licensee has more than 21 directors, officers, members,
					 managing members, branch managers or persons holding 10 percent or more of the
					 outstanding interests. The self-designed form must contain at a minimum the
					 information required in Schedule K.
For any individual listed in Schedule K who has not
					 submitted a Statement of Identity and Questionnaire (FS 512 SIQ), submit the
					 Statement of Identity and Questionnaire for the individual when filing the
					 completed annual report. The Statement of Identity and Questionnaire is
					 available on the Department of Business Oversight's website at
www.dbo.ca.gov
.
The information in Schedule K will be considered
					 confidential information, and will be filed and maintained as part of the
					 confidential records not subject to public inspection.
SCHEDULE L (CFLL REPORT ON NON-TRADITIONAL,
					 ADJUSTABLE RATE AND MORTGAGE LOAN PRODUCTS, AND LOAN SURVEY)
:
All licensees are required to complete Schedule L by indicating whether they
					 made or arranged nontraditional mortgage products and adjustable rate mortgage
					 products as defined by the Guidance. The Guidance is available on the
					 Department's website at
www.dbo.ca.gov
. If
					 any loans subject to the Guidance were made or arranged, the licensee must also
					 submit information regarding those loan products in the Loan Survey under
					 Schedule L.
SCHEDULE M (ADDITIONAL LOAN
					 INFORMATION)
:
All licensees must complete Schedule M by
					 answering the mortgage related questions in items 1 and 3, and indicating in
					 item 2 the type of loan programs that were provided to applicants during the
					 calendar year. Information regarding the Secure and Fair Enforcement for
					 Mortgage Licensing Act of 2008 (SAFE Act) can be found on the Department's
					 website at
www.dbo.ca.gov
.
SCHEDULE N (LOAN ACTIVITY)
:
All licensees must report activity concerning consumer loans they serviced
					 during the year by type of security in item A, and provide the total number of
					 loans and the total principal amount of loans that were not made under the
					 California Finance Lenders Law license for both consumer and commercial loans
					 in items B and C.
SCHEDULE O (CONFIDENTIAL -- DEFAULT RATES BY
					 TYPE OF LOAN)
:
Provide information on default rates for the
					 year by type of loan. The information provided in Schedule O shall remain
					 confidential and not subject to public inspection.
LICENSEES OPERATING IN MULTIPLE
					 STATES
:
If you conducted business in California and in other
					 states, the additional guidelines must be followed:
(1)
SCHEDULE B-1 (BALANCE SHEET)
-- Complete the balance sheet in the name of the entity listed on the license.
				  Do not complete the schedule for the California operation only. Complete line
				  3, CFLL Loan Receivables, in Schedule B-1 only for those loans that were made
				  under the California Finance Lenders license. All other loans and receivables
				  not under the California Finance Lenders license should be reported on line 4,
				  Other Receivables.
(2)
SCHEDULE C-1 (STATEMENT OF INCOME AND EXPENSES)
-- Complete the
				  Statement of Income and Expenses in the name of the entity listed on the
				  license. Do not complete the schedule for the California operation only.
Include on line 1, Gross Income from CFLL Loans and CFLL Brokered Loans,
				  only income generated under the California Finance Lenders license
. All
				  other income earned, whether in California or out of state, must be reported on
				  line 2, Gross Income from All Other Business and Sources.
ANNUAL REPORT FORM AVAILABLE ON THE
					 INTERNET
:
The annual report form is available in Adobe Acrobat
					 format on the Department's website at "
www.dbo.ca.gov
".
The form may be completed online; however,
THE ANNUAL
					 REPORT CANNOT BE FILED ELECTRONICALLY.
If the report is completed
					 online, it must be printed in the Adobe Acrobat format and submitted to the
					 Department of Business Oversight in paper form. Please be sure to include your
					 license number on the annual report to prevent any delays in processing your
					 annual report. If you receive an annual report form from the Department of
					 Business Oversight in the mail, include the information on the mailing label on
					 the annual report you file with the Department of Business Oversight. It is
					 important to include your seven-digit license number. It is the Department of
					 Business Oversight primary means of linking your annual report to your
					 company.
VERIFICATION
:
The
					 Verification section must be completed in accordance with the instructions by
					 the licensed individual, a general partner if the licensee is a partnership, a
					 manager if the licensee is a limited liability company, or a corporate officer
					 if the licensee is a corporation. The Verification must be signed on the
					 original copy of the report filed with the Department of Business Oversight.
An incomplete or unsigned Verification will result in rejection and
					 return of the annual report to the licensee.
FEE
:
No fee is required to
					 file the annual report.
PUBLIC INSPECTION
:
The
					 individual annual reports filed pursuant to Financial Code Section
					 22159 shall
					 be made available to the public for inspection, except for Schedule O which
					 includes information of a proprietary business nature and shall remain
					 confidential and not subject to public inspection, and upon request, the
					 balance sheet contained in the annual report of a sole proprietor or any other
					 nonpublicly traded persons. "Nonpublicly traded persons" for purposes of this
					 section mean persons with securities owned by 35 or fewer individuals.
If a sole proprietor or licensee meeting the definition of
					 nonpublicly traded persons is requesting confidential treatment of the balance
					 sheet, the Request for Confidential Treatment in Schedule B-1 must be
					 completed.
FOR ASSISTANCE AND INFORMATION REGARDING THE
					 ANNUAL REPORT:
Contact the Department of Business Oversight at
					 telephone 1-866-275-2677.
DEPARTMENT OF BUSINESS OVERSIGHT
PLEASE READ THE ATTACHED INSTRUCTIONS CAREFULLY
					 BEFORE COMPLETING THE ANNUAL REPORT.
To: COMMISSIONER OF BUSINESS OVERSIGHT, STATE OF
					 CALIFORNIA
ANNUAL REPORT
LICENSEES ENGAGED IN BUSINESS UNDER THE CALIFORNIA
					 FINANCE LENDERS LAW (CFLL)
(Finance Lender and Broker)
For the Year Ended December 31, 20XX
SCHEDULE A
GENERAL INFORMATION
1. Name of Licensee (as shown on the license)
				  and Address of Main Office: __________
2. Business Phone No.: (__________)
				  ______________________________ Fax No.: (__________)
				  ______________________________
___________________________
Website Address:
___________________________
E-mail Address:
3. Address Change: If you wish to change the
				  address of your place of business, you must submit a
Change of Address
				  Form
(1/2014), hereby incorporated by reference, to the Department of
				  Business Oversight. The Change of Address form must be received by the
				  Department of Business Oversight ten (10) days prior to the date of your move,
				  or the Department of Business Oversight may assess an administrative penalty of
				  $500. The Change of Address form is available on the Department's website at
www.dbo.ca.gov
.
___________________________
4. Office Hours:
5.
a) License Number for Main
							 Office:
___________________________
b) NMLS Number (if
							 applicable):
___________________________
6.
Licensed Authority:
A. [] Lender
							 Only
B. [] Empty Checkbox? Lender and
							 Broker
C. [] Empty Checkbox? Broker
							 Only
7.
				  Total Number of Licenses Held at December 31, 20XX:
				  ______________________________
8.
Type of Organization:
[]
							 Corporation
[] Partnership
[] Individual
[] Limited Liability Company
[] Other
							 (specify)____________________
9.
				  Person Preparing the Annual Report:
___________________________
___________________________
Signature
Name
							 and Title
(Typed)
___________________________Phone No.: (_____)
___________________________Email
							 Address:
VERIFICATION
___________________________STATE OF
)
) SS.
___________________________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 of licensee as shown on the
					 license
)
___________________________
and I have read and signed the report and the documents
					 filed herewith and know the contents thereof. I certify that the financial
					 statements contained therein were prepared in conformity with generally
					 accepted accounting principles consistently applied, and the statistical
					 information supplied is to the best of my knowledge true and exact.
Additional certification of licensees with two or more
					 licensed locations:
By signing this report I hereby authorize the Commissioner
					 to contact our main office regarding issues and concerns for all branches of
					 the company.
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_________
___________________________-____________, ____________,
(Month/Day)
(Year)
(City)
(State)
I certify (or declare) under the penalty of perjury that
					 the foregoing is true and correct.
______________________________
Signature of Declarant
______________________________
Name and Title
(Typed)
(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
(Typed)
___________________________
Subscribed and sworn to before me on
(State)
___________________________,
___________________________
Month/Date)
(Year)
(Seal)
___________________________
Notary Public in and for said County and State
TABLE OF SCHEDULES TO BE COMPLETED
The following schedules in the annual report must be
					 completed:
A. If you are licensed as a
CFLL LENDER
, complete:
SCHEDULE
SCHEDULE
A
G
VERIFICATION
H
B-1
I
B-1(a)
J
B-2
K
C-1
L
C-2
M
C-3
N
E
O
F
B.
				  If you are licensed as a
CFLL BROKER
, complete:
SCHEDULE
SCHEDULE
A
C-2
VERIFICATION
C-3
B-1
D
B-1(a)
J
B-2
K
C-1
L and M
C.
				  If you are licensed as both a
CFLL LENDER and CFLL BROKER,
complete all schedules.
D. If any
				  schedule is inapplicable, indicate "Not Applicable" at the top of the
				  schedule.
E. The Verification
				  section must be completed. AN UNSIGNED OR INCOMPLETE VERIFICATION WILL NOT BE
				  ACCEPTED, AND WILL RESULT IN REJECTION AND RETURN OF THE ANNUAL REPORT TO THE
				  LICENSEE.
F. If no business was
				  conducted under the license(s) during the year, complete Schedules A through
				  C-3, Schedule K and Verification section only. The remaining pages need not be
				  submitted. "No business" means no loans were made, refinanced, or brokered in
				  the calendar year, and no loan payment or broker fee was received during the
				  year. Include the following statement at the bottom of the Verification
				  section, "No business was conducted under the license(s) during the calendar
				  year 20XX."
G.
Your annual
				  assessment is based on the gross income you report on activities conducted
				  under your California Finance Lenders Law license (Schedule C-1, Statement of
				  Income and Expense, Line 1). Income earned under other state or federal lending
				  licenses, activities not requiring a license, or activities conducted under
				  licenses of other government agencies should be reported on Schedule C-1, Line
				  2.
H. For purposes of
				  completing the annual report, all income derived from loans originated under
				  the Personal Property Broker, Consumer Finance Lender, and /or Commercial
				  Finance Lender Laws should be treated as income earned under the California
				  Finance Lenders Law.
SCHEDULE B-1 BALANCE SHEET AS OF DECEMBER 31,
				  20XX
___________________________Name of
							 Licensee:
___________________________CFLL License No.
ASSETS
1.
..........................Cash
$
___________________________
2.
Investments
3.
..........................CFLL Loan
							 Receivables (must equal Schedule B-2, line
							 6)
___________________________
4.
..........................Other
							 Receivables (must equal Schedule B-2, line
							 14)
___________________________
5.
..........................Reserves and
							 Withholds by Banks and Finance
							 Companies
___________________________
6.
Fixed Assets (Less: Accumulated
							 Depreciation $
)
___________________________
(Fixed assets include land,
							 buildings, equipment, furniture and fixtures, automobiles, and leasehold
							 improvements, less accumulated depreciation.)
7.
..........................Prepaid Expenses
							 and Deferred Charges
___________________________
8.
..........................Commissions
							 Receivables
___________________________
9.
..........................Other
							 Assets
___________________________
10.
..........................
Total
							 Assets
(sum of lines 1 thru 9 and must equal line
							 22)
$
___________________________
LIABILITIES AND NET
								WORTH
11.
..........................Loans and Notes
							 Payable from Third
							 Parties
$
___________________________
12.
..........................Loans and Notes
							 Payable from Parents and
							 Affiliates
___________________________
13.
..........................Bonds,
							 Debentures, and Certificates of
							 Indebtedness
___________________________
14.
..........................Accounts
							 Payable
___________________________
15.
..........................Dealers
							 Reserves and Withholds
___________________________
16.
..........................Accrued Taxes
							 Other Than Income Tax
___________________________
17.
..........................Reserve for
							 Income Taxes
___________________________
18.
..........................Credit
							 Insurance Premiums Due
							 Insurer
___________________________
19.
..........................Other
							 Liabilities and Accruals
___________________________
20.
..........................
Total
							 Liabilities
(sum of lines 11 thru
							 19)
$
___________________________
21.
..........................
Net
							 Worth
(line 10 less line 20 and must equal Schedule B-1(a), line 10, 13,
							 14 or 19)
$
___________________________
22.
..........................
Total
							 Liabilities and Net Worth
(add lines 20 & 21 and must equal line
							 10)
$
___________________________
SCHEDULE B-1REQUEST FOR CONFIDENTIAL
					 TREATMENT
Name of Licensee (as shown on the license):
___________________________
CFLL License Number:
PURSUANT TO SECTION
					 22159(a) OF THE
					 FINANCIAL CODE, I REQUEST CONFIDENTIAL TREATMENT OF THE BALANCE SHEET. THE
					 LICENSEE QUALIFIES FOR CONFIDENTIAL TREATMENT OF THE BALANCE SHEET AS A:
(CHECK ONE)
SOLE PROPRIETOR
[]
NONPUBLICLY TRADED PERSON" (persons with
							 securities owned by 35 or fewer individuals)
[]
By:__________________________________________________________________
Signature of Authorized Person
Name
(typed)
:
							 _______________________________________________
Position:
							 ______________________________________________________________
Name of Licensee:
					 ____________________________________________________________ CFLL License No.
					 ____________________
FOR CORPORATIONS:
1. Common
							 Stock..........................
$
___________________________
2. Preferred
							 Stock..........................
___________________________
3. Paid In Capital in Excess of
							 Par..........................
___________________________
4. Less: Treasury Stock, Donated Stock,
							 etc..........................
___________________________()
5. Total Capital (sum of lines 1 thru
							 4)..........................
$
___________________________
6. Retained Earnings at
							 01/01/XX..........................
$
___________________________
7. Adjustments to Retained
							 Earnings..........................
___________________________
8. Net Income or Loss (from Schedule C-1, line
							 23)..........................
___________________________
9. Retained Earnings at 12/31/XX (sum of
							 lines 6 thru
							 8)..........................
___________________________
10.
Total Net Worth
(sum of
							 lines 5 and 9, and must equal Schedule B-1, line
							 21)..........................
$
___________________________
FOR PARTNERSHIPS:
11. Partnership Capital Accounts:
Name (General
							 Partners)_______
Percentage
Amount
___________________________
___________________________
$
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
12. Limited Partners (in
							 total)..........................
___________________________
___________________________
13. Total Net Worth (sum of lines 11 and 12, and must
							 equal Schedule B-1, line 21)..........................
$
___________________________
FOR INDIVIDUALS, TRUSTEES, AND
					 OTHERS:
14. Net Worth of Individuals, Trustees, and Others
							 (enter amount from Schedule B-1, line
							 21)..........................
$
___________________________
FOR LIMITED LIABILITY
							 COMPANIES:
15. Members'
							 Contributions..........................
___________________________
16. Members' Draws..........................
___________________________
17. Members'
							 Equity..........................
___________________________
18. Net Income (Loss) (from Schedule C-1, line
							 23)..........................
___________________________
19. Total Members' Equity (sum of lines 15-18, and
							 must equal Schedule B-1, line
							 21)
$
___________________________
SCHEDULE B-2 ANALYSIS OF LOANS AND RECEIVABLES
					 OUTSTANDING AS OF DECEMBER 31, 20XX
CALIFORNIA FINANCE LENDERS LOAN
							 RECEVABLES:
___Aggregate Balance
(may include outstanding receivables originated under the
					 Personal Property Broker, Consumer Finance Lender, and Commercial Finance
					 Lender laws)
1.
..........................Consumer
							 Loans
$
___________________________
2.
..........................Commercial
							 Loans
___________________________
3.
..........................Subtotal (sum
							 of lines 1 and 2)
$
___________________________
4.
..........................Less: Unearned
							 Pre-computed Charges
___________________________()
5.
..........................Less: Allowance
							 for Bad Debts
___________________________()
6.
..........................
Net
							 California Finance Lenders Loan Receivables
(sum of lines 3 thru 5 and
							 must equal Schedule B-1, line
							 3)
$
___________________________
OTHER RECEIVABLES NOT SUBJECT TO
							 THE CFLL:
(See instructions for Schedule B-2 for
							 classification of receivables)
___Aggregate
							 Balance
7.
..........................Sales
							 Contracts
$
___________________________
8.
..........................Leases (True
							 leases)
___________________________
9.
..........................Factoring
___________________________
10.
..........................Others
___________________________
11.
..........................Subtotal (sum
							 of lines 7 and 10)
$
___________________________
12.
..........................Less: Unearned
							 Pre-computed Charges
___________________________()
13.
..........................Less:
							 Allowance for Bad Debts
___________________________()
14.
..........................
Net
							 Other Receivables
(sum of lines 11 thru 12, and must equal Schedule B-1,
							 line 4)
$
___________________________
SCHEDULE C-1
STATEMENT OF INCOME AND EXPENSES FOR CALENDAR YEAR
					 20XX
INCOME
1.
..........................Gross Income
							 from CFLL Loans and CFLL Brokered Loans (from Schedule C-2, line 16).
REPORT ONLY CFLL GROSS INCOME ON THIS
							 LINE
$
___________________________
2.
..........................Gross Income
							 from All Other Business and Sources (from Schedule C-3, line
							 7)
___________________________
3.
..........................
Total
							 Gross Income
(sum of lines 1 and
							 2)
$
___________________________
EXPENSES
4.
..........................Loss on Loan
							 Receivables
$
___________________________
5.
..........................Professional
							 Audit and Accounting Services
___________________________
6.
..........................Insurance and
							 Bond Premiums
___________________________
7.
..........................Legal Services
							 and Expenses
___________________________
8.
..........................Occupancy
							 Expenses
___________________________
9.
..........................Provision for
							 Bad Debt Allowance
___________________________
10.
..........................Salaries and
							 Bonuses: Employees
___________________________
11.
..........................Salaries and
							 Bonuses: Owners, Partners, Executives
___________________________
12.
..........................Depreciation
___________________________
13.
..........................License Fees
							 and Taxes
___________________________
14.
..........................Telephone and
							 Utilities
___________________________
15.
..........................Advertising
							 and Promotions
___________________________
16.
..........................Other
							 Expenses
___________________________
17.
..........................
Total
							 Expenses Before Interest and Income Taxes
(sum of lines 4 thru
							 16)
$
___________________________
18.
..........................
Income
							 or (loss) Before Interest and Income Taxes
(line 3 less line
							 17)
$
___________________________
19.
..........................Interest Paid
							 to Bona Fide Third Parties
___________________________
20.
..........................Interest Paid
							 to Parent Company and Affiliates
___________________________
21.
..........................
Income
							 or (Loss) Before Income Taxes
(subtract lines 19 and 20 from line
							 18)
$
___________________________
22.
..........................Provisions for
							 Income Taxes
___________________________
23.
..........................
Net
							 Income or (Loss)
(line 21 less line
							 22)
$
___________________________
(If the licensee is incorporated, the Net Income or Loss
					 amount in line 23 must agree with Schedule B-1(a), line 8.)
SCHEDULE
					 C-2
ANALYSIS OF INCOME RECEIVED FROM CFLL LENDERS AND
					 BROKERS LOANS FOR CALENDAR YEAR 20XX
Loans Under $2,500 (Column
							 1)
Loans of $2,500 or More (Column 2)
Total
							 (Column 3)
CFLL LENDERS AND BROKERS
							 LOANS:
CONSUMER LOANS:
1.
..........................Charges Earned
							 or Collected from Loans
$
___________________________
$
___________________________
$
___________________________
2.
..........................Collection from
							 Charged Off Accounts
___________________________
___________________________
___________________________
3.
..........................Income from
							 Credit Insurance
___________________________
___________________________
___________________________
4.
..........................Other Insurance
							 Commissions
___________________________
___________________________
___________________________
5.
..........................Administrative
							 and Loan Fees
___________________________
___________________________
___________________________
6.
..........................Commissions
							 from Brokering CFLL Consumer Loans (from Schedule D, line
							 8)
___________________________
___________________________
___________________________
7.
..........................Other
							 Income
___________________________
___________________________
___________________________
8.
..........................
Total Consumer Loans Income
(sum of lines 1 thru 7)
$
___________________________
$
___________________________
$
___________________________
COMMERCIAL LOANS:
9.
..........................Charges Earned or Collected from
							 Loans
$
___________________________
10.
..........................Collection from Charged Off
							 Accounts
___________________________
11.
..........................Income from Credit
							 Insurance
___________________________
12.
..........................Other Insurance
							 Commissions
___________________________
13.
..........................Commissions from Brokering CFLL
							 Commercial Loans (from Schedule D, line
							 13)
___________________________
14.
..........................Other
							 Income
___________________________
15.
..........................
Total Commercial Loan Income
(sum of lines 9 thru 14)
$
___________________________
16.
..........................
Total Gross Income from CFLL Loans
							 and Brokered Loans
(sum of line 8, column 3 and line 15, and must equal
							 Schedule C-1, line 1)
$
___________________________
SCHEDULE C-3 ANALYSIS OF INCOME RECEIVED FROM OTHER
					 BUSINESS AND SOURCES FOR CALENDAR YEAR 20XX
ALL OTHER BUSINESS AND SOURCES:
1.
..........................Charges Earned
							 or Collected
$
___________________________
2.
..........................Other Interest
							 or Return on Investment
___________________________
3.
..........................Collection from
							 Charged Off Accounts
___________________________
4.
..........................Income from
							 Credit Insurance
___________________________
5.
..........................Other Insurance
							 Commissions
___________________________
6.
..........................Other Income
							 (describe below)
___________________________
7.
..........................Total Income
							 from All Other Business and Sources (sum of lines 1 through 6, and must equal
							 Schedule C-1, line 2)
$
___________________________
Describe source(s) of other income reported on lines
					 1 through 6:
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
SCHEDULE D SCHEDULE OF BROKERED LOANS FOR CALENDAR
					 YEAR 20XX
A.
SCHEDULE OF CFLL BROKERED
				  LOANS
(e.g., to any lender licensed under the CFLL)
Name of Lender
Lender's License
							 Number
Number of Loans Brokered
Principal Amount of
							 Loans
Amount of Commissions Received
LIST CONSUMER LOANS
							 BROKERED:
___________________________1.
___________________________
___________________________
$
___________________________
$
___________________________
___________________________2.
___________________________
___________________________
___________________________
___________________________
___________________________3.
___________________________
___________________________
___________________________
___________________________
___________________________4.
___________________________
___________________________
___________________________
___________________________
___________________________5.
___________________________
___________________________
___________________________
___________________________
___________________________6.
___________________________
___________________________
___________________________
___________________________
___________________________7.
___________________________
___________________________
___________________________
___________________________
8.
Total Consumer Loans
							 Brokered
(sum of lines 1 through 7, and must equal Schedule C-2, line 6,
							 column
							 3)..........................
___________________________
$
___________________________
$
___________________________
8a. Residential Mortgage Loans Brokered
							 (see Schedule D instructions to complete this
							 section)..........................
___________________________
___________________________
___________________________
LIST COMMERCIAL LOANS
							 BROKERED:
___________________________9.
___________________________
___________________________
$
___________________________
$
___________________________
___________________________10.
___________________________
___________________________
___________________________
___________________________
___________________________11.
___________________________
___________________________
___________________________
___________________________
___________________________12.
___________________________
___________________________
___________________________
___________________________
13.
Total Commercial Loans
							 Brokered
(sum of lines 9 through 12, and must equal Schedule C-2, line
							 13)..........................
___________________________
$
___________________________
$
___________________________
14.
Total Loans Brokered
(sum of lines 8 and
							 13)..........................
___________________________
$
___________________________
$
___________________________
Describe the method of computing commissions and how
					 commissions are paid (i.e., in advance, from loan proceeds, etc.). If
					 commissions are prepaid, describe the method of refunding commissions in the
					 event a loan is not funded.
___________________________
B.
SCHEDULE OF OTHER BROKERED
				  LOANS
(e.g., to any lender not licensed under the CFLL)
Total Number of Loans
							 Brokered
Total Principal Amount of Loans
							 Brokered
Total Amount of Commissions Received
TOTALS
___________________________
$
___________________________
$
___________________________
Provide the name of the government agency and your broker
					 license number authorizing you to broker other loans identified Section
					 B:____________________
SCHEDULE E CALIFORNIA FINANCE LENDERS LOANS MADE OR
					 REFINANCED DURING THE YEAR BY SIZE OF LOAN FOR CALENDAR YEAR 20XX
CONSUMER LOANS
Loans of:
Number of
							 Loans
Principal Amount
1.
$
.......................... 499
							 or Less
___________________________
$
___________________________
2.
.......................... 500
							 to 1,999
___________________________
___________________________
3.
.......................... 2,000
							 to 2,499
___________________________
___________________________
4.
.......................... 2,500
							 to 4,999
___________________________
___________________________
5.
.......................... 5,000
							 to 9,999
___________________________
___________________________
6.
..........................10,000
							 or More
___________________________
___________________________
7.
..........................
Total Consumer Loans Made
(Sum of lines 1 through 6. Totals must equal Schedule F, line 27 and Schedule
							 G, line 40.)
___________________________
$
___________________________
COMMERCIAL LOANS
8.
..........................$
							 5,000 or More
___________________________
$
___________________________
9.
..........................
Total Commercial Loans Made
(Totals must equal Schedule F, line 34 and Schedule G, line
							 49.)
___________________________
$
___________________________
10.
..........................
Total Loans Made - All
							 Categories
(Sum of lines 7 and 9. Totals must equal Schedule F, line 35
							 and Schedule G, line 50)
___________________________
$
___________________________
SCHEDULE F
CALIFORNIA FINANCE LENDERS LOANS MADE OR REFINANCED
					 DURING THE YEAR BY TYPE OF SECURITY FOR CALENDAR YEAR 20XX
CONSUMER LOANS
Type of Security
Number of
							 Loans
Principal Amount
Loans Under $2,500
1.
..........................Unsecured
___________________________
$
___________________________
2.
..........................Personal
							 Property (Household Items)
___________________________
___________________________
3.1
..........................Automobiles and
							 Other Motor Vehicles
___________________________
___________________________
3.2
..........................Auto Title
							 Loans
___________________________
___________________________
4.
..........................Wage
							 Assignment
___________________________
___________________________
5.
..........................Other
							 Security
___________________________
___________________________
6.
..........................Total Loans Made
							 (sum of lines 1 through 5)
___________________________
$
___________________________
Loans $2,500 to $4,999
7.
..........................Unsecured
___________________________
$
___________________________
8.
..........................Personal
							 Property (Household Items)
___________________________
___________________________
9.1
..........................Automobiles and
							 Other Motor Vehicles
___________________________
___________________________
9.2
..........................Auto Title
							 Loans
___________________________
___________________________
10.
..........................Wage
							 Assignment
___________________________
___________________________
11.
..........................Other
							 Security
___________________________
___________________________
12.
..........................Total Loans
							 Made (sum of lines 7 through 11)
___________________________
$
___________________________
Loans $5,000 to $9,999
13.
..........................Unsecured
___________________________
$
___________________________
14.
..........................Personal
							 Property (household items)
___________________________
___________________________
15.1
..........................Automobiles
							 and Other Motor Vehicles
___________________________
___________________________
15.2
..........................Auto Title
							 Loans
___________________________
___________________________
16.
..........................Wage
							 Assignment
___________________________
___________________________
17.
..........................Real
							 Property
___________________________
___________________________
18.
..........................Other
							 Security
___________________________
___________________________
19.
..........................Total Loans
							 Made (sum of lines 13 through 18)
___________________________
$
___________________________
Loans $10,000 or More
20.
..........................Unsecured
___________________________
$
___________________________
21.
..........................Personal
							 Property (Household Items)
___________________________
___________________________
22.1
..........................Automobiles
							 and Other Motor Vehicles
___________________________
___________________________
22.2
..........................Auto Title
							 Loans
___________________________
___________________________
23.
..........................Wage
							 Assignment
___________________________
___________________________
24.
..........................Real
							 Property
___________________________
___________________________
25.
..........................Other
							 Security
___________________________
___________________________
26.
..........................Total Loans
							 Made (sum of lines 20 through 25)
___________________________
$
___________________________
27.
..........................
Total
							 Consumer Loans Made
(sum of lines 6, 12, 19, and 26). Totals must equal
							 Schedule E, line 7 and Schedule G, line
							 40)
___________________________
$
___________________________
COMMERCIAL LOANS ONLY
28.
..........................Unsecured
___________________________
$
___________________________
29.
..........................Personal
							 Property
___________________________
___________________________
30.
..........................Automobiles and
							 Other Motor Vehicles
___________________________
___________________________
31.
..........................Business
							 Equipment
___________________________
___________________________
32.
..........................Real
							 Property
___________________________
___________________________
33.
..........................Other
							 Security
___________________________
___________________________
34.
..........................
Total
							 Commercial Loans Made
(Sum of lines 28 through 33. Totals must equal
							 Schedule E, line 9 and Schedule G, line
							 49.)
___________________________
$
___________________________
35.
..........................
Total
							 Loans Made - All Categories
(sum of lines 27 and 34). Totals must equal
							 Schedule E, line 10 and Schedule G, line
							 50.)
___________________________
$
___________________________
SCHEDULE G
CALIFORNIA FINANCE LENDERS LOANS MADE OR REFINANCED
					 DURING THE YEAR BY RATES CHARGED FOR CALENDAR YEAR 20XX
CONSUMER LOANS ONLY
Unsecured Loans
Personal Property (household items)
Automobiles and Other Motor Vehicles
Auto Title Loans
Wage
							 Assignment
Other Security
Annualized Rate of Charge
No. of
							 Loans
Princ. Amount
No. of Loans
Princ.
							 Amount
No. of Loans
Princ. Amount
No. of
							 Loans
Princ. Amount
No. of Loans
Princ.
							 Amount
No. of Loans
Princ. Amount
Loans Under
							 $2,500
1.
Step Rate: 2.5%, 2%, 1.5%, & 1% Per
							 Month
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
2.
Alternate Rates: 1.6% Per
							 Month
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
3.
Federal Reserve Bank Rate plus
							 10%
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
4.
Up to 14.999
							 APR
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
5.
15.000 to 19.999
							 APR
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
6.
20.000 to 24.999
							 APR
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
7.
25.000 to 29.999
							 APR
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
8.
30.000 to 34.999
							 APR
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
9.
35.000 to 39.999
							 APR
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
10.1.
40.000 to 69.999
							 APR
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
10.2.
70.000 to 99.999
							 APR
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
10.3.
100.000 or More
							 APR
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
11.
Intentionally Left
							 Blank
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
12.
Total Loans Made
(
sum of lines
							 1thru11)
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
Loan $2,500 to $4,999
13.
Up to 14.999
							 APR
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
14.
15.000 to 19.999
							 APR
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
15.
20.000 to 24.999
							 APR
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
16.
25.000 to 29.999
							 APR
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
17.
30.000 to 34.999
							 APR
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
18.
35.000 to 39.999
							 APR
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
19.1.
40.000 to 69.999
							 APR
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
19.2
70.000 to 99.999
							 APR
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
19.3
100.000 or More
							 APR
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
20.
Intentionally Left
							 Blank
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
21.
Total Loans Made
(sum of lines 13thru
							 20)
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
Loan $5,000 to $9,999
22.
Up to 14.999
							 APR
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
23.
15.000 to 19.999
							 APR
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
24.
20.000 to 24.999
							 APR
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
25.
25.000 to 29.999
							 APR
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
26.
30.000 to 34.999
							 APR
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
27.
35.000 to 39.999
							 APR
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
28.1.
40.000 to 69.999
							 APR
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
28.2.
70.000 to 99.999
							 APR
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
28.3.
100.000 or More
							 APR
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
29.
Intentionally Left
							 Blank
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
30.
Total Loans Made
(sum of lines 22 thru
							 29)
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
Loan $10,000 or Over
31.
Up to 14.999
							 APR
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
32.
15.000 to 19.999
							 APR
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
33.
20.000 to 24.999
							 APR
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
34.
25.000 to 29.999
							 APR
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
35.
30.000 to 34.999
							 APR
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
36.
25.000 to 29.999
							 APR
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
37.1.
35.000 to 39.999
							 APR
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
37.2.
70.000 to 99.999
							 APR
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
37.3.
100.000 or More
							 APR
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
38.
Intentionally Left
							 Blank
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
39.
Total Loans Made
(sum of lines 31 thru 38)
40.
Total Consumer Loans Made
(sum of lines 12, 21, 30 & 39).
Totals must equal Schedule
							 E, Line 7 and Schedule F, Line
							 27.
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
COMMERCIAL LOANS ONLY
Note Rate or Contract Rate
Number
							 of Loans
Principal Amount
41.
..........................Up to 14.999
___________________________
$
___________________________
42.
..........................15.000 to
							 19.999
___________________________
___________________________
43.
..........................20.000 to
							 24.999
___________________________
___________________________
44.
..........................25.000 to
							 29.999
___________________________
___________________________
45.
..........................30.000 to
							 34.999
___________________________
___________________________
46.
..........................35.000 to
							 39.999
___________________________
___________________________
47.1
..........................40.000 to
							 69.999
___________________________
___________________________
47.2
..........................70.000 to
							 99.999
___________________________
___________________________
47.3
..........................100.000 or
							 More
___________________________
___________________________
48.
..........................Variable Rates
							 Based on Index
___________________________
___________________________
49.
..........................
Total
							 Commercial Loans Made
(Sum of lines 41 through 48. Totals must equal
							 Schedule E, line 9 and Schedule F, line
							 34.)
___________________________
$
___________________________
50.
..........................
Totals
							 Loans Made - All Categories
(Sum of lines 40 and 49. Totals must equal
							 Schedule E, line 10 and Schedule F, line
							 35.)
___________________________
$
___________________________
SCHEDULE H
CREDIT INSURANCE GENERAL INFORMATION
1. Provide the name(s) and address(s) of
				  insurance company(s) underwriting your credit insurance.
___________________________
Name:
___________________________
Address:
2. Is the insurance company(s) named in item
				  1 above a parent corporation, affiliated company, or in any other manner
				  connected with you: Yes [] No []
If the answer to item 2 is "yes", explain the
					 relationship:
___________________________
3. Credit insurance premiums charged per year
				  per hundred dollars of initial indebtedness:
Single Premium
Credit Life
Joint Coverage
___________________________$
Personal
							 Property
___________________________$
___________________________$
Real
							 Property
___________________________$
Credit Disability
___________________________$
Personal
							 Property
___________________________$
___________________________$
Real
							 Property
___________________________$
Credit Loss-of-Income
___________________________$
Personal
							 Property
___________________________$
___________________________$
Real
							 Property
___________________________$
4.
				  Is the credit insurance premium deducted from loan proceeds? Yes [] No []
If the answer is "no", explain how the credit insurance
					 proceeds are paid:
___________________________
5. Are the credit insurance premiums that
				  have been collected from borrowers remitted in total to the carrier?
Yes [] No []
If the answer is "no", provide an explanation:
___________________________
6. What is the age limit to qualify for
				  credit insurance?
Minimum
Maximum
Credit
							 Life
___________________________
___________________________
Credit
							 Disability
___________________________
___________________________
Credit
							 Loss-of-Income
___________________________
___________________________
7.
				  Does the credit disability policy contain a "14-day" non-retroactive provision?
				  Yes [] No []
If the answer is "No", provide an explanation:
___________________________
8. List exclusions from coverage, if any:
___________________________
___________________________
SCHEDULE I SALE OF LOANS TO INSTITUTIONAL INVESTORS
					 AND LOANS SERVICED FOR CALENDAR YEAR 20XX
1. Loans Sold Pursuant to Financial Code
				  Sections
				  22340,
				  22340.1,
				  22600 or
				  22600.1:
A. Report only those loans originated under
				  your California Finance Lenders license(s), or purchased from an institutional
				  lender or from another licensee pursuant to Division 9 of the Financial Code,
				  and subsequently sold to institutional investors.
No. of Loans Sold
Dollar
							 Value of Loans Sold
Dollar Amount of Loans Sold Retained
							 for Servicing
Servicing Fees Earned
___________________________
$
___________________________
$
___________________________
$
___________________________
Are these loans sold to institutional
							 investors?
Yes [] No []
Did you sell any of those loans to
							 affiliated companies?
Yes [] No []
Are trust accounts established for those
							 loans serviced?
Yes [] No []
B.
				  Loans Sold Under Other Authority
Report only those loans originated under your California
					 Finance Lenders license(s), or purchased from an institutional lender or from
					 another licensee pursuant to Division 9 of the Financial Code that were sold,
					 but not sold under the authority of the California Finance Lenders Law.
No. of Loans Sold
Dollar Value of
							 Loans Sold
(License
							 Number)
Please state under which
							 authority the loans were sold:
___________________________
2. Loans Serviced Under the California
				  Finance Lenders License (includes all loans originated, purchased or sold):
Report all loans you serviced as of December 31,
					 20XX.
Loan Type
Number of
							 Loans
Balance
Servicing Fees
							 Earned
Residential Real Estate
							 Secured
___________________________
$
___________________________
$
___________________________
All Other
							 Loans
___________________________
$
___________________________
$
___________________________
SCHEDULE J OTHER BUSINESS ACTIVITIES AND COVERED
					 LOANS
A.
OTHER BUSINESS ACTIVITIES:
Schedule J must be completed for
any
other activities conducted at the licensed
					 locations(s), in addition to making and/or brokering loans under your
					 California Finance Lender license(s).
1.
SALE OF INSURANCE
							 PRODUCTS
Insurer
20XX Revenue
Credit Life
							 Insurance
___________________________
$
___________________________
Credit Disability
							 Insurance
___________________________
___________________________
Accidental Death &
							 Dismemberment
___________________________
___________________________
Personal Property
							 Insurance
___________________________
___________________________
Real Estate Loan
							 Insurance
___________________________
___________________________
Others (auto, whole life,
							 etc.)
___________________________
___________________________
2. OTHER
				  SERVICES PROVIDED (Examples: loan servicing, leasing, automobile contracts,
				  etc.)
Description of Services Provided
20XX Revenue
License Authority (If
							 Applicable)
___________________________
___________________________$
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
3.
				  BUSINESS CONDUCTED PURSUANT TO THE COMMODITY BROKERS LAW OF 1990
(Example: Sale and/or financing of precious metals or other
					 commodities)
Describe Activity
20XX
							 Revenue
License Authority (If Applicable)
4.
				  OTHER BUSINESS ACTIVITY CONDUCTED AT LICENSED LOCATION (not already included in
				  items 1, 2, or 3 above.)
Describe Activity
20XX
							 Revenue
License Authority (If Applicable)
5.
				  LIST ANY OTHER LICENSES ISSUED BY STATE OF CALIFORNIA GOVERNMENT AGENCIES AND
				  HELD BY THE LICENSEE:
Name of License
Name of
							 Agency
License Number
B.
COVERED LOANS:
This section must be completed by a licensee that made
					 "covered loans" as defined in Financial Code Section
					 4970(b)(1).
Number of Covered
							 Loans
Principal Amount
___________________________
$
___________________________
SCHEDULE K DIRECTORY OF DIRECTORS, OFFICERS,
					 MEMBERS, MANAGING MEMBERS, BRANCH MANAGERS AND ANY PERSON OWNING OR CONTROLLING
					 (DIRECTLY OR INDIRECTLY) 10% OR MORE OF INTEREST OR EQUITY
					 SECURITIES
Name of Licensee:
					 ________________________________________________________________________________
					 CFLL License No. __________
Complete the following directory for
ALL
directors, officers, members, managing members, branch managers and any person
					 (as defined in Section
					 22008 of
					 the Financial Code) owning or controlling directly or indirectly 10 percent or
					 more of the outstanding interest or equity securities. If an individual was
					 required to be included in the initial application for a license under the
					 California Finance Lenders Law or in a subsequent report of changes in
					 personnel, the individual must be included in this directory.
A self-designed form may be substituted in place of
					 Schedule K if a licensee has more than 21 directors, officers, members,
					 managing members, branch managers and persons holding 10 percent or more of the
					 outstanding interests. The self designed form must contain at a minimum the
					 following information.
In addition to this directory, submit a Statement of
					 Identity and Questionnaire (SIQ), for those individuals who did not submit the
					 SIQ to the Department previously. The SIQ form is available on the Department
					 of Business Oversight's website at
www.dbo.ca.gov
.
FULL
								NAME
POSITION HELD
%
							 OF
BUSINESS ADDRESS (Street, City,
FIRST
MIDDLE
LAST
OR
							 TO BE HELD
OWNERSHIP
State & Zip
							 Code)
SCHEDULE L
CFLL REPORT ON NON-TRADITIONAL, ADJUSTABLE RATE AND
					 MORTGAGE LOAN PRODUCTS
___________________________
COMPANY NAME:
___________________________
LICENSE NUMBER:
___________________________
NMLS NUMBER:
CONTACT PERSON:
___________________________
TELEPHONE NUMBER:
___________________________
1. During
				  calendar year 20XX, did you make or arrange non-traditional mortgage products
				  or adjustable rate mortgage products as defined by the Guidance?
a. Made non-traditional mortgage
							 products?
Yes [] No []
b. Arranged non-traditional mortgage
							 products?
Yes [] No []
c. Made adjustable rate mortgage
							 products?
Yes [] No []
d. Arranged adjustable rate mortgage
							 products?
Yes [] No []
If the answer is "yes" to any of the above, complete items
					 1 through 4 of the Non-Traditional, Adjustable Rate and Mortgage Loan Survey
					 below.
If the answer is "no" to all of the above, complete item 1
					 of the Non-Traditional, Adjustable Rate and Mortgage Loan Survey
					 below.
NON-TRADITIONAL, ADJUSTABLE RATE AND MORTGAGE LOAN
					 SURVEY
1.
License Information
(to
							 be completed by all licensees)
CFLL License Number:
Licensee Name:
Name of Person Who Prepared this Survey:
Preparer's Title:
Telephone Number:
Email Address:
2. Does your company offer non-traditional mortgage
							 products?
Yes
(Place an "x" in the appropriate
							 category.)
No
(If "yes", complete remaining survey)
3. If "yes", are they retained on the books or
							 sold?
Retained
(Place an "x" in one or both
							 categories.)
Sold
4. Provide the dollar volume in thousands and number
							 of loans retained as of December 31, 20XX, and the dollar volume in thousands
							 and number of loans sold over the 12-month period ending December 20XX. For
							 loans with multiple non-traditional characteristics, include them in each
							 applicable category.
Retained (Number of Loans)
Retained
							 (Dollar Amount)
Sold (Number of Loans)
Sold (Dollar
							 Amount)
a. Interest-only Mortgage Loan
b. Payment Option ARM
c. Reduced Documentation
d. Simultaneous Second-lien Loan
e. Home Equity Line of Credit
f. Covered Loans
g. Adjustable Rate Mortgage Loans
5. All Loans (Non-Traditional and
							 Traditional)
NON-TRADITIONAL, ADJUSTABLE RATE AND MORTGAGE LOAN
					 SURVEY DEFINITIONS
Definitions
a.
Interest-only Mortgage Loan
A
							 nontraditional mortgage in which, for a specified number of years (e.g., three
							 or five years), the borrower is required to pay only the interest due on the
							 loan, during which time the interest rate may fluctuate or may be fixed. After
							 the interest-only period, the rate may be fixed or fluctuate based on the
							 prescribed index and payments include both principal and interest.
b.
Payment Option ARM
A
							 nontraditional mortgage that allows the borrower to choose from a number of
							 different payment options. For example, each month, the borrower may choose a
							 minimum payment option based on a "start" or introductory interest rate, an
							 interest-only payment option based on the fully indexed interest rate, or a
							 fully amortizing principal and interest payment option based on a 15-year or
							 30-year loan term, plus any required escrow payments. The minimum payment
							 option can be less than the interest accruing on the loan, resulting in
							 negative amortization. The interest-only option avoids negative amortization
							 but does not provide for principal amortization. After a specified number of
							 years, or if the loan reaches a certain negative amortization cap, the required
							 monthly payment amount is recast to require payments that will fully amortize
							 the outstanding balance over the remaining loan term.
c.
Reduced Documentation
A loan
							 feature that is commonly referred to as "low doc/no doc", "no income/no asset",
							 "stated income" or "stated assets." For mortgage loans with this feature, an
							 institution sets reduced minimal documentation standards to substantiate the
							 borrower's income and assets.
d.
Simultaneous Second-lien Loan
A
							 lending arrangement where either a closed-end second-lien or a home equity line
							 of credit (HELOC) is originated simultaneously with the first lien mortgage
							 loan, typically in lieu of a higher down payment.
e.
Home Equity Line of Credit
An
							 open-end loan, usually recorded as a second mortgage, that permits borrowers to
							 obtain cash advances based on an approved line of credit.
f.
Covered Loans
Covered loan (under
							 Section
							 4970 of the
							 Financial Code) - a consumer loan in which the original principal balance of
							 the loan does not exceed the most current conforming loan limit for a
							 single-family first mortgage loan established by Fannie Mae and where one of
							 the following conditions are met:
a) the APR at consummation will
							 exceed by more than 8 percentage points the yield on Treasury securities having
							 comparable maturity periods on the 15th day of the
							 month immediately preceding the month in which the loan application is
							 received, or
b) the total points and fees
							 payable by the consumer at or before closing will exceed 6% of the total loan
							 amount.
g.
Adjustable Rate Mortgage Loans
							 (ARMS)
An adjustable rate mortgage loan that has one or more of the
							 following characteristics: (1) low initial payments based on a fixed
							 introductory rate that expires after a short period and then adjusts to a
							 variable index rate plus a margin for the remaining term of the loan; (2) very
							 high or no limits on how much the payment amount or the interest rate may
							 increase ("payment or rate caps") on reset dates; (3) limited or no
							 documentation of borrower's income; (4) product features likely to result in
							 frequent refinancing to maintain an affordable monthly payment; and/or (5)
							 substantial prepayment penalties and/or prepayment penalties that extend beyond
							 the initial fixed interest rate period. As an example of item (1) above, ARMs
							 known as "2/28" loans feature a fixed rate for two years and then adjust to a
							 variable rate for the remaining 28 years, and the spread between the initial
							 fixed interest rate and the fully indexed interest rate in effect at loan
							 origination typically ranges from 300 to 600 basis points.
SCHEDULE M ADDITIONAL LOAN
					 INFORMATION
1. Please
				  answer the following questions in connection with the Secure and Fair
				  Enforcement for Mortgage Licensing Act of 2008 (SAFE Act): (Information
				  regarding the SAFE Act can be found on our website at
www.dbo.ca.gov
).
A. Did you make, arrange or service any
				  residential mortgage loans as defined by the SAFE Act? Yes [] No []
B. How many mortgage loan originators did you
				  employ as of 12/31/XX for this activity? __________
C. Indicate the NMLS Unique Identifier
				  Number: __________
2.
				  Under the authority of your California Finance Lenders license, please indicate
				  which of the following type(s) of loan programs were provided to applicants
				  during the calendar year:
A. Consumer first mortgage loans (1-4
							 units)
Yes [] No []
B. Consumer unsecured loans
Yes []
							 No []
C. Consumer personal property
							 loans
Yes [] No []
D. Automobiles and other motor
							 vehicles
Yes [] No []
E. Auto title loans
Yes [] No
							 []
F. Affordable Credit-Building Opportunity
							 loans
Yes [] No []
G. Commercial real estate loans
Yes
							 [] No []
H. Commercial unsecured loans
Yes []
							 No []
I. Commercial business equipment
Yes
							 [] No []
J. Commercial automobiles and other motor
							 vehicles
Yes [] No []
K. Accounts receivable financing
Yes
							 [] No []
L. Other CFLL activity (describe
							 below)
Yes [] No []
___________________________
___________________________
3. The following questions are in connection
				  with the California Foreclosure Reduction Act and the single point of contact
				  requirement in Civil Code Section
				  2923.7.
A. During the calendar year, did you
				  foreclose on 175 or fewer residential real properties containing no more than
				  four dwelling units that are located in California? Yes [] No []
B. Provide your total number of foreclosures
				  initiated during the calendar year 20XX on residential real properties located
				  in California, containing no more than four dwelling units.
				  __________
C. Provide your total
				  number of foreclosures that resulted in the sale of residential real properties
				  located in California, containing no more than four dwelling units, during the
				  calendar year. __________
SCHEDULE N SCHEDULE OF LOAN ACTIVITY AS OF
				  DECEMBER 31, 20XX
Unsecured
Personal Property Loans
Automobiles and Other
							 Motor Vehicles
Auto Title Loans
Other
							 Security
No.
Amount
No.
Amount
No.
Amount
No.
Amount
No.
Amount
A. Consumer Loans
							 Serviced:
1. Loans outstanding prior year at
							 12/31/XX
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
2. Loans outstanding at year end
							 12/31/XX
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
3. Loans with one or more past due payments, which
							 are past due 30 or more days at
							 12/31/XX
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
4. For calendar year 20XX provide the
							 following:
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
a. Total loans
							 made
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
b. Number of loans charged one or more late
							 fees
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
c. Total late fees
							 collected
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
d. Total number of repossessions
							 conducted
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
e. Total number of loans
							 reinstated
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
f. Total number of loans collateral
							 redeemed
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
g. Total collateral sales resulting in a deficiency
							 balance
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
h. Total collateral sales resulting in a surplus
							 balance
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
i. Total
							 charge-offs
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
5. Average contracted term of loan ( in
							 months)
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
B.
Schedule of Other Consumer Loans
				  Made
(must be completed by any licensee who originated consumer loans
				  not under the California Finance Lenders Law.)
Total Number of Loans
							 Made
Total Principal Amount of Other Loans
							 Made
___________________________
$
___________________________
Provide the name of the agency and your license number that
					 authorizes you to originate other consumer loans:
______________________________
C.
Schedule of Other Commercial Loans
				  Made
(must be completed by any licensee who originated commercial loans
				  not under the California Finance Lenders Law.)
Total Number of Loans
							 Made
Total Principal Amount of Other Loans
							 Made
___________________________
$
___________________________
SCHEDULE O (CONFIDENTIAL)
DEFAULT RATES BY TYPE OF LOAN AS OF DECEMBER 31,
					 20XX
Total
Total
NUMBER OF LOANS PAST
								DUE
PERCENTAGE OF LOANS PAST
								DUE
Security Type
Number of
								Charge-Offs
Number of Loans
								Outstanding
Current Loan
1 Payment Past Due
2
							 Payments Past Due
3 or More Payments Past Due
Current
							 Loan
1 Payment Past Due
2 Payments Past Due
3 or More
							 Payments Past Due
Consumer Loans Under
							 $2,500
1.
Unsecured Loans Personal
							 Property
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
2.
(Household items) Automobiles
							 And
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
3.
Other
							 Vehicles
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
4.
Auto Title
							 Loans
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
5.
Wage
							 Assignment
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
6.
Other
							 Security
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
7.
Totals
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
Consumer Loans $2,500 to
							 $4,999
8.
Unsecured Loans Personal
							 Property
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
9.
(Household items) Automobiles
							 And
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
10.
Other
							 Vehicles
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
11.
Auto Title
							 Loans
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
12.
Wage
							 Assignment
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
13.
Other
							 Security
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
14.
Totals
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
Consumer Loans $5,000 to
							 $9,999
15.
Unsecured Loans Personal
							 Property
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
16.
(Household items) Automobiles
							 And
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
17.
Other
							 Vehicles
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
18.
Auto Title
							 Loans
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
19.
Wage
							 Assignment
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
20.
Other
							 Security
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
21.
Totals
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
Consumer Loans $10,000 or
							 More
22.
Unsecured Loans Personal
							 Property
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
23.
(Household
							 items)
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
24.
Automobiles And Other
							 Vehicles
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
25.
Auto Title
							 Loans
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
26.
Wage
							 Assignment
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
27.
Other
							 Security
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
28.
Totals
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
CFL
					 812