2023 Vermont Loan Solicitation Annual Report

Pursuant to Title 8, Vermont Statutes Annotated, Sections 2120, all loan solicitation licensees must prepare and submit under oath, no later than April 1, 2024, one copy of this report. This report is required whether or not any activity took place during 2023, if none, so state. This report is also required even if you surrendered during 2023 or are not renewing your license for 2024.

If you have any questions or encounter any problems in complying with the above report, please contact this Department at dfr.bnkconsumer@vermont.gov prior to April 1, 2024.

WARNING

This report must be filed by each Vermont Loan Solicitation licensee on or before April 1, 2024. Failure to do so could result in the suspension of the licensee’s license as provided by 8 V.S.A. §2110, and the imposition of a $1,000.00 per month fine, as provided by 8 V.S.A. §2120.

ALL LOAN SOLICITATION INFORMATION SHOULD

INCLUDE VERMONT ACTIVITY ONLY.

Licensee name*

NMLS Company ID*

Name of Reporting Individual*

Phone Number*

Area CodePhone Number

E-mail*

VERMONT LOAN SOLICITATION INFORMATION

**Calendar year is January 1st through December 31st**

Number of Vermont consumers solicited during the calendar year*

Did you receive any fee or compensation from Vermont consumers during the calendar year?*

Dollar amount of compensation received from Vermont consumers during the calendar year*

Number of third party lenders on whose behalf you solicited during the calendar year*

What types of loans did you solicit during the calendar year?*

Comments:

Electronic Signature

By typing his/her first and last name, the undersigned states that he/she has executed the foregoing annual report under Title 8, Chapter 201 of Vermont Statutes Annotated; that he/she has been duly authorized to execute and file such report; and that to the best of his/her knowledge, information, and belief, the report and accompanying materials contain no misstatement of fact and do not omit a called for material fact.

E-Signature (First & Last name)*

Date*

MonthDayYear

2023 Vermont Annual Licensee Report for Loan Solicitation Companies