2023 Vermont Non-Mortgage Lender Licensee Annual Report

Pursuant to Title 8, Vermont Statutes Annotated, Section 2120, all licensees who hold a non-mortgage lender license must prepare and submit under oath to the Department, no later than April 1, 2026, the requested information. This report is required whether or not any activity took place during 2025. If no Vermont business was conducted in 2025, so state.

This report is also required even if you surrendered during 2025 or are not renewing your license for 2026.

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, 2026.

WARNING

This report must be filed by each Vermont non-mortgage lender licensee on or before April 1, 2026. 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 CONTRACT INFORMATION SHOULD INCLUDE VERMONT ACTIVITY ONLY.

NOTE

If Licensee offers only residential

real estate mortgage loans do

not complete this form.

Licensee name

NMLS Company ID

Name of Reporting Individual

Phone Number

Area CodePhone Number

E-mail

NOTE 1

Lenders who only offer Mortgage loans should

not complete this survey.

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

Total Number of loans made for Automobiles during the calendar year

Total Dollar amount of loans made for Automobiles during the calendar year

Total Number of loans made for Household Goods during the calendar year

Total Dollar amount of loans made for Household Goods during the calendar year

Describe Household Goods Loan types:

Total Number of loans made for Unsecured Loans during the calendar year

Total Dollar amount of loans made for Unsecured Loans during the calendar year

Total Number of loans made for Business Loans during the calendar year

Total Dollar amount of loans made for Business Loans during the calendar year

Describe Business Loan types:

Total Number of loans made for Other Loans during the calendar year

Total Dollar amount of loans made for Other Loans during the calendar year

Describe Other Loan types:

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

2025 Vermont Non-Mortgage Lender Licensee Annual Report

Non-Mortgage Licensed Lender Information