Payday / Title Licensee Annual Report - State of Oregon
|Oregon Department of Consumer and Business Services |[pic] |
|Division of Financial Regulation | |
|350 Winter St. NE, Room 410, Salem, Oregon 97301-3881 | |
|Mailing address: P.O. Box 14480, Salem, OR 97309-0405 | |
|503-378-4140 ( Fax: 503-947-7862 | |
| | |
PAYDAY / TITLE Licensee
20 Annual Report
ORS 725A/OAR 441-735
|If you are a broker/facilitator making referrals only, complete only 2, 14, and 15. |
|A separate report must be filed for each license. |
|Licensee name: | |License number: | |
|License location: | |Manager name: | |
| |
| |Number of title | |Amount | |Number of payday | |Amount |
| |loans | | | |loans1 | | |
|1. Unpaid loans at beginning of year: | | | | | | | |
|2. Loans made or referred during year: | | | | | | | |
|3. Unpaid loans at end of year: | | | | | | | |
|4. Loans rolled over once: | | | | | | | |
|5. Loans rolled over twice: | | | | | | | |
|6. Loans that defaulted during the year: | | | | | | | |
| (Provide processes for defaults; more than one may apply.) |
|a. Collected in full: | | | | | | | |
|b. Collateral repossessed: | | | | |NA | |NA |
|c. Payment plan arranged: | | | | | | | |
|d. Court action instituted: | | | | | | | |
|e. Money judgments obtained: | | | | | | | |
| (Include court costs and fees.) |
|f. Charged off: | | | | | | | |
| |
|7. a. Maximum loan made: | | | |
| b. Average loan amount: | | | |
|8. a. Maximum finance charge used: | per $100 | | per $100 |
| b. Average finance charge: | per $100 | | per $100 |
|9. a. Maximum APR used (%): | % | | % |
| b. Average APR (%): | % | | % |
|10. Number of borrowers who filed for bankruptcy: | |
|11. Number of consumers who received 5 or fewer loans2 during the calendar year: | |
|12. Number of consumers who received 6-10 loans during the calendar year: | |
|13. Number of consumers who received 11 or more loans during the calendar year: | |
| | |
1 For purposes of this report, “payday loan” includes any short-term loan that is not a title loan, whether or not a check was taken as security for the loan.
2 For purposes of questions 11-13, don’t count a rollover as a loan to that consumer.
20 Annual Report
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|14. Did this location close? | Yes | No |Date of closure: | / / | |
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|15. The following must be provided if the division was not previously notified. |
|Have there been any changes to the following: |
| Yes No |
| |Direct ownership of 10 percent or more |
| |Criminal convictions of any corporate director, officer, or owner of 10 percent or more |
| |Business plan |
| |Experienced people |
| |Qualified people or managers |
| If yes, provide exact details. Attach additional sheets as needed. |
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|Contact information of person who prepared this report: |
| Contact name: | |
| Address: | |
| City: | |State: | |ZIP: | |
|Phone: | - - |Email: | |
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