California Code of Regulations
Title 10 - Investment
Chapter 3 - Commissioner of Financial Protection and Innovation
Subchapter 13 - Deferred Deposit Transaction Law
Article 3 - Reports to the Commissioner
Section 2030 - Annual Report
Current through Register 2024 Notice Reg. No. 38, September 20, 2024
(a) Annual Report Form. The annual report required under Section 23026 of the Financial Code shall be submitted on the following form number 2030:
PLEASE READ THE ATTACHED INSTRUCTIONS CAREFULLY BEFORE COMPLETING THIS REPORT. All licensees must complete the report even if no business was conducted.
To: COMMISSIONER OF BUSINESS OVERSIGHT, STATE OF CALIFORNIA
ANNUAL REPORT FOR LICENSEES ENGAGED IN BUSINESS UNDER THE CALIFORNIA DEFERRED DEPOSIT TRANSATION LAW
For the Year Ended December 31, 20__
THIS REPORT IS REQUIRED IN ACCORDANCE WITH FINANCIAL CODE SECTION 23026
Name of Licensee (as shown on the License): ____________________
Business Phone No.: () ____________________ Fax No.: ____________________
E-mail Address(es) (optional): ______________________________
Total number of licenses held as of December 31, 20__ __________
Licensee's Type of Organization | [ ] Corporation [ ] Partnership |
[ ] Limited Liability Company | |
[ ] Individual | |
[ ] Other:___________________________ |
CALIFORNIA DEFERRED DEPOSIT TRANSACTION ACTIVITY REPORT FOR THE YEAR ENDED 20__
The Information being requested is for the calendar year ended December 31, 20__
1. The total number of deferred deposit transactions made: | ___________________________ |
2. The total dollar amount of deferred deposit transactions made: | $___________________________ |
3. The total number of individual customers who obtained deferred deposit transactions: (Only count repeat customers once) | ___________________________ |
4. The minimum dollar amount of deferred deposit transactions made: | $___________________________ |
5. The maximum dollar amount of deferred deposit transactions made: | $___________________________ |
6. The average dollar amount of deferred deposit transactions made: | $___________________________ |
(Line 2 divided by line 1) | |
7. The average Annual Percentage Rate (APR) agreed to: | ___________________________ |
(Total annual percentage rate as stated on the agreements of all transactions divided by total number of transactions) | |
8. The average number of days of deferred deposit transactions: | ___________________________ |
9. The total number of returned checks from deferred deposit transactions: | ___________________________ |
10. The total dollar amount of returned checks from deferred deposit transactions: | $___________________________ |
11. The total number of returned checks from deferred deposit transactions recovered: | ___________________________ |
(Include partial recoveries) | |
12. The total dollar amount of returned checks recovered: | $___________________________ |
(Include partial recoveries) | |
13. The total number of checks from deferred deposit transactions charged off: | $___________________________ |
(Include partial balances charged off) | |
14. The total dollar amount of checks from deferred deposit transactions charged off: | ___________________________ |
(Include partial balances charged off) |
VERIFICATION
State of___________________________ | ) |
) SS. | |
County of___________________________ | ) |
I, the undersigned state: That I am an officer or general partner or the sole proprietor or have a position of similar proprietary interest of (Insert name as shown on the license)
___________________________
and I have read and signed the report and the documents filed herewith and know the contents thereof, I certify this annual report is to the best of my knowledge true and exact.
Complete Section (A) OR Section (B) as appropriate.
Date __________(Month/Day), __________(Year) at __________(City), __________(State)
I certify (or declare) under the penalty of perjury that the foregoing is true and correct.
______________________________
(Signature of Declarant)
______________________________
(Name and Title (Please type or print))
Phone Number: () ____________________ Fax Number: () ____________________
Date ____________________(Month/Day), __________(Year) ____________________Signature of Affiant
____________________(City)
___________________________________ | ______________________________________________________________ | |||
(State) | Name and Title (Please type or print) | |||
Subscribed and sworn to before me on | ||||
(Seal) | ______________________, | ___________________________ | ||
(Month/Date) | (Year | |||
_______________________________________________________________ | ||||
Notary Public in and for said County and State |
(b) Instructions. The following instructions apply to the form specified in subsection (a).
INSTRUCTIONS FOR COMPLETING THE 20XX ANNUAL REPORT FOR DEFERRED DEPOSIT ORIGINATORS LICENSED UNDER THE CALIFORNIA DEFERRED DEPOSIT TRANSACTION LAW
WHO MUST FILE THE REPORT: Every licensee who was licensed as of December 31, 20XX shall file the Department's Annual Report. The report is to include information on all business conducted pursuant to the authority of the California Deferred Deposit Transaction Law by licensees located in or outside the State of California. A report shall be filed even if no business was conducted under the authority of the license in 20XX.
DUE DATE / PENALTY FOR FAILURE TO FILE THE REPORT: The report is due on or before March 15, 20XX. No extension of the filing date can be granted. Failure to file the report may result in Summary Revocation of your license(s).
WHERE TO FILE THE REPORT:
DEPARTMENT OF BUSINESS OVERSIGHT
Financial Services Division
320 West Fourth Street, Suite 750
Los Angeles, CA 90013
THE REPORT FORM: The report must be submitted on this form. All items requesting dollar amounts are to be rounded to the nearest whole dollar. Do not add ".00" to represent rounding to the nearest dollar. Do not round items to the nearest thousand or million dollars. Do not round intermediate calculations.
PERIOD COVERED BY THE REPORT: The reporting period is (1) January 1, 20XX to December 31, 20XX, or (2) from the effective date of licensure for licenses issued in 20XX to December 31, 20XX.
COMPANIES WITH MULTIPLE LOCATIONS: Companies with multiple licenses must prepare one report consolidating the information from all locations into one report.
ANNUAL REPORT FORM AVAILABLE ON THE INTERNET: The annual report form is also available at the Department's Internet website at www.dbo.ca.gov.
VERIFICATION: The Verification on page 3 must be executed by the licensee or authorized person on behalf of the licensee. For example, the verification must be signed by an individual if the licensee is an individual, by a general partner if the licensee is a partnership, by a corporate officer if the licensee is a corporation or a manager if the licensee is a limited liability company. The Verification must have an original signature. Reports bearing incomplete verifications or a missing signature will not be accepted and will be returned to the licensee.
REQUIREMENT FOR THE REPORT: Section 23026 of the Financial Code states that on or before March 15 of each year, beginning March 2006, each licensee shall file an annual report with the Commissioner pursuant to procedures that the Commissioner shall establish. The licensee's annual report shall be kept confidential pursuant to Chapter 3.5 (commencing with Section 6250) of Division 7 of Title 1 of the Government Code and any regulations adopted thereunder. The Department of Business Oversight will prepare an annual consolidated report that incorporates the information received from each and every annual report submitted by licensees for the designated year. The annual consolidated report will be available to the public.
DEFERRED DEPOSIT TRANSACTIONS: Section 23000 of the Financial Code defines a deferred deposit transaction as a transaction whereby a person defers depositing a customer's personal check until a specific date, pursuant to a written agreement, as provided in Section 23035.
OTHER REPORT REQUIREMENTS:
QUESTIONS REGARDING THIS REPORT: If you have questions regarding this report, you may contact the Department of Business Oversight at 1 (866) 275-2677. Form number 2030.
1. New
article 3 (section
2030) and section filed 1-25-2006;
operative 1-25-2006 pursuant to Government Code section
11343.4
(Register 2006, No. 4).
2. Amendment filed 9-23-2009; operative
10-23-2009 (Register 2009, No. 39).
3. Change without regulatory
effect amending subsections (a) and (b) filed 8-13-2014 pursuant to section
100, title 1, California Code of
Regulations (Register 2014, No. 33).
Note: Authority cited: Section 23015, Financial Code. Reference: Section 23026, Financial Code.