"Idaho Collection Agency Annual Report of Activity" - Idaho

Idaho Collection Agency Annual Report of Activity is a legal document that was released by the Idaho Department of Finance - a government authority operating within Idaho.

Form Details:

  • The latest edition currently provided by the Idaho Department of Finance;
  • Ready to use and print;
  • Easy to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of the form by clicking the link below or browse more documents and templates provided by the Idaho Department of Finance.

ADVERTISEMENT
ADVERTISEMENT

Download "Idaho Collection Agency Annual Report of Activity" - Idaho

Download PDF

Fill PDF online

Rate (4.5 / 5) 29 votes
PATRICIA PERKINS
Director
BRAD LITTLE
Governor
Idaho Collection Agency Annual
Report of Activity for 2020
Company Name________________
To be completed by ALL Licensees
_____________________________
Due By March 15, 2021
Home/Main Office
Complete the following information as it applies to the
License #_____________________
licensee’s business activities conducted in 2020.
If the
(All licensees)
information requested does not apply to the licensee’s 2020
business activities, insert “NA” or “0” but do not leave blank.
NMLS ID #____________________
(If licensee maintains its Collection Agency license records on
NMLS)
## Number of Debtor Accounts##
1. TOTAL COLLECTION ACTIVITIES IN 2020
$$$ Dollar Amount $$$
Gross Collections
$ ___________________
(All amounts received directly or indirectly)
# __________________
Gross Fees Received
(All amounts received for the benefit of the licensee, whether received
$ ___________________
# ______NA__________
directly or indirectly)
Number of creditor clients for which collection services are performed
$________NA________
# __________________
Idaho Collections
(All amounts received from Idaho debtors directly or
$ ___________________
# __________________
indirectly. This amount should match the amount in the Surety Bond Calculations
section 8-A-1 or 8-B-1, as applicable)
$___________________
Fees Received from Idaho Debtors
(All amounts received from Idaho
# _______NA_________
debtors for the benefit of the licensee, whether received directly or indirectly. This
amount should match the amount in the Surety Bond Calculations section 8-A-2)
2
## Number of Accounts##
. IDAHO ACTIVITY ONLY
# ___________________
a.
Number of Idaho creditor clients for which collections services are performed
# ___________________
b.
Number of Idaho debtor clients contracted for credit repair services
c.
Number of Idaho debtor clients contracted for debt or credit counseling services
# ___________________
d.
Number of Idaho debtor clients contracted for debt settlement services
# ___________________
e.
Number of Idaho consumer accounts settled through debt settlement
# ___________________
f.
Number of charged-off accounts or other delinquent debt accounts purchased by licensee involving Idaho
debtors
# ___________________
g.
Number of payday loans collected upon involving Idaho debtors
# ___________________
Certification of an owner, officer, director, partner or member: I HEREBY CERTIFY that the statements contained in this report or any attachments are true and
correct, and represent the collection related activity of the above-named licensee for the period January 1, 2020 through December 31, 2020.
Signature: __________________________________________________ Phone: ____________________________________
Printed Name: _______________________________________________ Email: _____________________________________
Title: _____________________________________ _________________ Date: ______________________________________
PATRICIA PERKINS
Director
BRAD LITTLE
Governor
Idaho Collection Agency Annual
Report of Activity for 2020
Company Name________________
To be completed by ALL Licensees
_____________________________
Due By March 15, 2021
Home/Main Office
Complete the following information as it applies to the
License #_____________________
licensee’s business activities conducted in 2020.
If the
(All licensees)
information requested does not apply to the licensee’s 2020
business activities, insert “NA” or “0” but do not leave blank.
NMLS ID #____________________
(If licensee maintains its Collection Agency license records on
NMLS)
## Number of Debtor Accounts##
1. TOTAL COLLECTION ACTIVITIES IN 2020
$$$ Dollar Amount $$$
Gross Collections
$ ___________________
(All amounts received directly or indirectly)
# __________________
Gross Fees Received
(All amounts received for the benefit of the licensee, whether received
$ ___________________
# ______NA__________
directly or indirectly)
Number of creditor clients for which collection services are performed
$________NA________
# __________________
Idaho Collections
(All amounts received from Idaho debtors directly or
$ ___________________
# __________________
indirectly. This amount should match the amount in the Surety Bond Calculations
section 8-A-1 or 8-B-1, as applicable)
$___________________
Fees Received from Idaho Debtors
(All amounts received from Idaho
# _______NA_________
debtors for the benefit of the licensee, whether received directly or indirectly. This
amount should match the amount in the Surety Bond Calculations section 8-A-2)
2
## Number of Accounts##
. IDAHO ACTIVITY ONLY
# ___________________
a.
Number of Idaho creditor clients for which collections services are performed
# ___________________
b.
Number of Idaho debtor clients contracted for credit repair services
c.
Number of Idaho debtor clients contracted for debt or credit counseling services
# ___________________
d.
Number of Idaho debtor clients contracted for debt settlement services
# ___________________
e.
Number of Idaho consumer accounts settled through debt settlement
# ___________________
f.
Number of charged-off accounts or other delinquent debt accounts purchased by licensee involving Idaho
debtors
# ___________________
g.
Number of payday loans collected upon involving Idaho debtors
# ___________________
Certification of an owner, officer, director, partner or member: I HEREBY CERTIFY that the statements contained in this report or any attachments are true and
correct, and represent the collection related activity of the above-named licensee for the period January 1, 2020 through December 31, 2020.
Signature: __________________________________________________ Phone: ____________________________________
Printed Name: _______________________________________________ Email: _____________________________________
Title: _____________________________________ _________________ Date: ______________________________________