Report of Delaware Volume

Title 5 Banking 2300 Sale of Checks and Transmission of Money <!-- var strFile='<!--#echo var="DOCUMENT_NAME"-->'; document.write (setPDFLink(strFile ; // --> 2303 Report of Delaware Volume 5 Del.C. Ch. 23 5 Del.C. Ch. 23 Effective Date: June 11, 2013 Each licensee shall submit this report to the Office of the State Bank Commissioner twice each year. The first report must be received no later than July 31 and must contain information from January 1 through June 30 of the current year. The second report must be received no later than January 31 and must contain information from January 1 through December 31 of the previous year. Licensees with more than one licensed office, whose files are maintained at a consolidated, centralized location, may file a consolidated report. Otherwise, a separate report must be submitted for each licensed office. A completed, signed report may be scanned and submitted by e-mail to [email protected]. Failure to submit this report when due will be a violation of this regulation. In addition, an examination may be scheduled and examination staff allocated without respect to the licensee’s volume of Delaware business. This may result in additional examination costs. 1. Name of Licensee: ________________________________________________________ 2. License No.: _______________ 3. List the address where the books and records are maintained: ______________________ ________________________________________________________________________ 4. Examination contact person’s name, title, phone number, fax number and e-mail address: ________________________________________________________________________ 5. List the Delaware business conducted in each of the following categories: A. Travelers Checks/Cheques Number sold: ____________________________ Total dollar value: ____________________________ B. Money Orders Number sold: ____________________________ Total dollar value: ____________________________ C. Transmission of Funds in any form Number of transmissions: ____________________________ Total dollar value: ____________________________ 6. Reporting Period: _____________________ to ____________________________ I, the undersigned officer, hereby certify that this report is true and correct to the best of my knowledge and belief. ________ ___________________________ ________________________ Date Signature Title ___________________________ ________________________ Printed Name Phone Number 16 DE Reg. 1286 (06/01/13)