MONEY LENDER 67$7(0(172)/2$1$&7,9,7< ',675,%87,212)/2$160$'(FROM JANUARY 1 - SEPTEMBER 30, 2016 IN SOUTH DAKOTA 1. 2. 3. %\6WDWXV Number 0 New loans (customer balance was zero) (Include amount for advances on revolving open-end loans but omit number) Loans to refinance existing loans 0 7RWDOV(must agree with lines 15 & 27) 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. %\6L]H $300 or Less $301 to $500 $501 to $1,000 $1,001 to $2,500 $2,501 to $5,000 $5,001 to $10,000 $10,001 to $25,000 $25,001 to $50,000 $50,001 to $100,000 Greater than $100,000 Advances on Revolving or Open-end Loans 7RWDOV (must agree with Line 27) 16. 17. 18. 19. 20. 21. 22. 23. 24. 25. 26. 27. %\/RDQ6HFXULW\7\SH Unsecured - six months or less Unsecured - greater than six months Motor Vehicle Title Payday / Post-Dated Check Household Goods Motor Vehicle Purchase Manufactured Housing/Mobile Homes Insurance Premium Financing Ag Loans (non real estate) Commercial Loans (non real estate) Other (describe) 7RWDOV (must agree with Line 15) 0 $ 0.00 $ 0.00 $ 0.00 1XPEHU $PRXQW 0 0 0 0 0 0 0 0 0 0 $ 0.00 $ 0.00 $ 0.00 $ 0.00 $ 0.00 $ 0.00 $ 0.00 $ 0.00 $ 0.00 $ 0.00 $ 0.00 $ 0.00 N/A 0 $PRXQW 1XPEHU 0 0 0 0 0 0 0 0 0 0 0 0 '(/,148(1&<6800$5< Past Due Accounts - 60 to 89 days Past Due Accounts - 90 or more days $ 0.00 $ 0.00 $ 0.00 $ 0.00 $ 0.00 $ 0.00 $ 0.00 $ 0.00 $ 0.00 $ 0.00 $ 0.00 $ 0.00 $PRXQW 0 0 0 0 0.00 7RWDOV Total Loans Outstanding on Sept. 30, 2016 Delinquency as a Percent of Total Outstanding (Line 30 divided by Line 31 multiplied by 100) 5DQJHRI,QWHUHVW 5DWHV&KDUJHG 1XPEHU 28. 29. 30. 31. 32. $PRXQW $ 0.00 $ 0.00 $ 0.00 $ 0.00 0.00 PRINT FOR MAILING CLEAR FORM
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