New York Consolidated Laws, General Business Law - GBS § 53. Registration statements

a. The name of such collateral loan broker.

b. The address of the principal office of such collateral loan broker, if any, wherever situated, and the address or addresses of the principal office of such collateral loan broker within this state, if any.

c. If such collateral loan broker be a partnership, the names, residences and business addresses of the partners, including special or limited partners, and of all other individuals participating as principals in the profits of such business, specifying as to each the nature of his relation to such business.

d. If such collateral loan broker be other than an individual or partnership, the name of the state where incorporated or organized and the names, residences and business addresses of its principal officers, wherever located, and all its officers in this state, specifying as to each the nature of his relation to such business.

e. The date on which such collateral loan broker acquired a license and the name and location of the local governing body under whose hand and seal or authority said license was obtained under the provisions of this article.

f. In the event that after any collateral loan broker shall have filed a statement as above, any change shall take place in the personnel of the partners, principals, officers or in the location of the principal, such collateral loan broker shall file a statement with the state comptroller to be known as a “Collateral Loan Broker's Supplemental Registration Statement”, duly verified as hereinafter provided, setting forth in full the details thereof.

g. Each such collateral loan broker statement and each collateral loan broker supplemental statement shall be verified by the collateral loan broker, or if such collateral loan broker be a partnership, by a general partner thereof, or, if such collateral loan broker be other than an individual or partnership, by a principal officer thereof, and shall state that the facts therein stated are true to his own knowledge;  providing that in case of a statement or supplemental statement by a collateral loan broker other than an individual the person verifying the same may state on information and belief the facts therein included with respect to any other individual, if such collateral loan broker statement or supplemental statement shall have attached thereto an affidavit of such other individual stating that all facts contained in said collateral loan broker statement or supplemental statement with respect to him are true.

h. The state comptroller may in his discretion adopt forms for the use of collateral loan brokers for filing any statement with his department pursuant to the provisions of this section and furnish such forms to collateral loan brokers without charge or fee therefor.  The state comptroller shall collect the following fees:

For filing each “Collateral Loan Broker's Registration Statement”, five dollars;  for filing each “Collateral Loan Broker's Supplemental Statement”, two dollars and fifty cents.

The fees herein enumerated shall be payable at the time of filing and no filing shall be deemed effective within the meaning of this section until such fees have been paid.

i. Whenever a collateral loan broker shall have filed any registration statement or supplemental registration statement required to be filed under the provisions of this section or shall have prepared in   1 such registration statement or supplemental registration statement and have forwarded the same together with the fees required by subdivision h of this section, postage prepaid and properly addressed, to the office of the state comptroller in Albany, such collateral loan broker, as to the filing of such collateral loan broker's statement or supplemental registration statement shall be deemed to have complied with the requirements of this section.