S T A T E  OF
V E R M O N T  
Department of Banking, Insurance,
Securities & Health Care Administration
89 Main St.  Drawer 20   Montpelier, VT 05620-3101  Main Phone:  802-828-3301



Annual Licensee Reports

Annual Licensee Report Forms by Type of Licensee

Reminder: By statute, Annual Licensee Report Forms must be filed on or before April 1, 2010, whether or not you have renewed your license for 2010. 

For Licensed Lenders, Mortgage Brokers and Sales Finance Companies: The Annual Report of Licensee for Year Ending Dec. 31, 2009 is available ONLY online. You will not receive a blank form with your renewal packet.

ATTENTION All Vermont Licensed Lenders and Mortgage Brokers that are on the Nationwide Mortgage License System (NMLS):  DO NOT mail paper financial statements to the Vermont Banking Division.  Rather, all lenders and mortgage brokers must file financial statements as PDF files through the NMLS.  Further information and instruction is available on the NMLS website at www.stateregulatoryregistry.

FORM: Licensed Lenders, Mortgage Brokers, and Sales Finance Companies

For Debt Adjusters and Money Services: You should find a blank report form (having a pink cover page) in your mailed renewal packet.  The forms are also available online:

 Debt Adjusters  How to use form: This is a fillable form - download to your computer, type in the shaded blanks, print out, mail.
 Money Servicers  How to use form: This is a fillable form - download to your computer, type in the shaded blanks, print out, mail.

You may also call or e-mail the Banking Division to request forms.

To E-mail Usat the Banking Division please use the following address:
BISHCA - BnkConsumer@state.vt.us