Each collection agency licensee shall, not later than January 31 of each calendar year, file with the department a verified annual statement for the preceding calendar year, showing the respective amounts of all customers' money collected by the licensee during the preceding calendar year, that has not previously been remitted to the customers entitled to it or properly accounted for, and showing also the amounts of money that the licensee has on deposit in a bank or in the licensee's possession for the purpose of liquidating any and all amounts due to customers. The statement must contain the name and address of the bank. The annual statement shall be made substantially in the following form:
ANNUAL STATEMENT TO DEPARTMENT OF COMMERCE, COMMUNITY, AND
ECONOMIC DEVELOPMENT
Pursuant to AS 08.24.210 the undersigned, ............, licensed
under AS 08.24 to conduct a collection agency business, hereby declares
that the amount of money collected during the preceding calendar year
by the undersigned, as a licensee under AS 08.24, which has not been
remitted to a customer or properly accounted for is $ ........; and
that the amount on deposit with all banks for the purpose of
liquidating all amounts to customers is $ .........
The attached schedule contains a true statement of the name and
address of each customer of the undersigned to whom there was due or
owing at the end of the preceding calendar year on account of
collections made during the preceding calendar year the aggregate sum
of $20 or more.
IN WITNESS WHEREOF, the undersigned has executed this statement
on this ..... day of ........., 2 ....
(name of licensee) .....................................
(signature) ............................................
(capacity) ................................ VERIFICATION
STATE OF ALASKA ss
THIRD DISTRICT
I, the undersigned, being first sworn, do on oath depose and say:
That I executed the within annual statement as the licensee named in it
or on behalf of the licensee named in it, as the operator, director, or
officer of the licensee named in it, as indicated in it; that I have
read the statement and know its contents; and that the statement is
true.
...............
Subscribed and sworn to before me this ................ day of
.........., 2 .........................................................
Notary Public in and for Alaska
My commission expires:
Section: Previous 08.24.140 08.24.150 08.24.160 08.24.170 08.24.180 08.24.190 08.24.200 08.24.210 08.24.220 08.24.230 08.24.240 08.24.250 08.24.260 08.24.270 08.24.280 NextLast modified: November 15, 2016