At the time the title pledge lender enters into each title pledge agreement, the title pledge lender shall complete a consecutively numbered title pledge transaction form for such transaction, and the pledgor shall sign the completed form. The commissioner shall approve the design and format of the title pledge transaction form, which shall elicit the information required under this section. In completing the title pledge transaction form, the title pledge lender shall record the following information, which shall be typed or written indelibly and legibly in English:
The make, model and year of the titled personal property to which the pledged property relates.
The vehicle identification number, or other comparable identification number, along with the license plate number, if applicable, of the titled personal property to which the pledged property relates.
The name, address, date of birth, physical description, Social Security number of the pledgor and one (1) photo identification.
The date of the transaction.
The identification number and the type of identification (including the issuing agency) accepted from the pledgor.
The amount of money advanced, which shall be designated as the “amount financed.”
The maturity date of the title pledge agreement, which shall be thirty (30) days after the date of the transaction.
The total title pledge service charge payable on the maturity date, designated as the “finance charge.”
The total amount (amount financed plus finance charge) which must be paid to redeem the pledged property on the maturity date, designated as the “total of payments.”
The annual percentage rate, computed in accordance with the regulations adopted by the Federal Reserve Board pursuant to the Federal Truth in Lending Act.