Any bank, building and loan association, savings and loan association, or credit union receiving such deposits shall, through its president and cashier or secretary, make a statement of account quarter-annually, under oath, showing:
(1) all such money that has been deposited with such bank, building and loan association, savings and loan association, or credit union during the quarter;
(2) the amount of daily balance in dollars;
(3) the amount of interest credited or paid therefor by such bank, building and loan association, savings and loan association, or credit union; and
(4) that neither such bank, building and loan association, savings and loan association, or credit union nor any officer thereof nor any person for it has paid or given any consideration or emolument whatsoever to the treasurer or town clerk or to any other person, other than the interest provided for herein, for or on account of the making of such deposits with any such bank, building and loan association, savings and loan association, or credit union.