Schedule 5: Debts to Persons or Entities Doing Business With or Regulated By the Public Servant's Agency, Or Lobbyists

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Under § 7-25 of the Ethics Law, filers are required to disclose certain debts that were owed to any business entity that was doing business with or was regulated by the filer's agency, or any person that was a lobbyist.  

Answer the question below to determine if Schedule 5 applies to you: 

During the reporting period covered by this statement, did any of the following owe a debt to any business entity that was doing business with or was regulated by your agency, or any person who was a lobbyist?

  • Your self;
  • Your spouse, parent, child, or sibling, only if you were involved in the debt transaction (e.g., you were a co-signer).

If you answered "yes" to the question above, disclose each qualifying debt on Schedule 5. You will need to submit a separate "Add New Debt" entry for each debt. Watch the tutorial video below to guide you through the tutorial:

Note: You do not need to disclose the following debts: 1) a retail credit account; 2) a retail installment sales account (e.g., a car loan offered by the dealer); or 3) a utility account (e.g., a water or electricity bill). 

In each "Add New Debt" entry, you will disclose the following information: 

1. Identity of the Creditor.  State the name and address of the person or entity to whom you owe the debt.  

2. Identity of Debtor.  State the name and address of the person who owes this debt and their relationship to you.  This will be either your self or a family member, but only if you were involved in that family member's debt transaction, e.g., you were a co-signor of their loan. 

3. Description of Debt. Provide a description of the debt, including the date incurred and the terms of payment (e.g., $50 per month for 12 months). 

4. Principal Balance. State the dollar balance of the debt at the beginning of the reporting period and at the end of the reporting period.