Section 573 - Statement of registrationEach statement of registration hereinbefore required shall contain the following information:
1. The name and principal address of the company;2. The state of its incorporation or origin;3. The names and addresses of its principal officers, partners or proprietors;4. The address of its principal office in this state;5. The name and address of its principal officer, employee or agent therein;6. The addresses of the places where its stamps are redeemable therein;7. A short form of its balance sheet as of the end of its last fiscal year prior to such filing, certified by an independent public accountant or certified under oath by one of its principal officers, a partner or the proprietor.8. A statement of its total gross receipts from its business in this state as a trading stamp company during such last fiscal year, certified by an independent public accountant or certified under oath by one of its principal officers, a partner or the proprietor, unless the principal sum of the bond hereinafter required is the maximum amount required under this article.