At the time of granting a loan and upon the subsequent renewal of any loan, the pawnbroker shall furnish to the pledger a pawn ticket which is serially numbered and which shall contain the following information--name and address of the pawnbroker, the name and address of the pledger, name and address of disclosed principal, if any, the date of the loan, the amount actually loaned, the serial number of the loan, description of the pledge, due date of the loan, the total amount of principal, interest and charges required to redeem the pledge on the due date, a statement setting forth that the pledge may be sold after ninety (90) days of the due date of the loan if not redeemed. A pawnbroker may insert additional provisions on the pawn ticket not inconsistent with this act, and he shall insert such other provisions as may be required by the Secretary of Banking.

A duplicate copy of the pawn ticket shall be retained by the pawnbroker for his record.

The pawnbroker shall require the pledger to surrender the original pawn ticket when the pledge is released or the loan is renewed.