FOND ST JACAQUES CREDIT COOPERATIVE SOCIETY LTD

APPLICATION FOR LOAN FULLY COVERED BY SHARES

To be completed by Loans Officer

To be completed by Applicant


Format: 1758-555-5555

Format: 1758-555-5555

Format: 1758-555-5555
Years

Income:

To be completed by Loans Officer

I ……………………………………….. hereby apply for a loan/an additional loan of $......…………… for (state purpose) ………………………………………………………… For value received, I/we ,the undersigned waiving my/our rights of demand and notice, singly/jointly promise to pay the Fond St Jacques Credit Cooperative Credit Society Limited the Sum of $............................. made up of $.......................... being the present loan balance and the new application of $......................... with interest to be charged at the rate of ………….. percent on the monthly reducing balance, the first payment of $................... to be made in the month of ……………........ for ………… consecutive months thereafter until the full amount has been paid.

Upon default of payment of any instalment of this agreement or if the money borrowed in this agreement is not used for the intended purpose as stipulated in the agreement or in the case of any false statement made by the borrower in obtaining the loan then the Credit Union will use its authority to demand immediate payment of the loan balance. In event of default of payment, the Credit Union will authorise the Treasurer to withdraw the said amount from the makers share balance to meet the loan obligation.

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Signature of applicant

Comments

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Signatures of Credit Committee/Loan Officer/Manager/Board Of Directors/Joint Committee

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To be completed by Loans Officer

LIEN OVER SHARE BALANCE HELD AS COLLATERAL

  1. The undersigned hereby authorize FOND ST. JACQUES CREDIT CO-OPERATIVE SOCIETY LIMITED To hold the sum of ……………………………………………………………………………………………………….......…........ ($ ............................) which is part of/ the full/ Share Balance on my account # ........................... as Collateral for Loan in the name of ……………………………………………………………………............................………………………………………………
  2. In the event of any default in such payment to the loan, without notice to the undersigned, the Credit Union will withdraw the said sum from the Share Balance to meet the Loan obligations.
  3. At its discretion, from time to time, the Credit Union may allow the undersigned to withdraw from Share Balance of the said account if this is in excess of indebtedness balance.

Signed at …………………..........……… the …...…… day of ……….............…….. 20........

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Print Name

Signature

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Print Name

Signature

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Name/Signature of Witness

Name/Signature of Witness

To be completed by Teller

Disbursement schedule

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