Loan Agreement

APPLICATION FOR LOAN WITHIN SHARES FORM

In case of any default in payment as herein agreed, unless excused by the Board of Directors, the entire balance of this loan shall become immediately due and payable on demand. Said borrower promises to pay all fines imposed in accordance with the rules of the Credit Union, for failure to comply with the terms of this loan together will all costs or expenses incurred in the collection of any sum due.

I have read and hereby agree to comply with all the terms, conditions, rules and regulations of the Credit Union now in force or which may hereafter be adopted. The statements made herein are true and are made for the purpose of obtaining the loan.

CASH REQUIRED:

ACCOUNT NO:

BRANCH:

PRESENT LOAN BALANCE:

LOAN TYPE/CODE:

TOTAL LOAN:

DATE:

TITLE:

NAME:

TRN:

HOME ADDRESS:

PHONE:

I hereby apply for loan of $__________ for a period of [loanperiod] months to be paid in
[loaninstallmentsfrequency] payments
of $__________ at an interest rate of 6.75%. I desire this loan for the following provident or productive purposes:*-
[loanpurpose]
I offer as security: Shares $ [loanshares]

AMOUNT $:

CHEQUE NO:

DATE:

PERSONAL INFORMATION

DATE OF BIRTH:

NO. OF DEPENDENTS:

EMAIL ADDRESS:

NAME OF WIFE OR HUSBAND:

PHONE:

NAME OF NEAREST RELATIVE (EXCLUDING WIFE OR HUSBAND):

RELATIONSHIP:

ADDRESS OF NEAREST RELATIVE (EXCLUDING WIFE OR HUSBAND):

PHONE:

INCOME INFORMATION

EMPLOYED BY:

HOW LONG:

PHONE:

SCHOOL:

JOB TITLE/POSITION:

SALARY:

AMOUNT $:

OTHER INCOME $:

FOR CREDIT UNION USE ONLY

Share Balance $..............................
Deposit Balance $..............................
Golden Harvest $..............................
Term Deposit $..............................
Repayment Record on Previous Loan
$..............................
Original Ammount
..............................
Date of Last Loan
[ ] V. Good [ ] Good [ ] Poor

JTA Membership
T [ ] A [ ] S [ ]
T=Teacher A=Associate S=Staff

LOAN PURPOSE CODE(S)

Code
$ AMT.

SECURITY PURPOSE CODE(S)

Code
$ AMT.

On..............................20...............a loan of $.................................................................was approved/dissapproved on the following condition.

Loan & Interest $.............................................Shares $.............................................Deposit $.............................................

G/H $.............................................S/O $.............................................Easi Loan $.............................................

Easi Access Savings $............................................. Total $.............................................

.................................................................

Loans Officer/Credit Committee

INTERVIEWING OFFICER CODE/APPROVAL OFFICER CODE

MEMBER PRODUCT PROFILE
Do you have? (Please write Y/N in box) Easi Access Savings [ ] Special Deposit [ ] Golden Harvest [ ] Ordinary Deposit [ ] Christmas Club [ ] F.I.P. [ ]

Leave this empty:

Your legal name

Your email address

Please Confirm full name and signature.

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I agree that I am and I agree this is a legal representation of my signature for all purposes just the same as a pen-and-paper signature

I agree that I am and I understand this is a legal representation of my signature

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Timestamp

Audit

November 6, 2020 2:36 pm -05

Loan Agreement Uploaded by JTA Co-operative Credit Union Ltd. - specialservices@jtacreditunion.com IP 72.252.169.34