DENNERY COMMUNITY CREDIT CO-OPERATIVE SOCIETY LIMITED

APPLICATION FOR A LOAN SECURED BY SHARES

AUTHORIZED BY CREDIT COMMITTEE

LOAN FORM L1

TO BE COMPLETED BY APPLICANT

(BLOCK LETTERS)        Surname        First Name        Other Name (Alias)


Format: 1758-555-5555
Years(in present employment)

Income:


SECTION II

LOAN AGREEMENT

Date: ______20___

Account No.____________

Loan No.____________________

Repayment Term $_________per (month, fortnight)

I hereby apply for:

(a)

repayable in ____________________ months.

(b)

repayable in ____________________ months.

(c)

repayable in ____________________ months.

I/We agree to pay (a) (b) (c) (delete as necessary) in fortnightly or monthly installments of$___________ in addition to $____________ for purchase of shares. For value received I/We the undersigned waiving my/our rights of demand and notice jointly and severally promise to pay the Dennery Community Credit co-operative Society Limited the sum of _________________________________________ ($___________________________) being the present loan balance(s) $_________________ and new application$_______________________ with interest on the unpaid balance at the rate of ________ percent per annum on the monthly reducing balance. The first payment of $______________ to be made commencing in the month of ___________ and a like amount every _______________ Thereafter until the full amount is paid.

Upon default of payment of any installment of this note or in the event the money borrowed on this note is not used for the purpose set forth in this application or in case of misrepresentation or misstatement made by the borrower or co-maker in obtaining this loan or in case the holder shall deem the security thereof unsafe for any reason whatsoever then this note, or so much hereof as may remain unpaid, shall at the option of the holder immediately become due and payable. In the event of default the maker or makers hereof pledge any shares now or hereafter held by them in the society as Additional security for the payment of this obligation, and we hereby authorize the Treasurer to apply any or all such shares, or payment on shares, to the payment of this loan, interest ,costs or expenses.

Also if the holder thereof after default shall place this note in the hands of its solicitor (or appointed agent or collector) for collection, the undersigned agreement to pay an additional sum as a fee for collection equal to thirty percent or such other percentage and or charge in force and approved by the board at the time of referral for collection, of the entire obligation which was due and unpaid at the date of referral to the solicitor and or collector. Such charge for collection in no event is to be less than one hundred dollars

In event of termination of my services by me or my employer, I authorize my employer to deduct the unpaid balance of this loan from all or any monies due to me at the time of such termination and if the said amount is not paid I shall further authorize my new employer within or outside St Lucia to pay the said unpaid balance of this loan, to the Dennery Community Credit Co-operative Society Limited whether demanded by the society or not.

In the event of assuming duties with another employer within the State of St Lucia, I shall continue to recognize the condition of repayment as set out in the loan agreement by notifying my new employer in this particular case through the management of the Dennery Community Credit Co-operative Society Limited.

However, I agree to repay in full the amount outstanding at the date of my termination of service.

Witness ___________________________

Signature of Applicant ______________________

Date ___________________________

Date ______________________

Checked and approved by________________________________Credit Officer

Credit Officer's Instructions/comments____________________________________________________________________________


SECTION III

TO BE COMPLETED BY OFFICER

Date of Application: _____________

Date member joined__________________

A/C No.__________________

Share Balance $ _____________________

Deposit $ _____________________

LOAN NO CODE DATE APPROVED TOTAL AMOUNT($) Balance($) MONTHLY REPAYMENTS($) PERIOD OF PAYMENT LOAN STATUS
           
           
           

Loan status:    In good standing A    Rescheduled B    Delinquent C


SECTION IV

FOR OFFICIAL USE ONLY

Repayment start date: ___________________________

Disbursement Voucher No.__________ Cheque No.___________ Amount$ _____________________________

Checked by__________________________________________ Date__________________________________

Payment Approved by_____________________ Date_______________________

Ratified by Credit Committee:

 

Date_________________________

 

Date_________________________

 

Date_________________________

 

Date_________________________

 

Date_________________________

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