ContractPayday Loan Agreement • March 25th, 2019
Contract Type FiledMarch 25th, 2019For Office Use Only Receipt Number: Tracking Number: Receipt Amount: Effective Date: Applicant Information Legal Name of Business: Trade/DBA Name (if applicable): Incorporation Number: Incorporation Date: Certificate of Good Standing is Attached: ☐ Civic Address (NL Headquarters) Street Name and No: City/Town: Postal Code: Telephone No. Fax No. E-Mail Address: Website Address: Toll-Free No: Mailing Address (NL Headquarters) PO Box: City/Town: Postal Code: Required Document Attachments ☐ Standard payday loan agreement☐ Sample payday loan agreement for $300 for 14 days showing all fees and charges☐ Rate structure for a payday loan, including interest and permissible fees and charges☐ Cancellation notice form☐ Receipt for a payday loan cancellation☐ Receipt for payment made by the borrower☐ Receipt for return of a cash card☐ Copy of signs required under the Payday Loans Regulations☐ Surety Bond (original signed by the applicant and the surety company)