FEDERAL TRUTH-IN-LENDING DISCLOSURE STATEMENT
(THIS IS NEITHER A CONTRACT NOT A COMMITMENT TO LEND)

 

         Applicants:                                                                                       Prepared By:

      

         Property Address:

 

         Appliation No:                                                                                  Date Prepared:
                  Check box if applicable:

 

 

 

Annual

PERCENTAGE

RATE

The cost of your credit a yearly rate

 

                   %

 

FINANCE

CHARGE

 

 The dollar amount the credit   will cost you

 

$


Amount

Financed

 

 The amount of credit provided   to your or on your behalf

 

$

Total of

Payments

 

The dollar amount the credit will cost you

 

$


 

 REQUIRED DEPOSIT:

                 PAYMENTS:

The annual percentage rate doen not take into account your required deposit

Your payment schedule will be:                   

 

    Number of        Amount of        When Payments
    Payments         Payments        are due
    Number of        Amount of        When Payments
    Payments         Payments        are due 		   Number of        Amount of        When Payments
    Payments         Payments        are due

                                          |                                         |

                                          |                                         |

                                          |                                         |

                                          |                                         |

                                          |                                         |

                                          |                                         |

                                          |                                         |

 

 

 

 DEMAND FEATURE :

This obligation has a demand feature.

   VARIABLE RATE FEATURE:

This loan contains a variable rate feature. A variable rate disclosure has been provided earlier.

 

  

  CREDIT LIFE/CREDIT DISABILITY: Credit life insurance and credit disability insurance are not required to obtain credit, and will not be provided
     unless you sign and agree to pay the additional cost.

 

  Type  Premium   Signature
  Credit Life     I want credit life insurance
  Credit Disability     I want credit life insurance
  Credit life and Disability     I want credit life insurance

 

  INSURANCE: The following insurance is required to obtain credit
        Credit Life Insurance           Credit Disability           Property insurance         Flood Insurance

 

    You may obtain the insurance from anyone you want that is acceptable to creditor
               If you purchase         property              flood insurance from creditor you will pay $                          for one year term.

 

 

   SECURITY: You are giving a security interest in:
        The goods or property being purchased         Real property you already own

 

   FILING FEES: $

  LATE CHARGES : If a payment is more than                               days late you wil be charged          %

  PREPAYMENT: If you pay off early, you
        May           will not             have to pay a penalty.
        May           will not             be entitled to a refund of part of the finance charge.
  ASSUMPTION: Someone buying your property
        May                      may, subject to conditions             may not      assume the remainder of your loan on the original terms.