P-40.1 - Consumer Protection Act

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SCHEDULE 3
(CONSUMER PROTECTION ACT, S. 115)
CONTRACT FOR THE LOAN OF MONEY
Date: ..............
(date on which the contract is made)
Place: ..............
(place where the contract is made if made in the presence of the merchant and the consumer)
..............
(name of merchant)
..............
..............
(address of merchant)
..............
(number of permit of the merchant)
..............
(name of consumer)
..............
..............
(address of consumer)
1. Net capital $ ...........
2. Interest $ ...........
3. Insurance premiums — describe $ ...........
4. Other components $ ...........
5. Credit charges for the whole
term of the loan $ ...........
6. Total obligation of the consumer $ ...........
7. Credit rate
=========== %
The total obligation of the consumer is payable at..............
(address)
in .............. equal deferred payments of $..............
(number)
on the .............. day of each consecutive month from ..............
(date on which the first payment is due)
and a final payment of $.............. on ..............
The consumer gives to the merchant as acknowledgment of or security for his obligation the following object or document:
..............
(description)
The merchant performs his principal obligation upon the making of this contract ( □ )
(Yes)
or on ..............
(date of performance of the merchant’s principal obligation)
..............
(signature of the merchant)
..............
(signature of the consumer)
1978, c. 9, Schedule 3.