AP-2
FONDS D’ASSURANCE-PRÊTS AGRICOLES ET FORESTIERS
ACKNOWLEDGEMENT OF REPAYMENT OF A LOSS UNDER THE
ACT RESPECTING FARM-LOAN INSURANCE AND FORESTRY-LOAN INSURANCE
Permanent No. (FADQ) Identification No. (lender)
Loan No. (FADQ)
Date
(name of lender)
hereby acknowledges receipt for payment of the sum of
$
made by the Fonds d’assurance-prêts agricoles et forestiers in accordance with the Act respecting farm-loan insurance and forestry-loan insurance (c. A-29.1) for the loss sustained by the said lender as a result of a loan insured under the Act and granted by the said lender to
(name of borrower)
(full address)
and, where applicable, the payment of which was assumed by
(name of debtor)
(full address of debtor)
and acknowledges that under section 17 of the said Act, La Financière agricole du Québec is subrogated in the lender’s rights against the borrower and, where applicable, against the debtor, up to the said amount, by reason of the debt the payment of which is hereby acknowledged.
(signature of an officer of the lender
(address)
Address to:
La Financière agricole du Québec
Direction du recouvrement
1400, boulevard de la Rive-Sud
Saint-Romuald (Québec) G6W 8K7