Date: ............................................................................ |
(date on which contract is entered into) |
Place: ............................................................................. |
(place where contract is entered into) |
.................................................................................... |
(name of merchant) |
.................................................................................... |
.................................................................................... |
(address of merchant) |
.................................................................................... |
(Where applicable, technological address of merchant) |
.................................................................................... |
(Where applicable, merchant’s permit number) |
.................................................................................... |
(name of consumer) |
.................................................................................... |
.................................................................................... |
(address of consumer) |
1. Net capital | $........... | |
2. Interest | $........... | |
3. Other components of credit charges | $........... | |
4. Total of credit charges for the term of the loan | $........... | |
5. Total obligation of consumer | $........... | |
6. Credit rate | =========== % | |
(Where the capital is paid in a number of advance payments, the amount and date of any advance payment made or to be made to the consumer or how that amount and the date are determined: ……………………………………………………………………………) | ||
The term of this contract is ……………………………………… | ||
Date on which credit charges begin to accrue (or how that date is determined): ……………………………………………………………………………….. | ||
The total obligation of the consumer is payable at (address) in .............. (number) deferred payments of $.............. on .............. (number) day of each consecutive month as of (due date of the first payment) and a final payment of $.............. on ..............(due date of the last payment) | ||
(Where applicable, mention the nature of any optional contracts, the charge for such contracts or how it is determined and that the consumer has a right of resiliation with respect to such contracts.) | ||
(Where applicable, mention the existence and the subject matter of any security given by the consumer to guarantee the performance of the consumer’s obligations.) | ||
The merchant performs the merchant’s principal obligation when entering into this contract. | ||
⃞ Yes ⃞ No | ||
if “no”, on ........... | ||
(date of the performance of the merchant’s principal obligation) |