The Chevra Gemach For the members, by the members

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1 Loan Guidelines The Chevra Gemach For the members, by the members Application Date: / / Other Then Signatures, This Application MUST Be Typed Please sign by each of the guidelines and each page Unit# 1. Gemach Loans: No more than one Gemach loan until 1 year from your last viable payment. 2. Co-signers: Two co-signers are required for each loan. Committee members cannot co-sign. Co-signers must be actively employed. Relatives can be co-signers, however immediate family cannot be (Parents,In-laws, Brothers, Sisiters, Spouse, Sons & Daughters). Hatzalah members can t be cosigners. You cannot be a cosigner if you have a loan outstanding or are a cosigner on an open loan. 3. Checks: One original blank check made payable to TCG is required from each co-signer. 4. Bounced Checks: If a check bounces, borrower is automatically in default of his loan & payment in full may be requested immediately. Borrower is responsible for all charges pertaining to bounced checks at all times. There is a $20.00 service charge for each returned check. Borrower is also responsible for all legal, Beis Din and court costs. 5. Time: Time plays a very important role when borrowing money, if more time is needed, call in advance thereby avoiding bank charges. Page 1 of 7

2 6. Verbal & Written Agreement: Both co-signers will be called & ed to notify them of their responsibilities. If a check should ever bounce, the total amount of the balance is due immediately inclusive of all bank charges, legal and court/beis Din costs. Each co-signer is responsible for the full loan amount. 7. Payment Terms: Twenty (20) postdated checks dated the first of every month must be given to the Gemach at time of loan. There are NO EXCEPTIONS. First payment shall be due the first of the month within sixty (60) days from loan (e.g. Loan is applied for & funded on July 23, first payment is due Sep1) 8. Bad Faith If we are unable to collect any payment from you & are forced to go to your cosigners or to Beis Din, you will be banned from ever receiving any services or money from the Gemach in the future. 9. This form MUST be filled out electronically then printed for signatures. 10. You cannot take out a second loan from TCG until 1 year has passed from your last monthly payment. ANY QUESTIONS PERTAINING TO THE ABOVE RULES AND REGULATIONS CAN BE DIRECTED TO ANY OF THE COMMITTEE MEMBERS. PLEASE DO NOT HESITATE TO ASK. Thank you, Your Fellow Members Page 2 of 7

3 Loan Amount Requested: $ 1) The undersigned are liable for all Bais Din, Legal and Court costs. 2) An original check from the each co-signer are required and be made payable to TCG & signed by the account holder 3) A $20.00 service charge will be charged for all returned checks. * Jointly and Severally means that each of you has the duty of fully performing the obligations set forth herein and that the TCG, in its sole and absolute discretion, has the right to collect the entire balance owed hereunder. The Makers of this note (Borrower & Co-Signers) do hereby waive demand, notice of demand, protest, notice of protest, and notice of nonpayment, and any and all other notices, whatsoever kind or nature required by the (laws of the) State of NY. The Makers of this note hereby certify that all information given below is true. On demand for value received, we, the undersigned, do hereby JOINTLY AND SEVERALLY* promise to pay to the order of TCG. We also agree to have the monthly amount due electronically deducted from our bank checking account based on the checks submitted with this application. Borrower Unit Number: Home Address Home # Cell Business # Date of Birth: Last 4 of Social Security#: Employer Business Address Bank Name, Routing & Account # Have you borrowed from TCG before? Y N Do you have any outstanding loans with any other Gemachs? Y N If yes, please provide name & contact number of the Gemach PAYMENT OPTION AUTHORIZATION Date of First Payment / / Routing #: Account# Initials As A Convenience To Me/Us, I/We Hereby Request And Authorize You To Charge My/Our Checking Account and For The Applicable Payments To the Chevra Gemach. I/We Also Agree That Your Rights To Each Such Transaction Shall Be The Same As If It Were A Check Drawn By, And Signed Personally By Me/Us. Applicant Signature: Date: Page 3 of 7

4 Co-Signer (1) Home Address Home # Cell Business # Employer DOB / / SS# Business Address How long do you know the applicant? Bank Name, Routing & Account # Do you have any outstanding loans with any other Gemachs? Y N If yes, please provide name & contact number of the Gemach PAYMENT OPTION AUTHORIZATION Routing #: Account# Initials As A Convenience To Me/Us, I/We Hereby Request And Authorize You To Charge My/Our Checking Account and For The Applicable Payments To the Chevra Gemach. I/We Also Agree That Your Rights To Each Such Transaction Shall Be The Same As If It Were A Check Drawn By, And Signed Personally By Me/Us. Cosigner 1 Signature: Date: Page 4 of 7

5 Co-Signer (2) Home Address Home # Cell Business # Employer DOB / / SS# Business Address How long do you know the applicant? Bank Name, Routing & Account # Do you have any outstanding loans with any other Gemachs? Y N If yes, please provide name & contact number of the Gemach PAYMENT OPTION AUTHORIZATION Routing #: Account# Initials As A Convenience To Me/Us, I/We Hereby Request And Authorize You To Charge My/Our Checking Account and For The Applicable Payments To the Chevra Gemach. I/We Also Agree That Your Rights To Each Such Transaction Shall Be The Same As If It Were A Check Drawn By, And Signed Personally By Me/Us. Cosigner Signature: Date: We, the undersigned, do hereby agree, jointly and severally, to pay on demand by the The Chevra Gemach, Inc. Free Loan Society (TCG) the sum of the borrowers monthly payment in the event the borrower is late on his payment or his check is returned by the bank. The TCG may request payment in full of the entire balance at any time from any one of the undersigned co-signers. We also agree to have the monthly amount due electronically deducted from our bank checking account. County of, State of NEW YORK, this day of 20 Representations: By signing below, you represent that all information given in this application are true, complete and correct. Credit Reports and Verification: By signing below, you authorize us to obtain a credit report on the borrower and/or all co-signers. If you ask, we will tell you if a report has been obtained and the company furnishing the report. You also authorize us to verify any information given in this application. Applicant/Borrower Signature Date: Co- Signer #1 Signature Date: Co- Signer #2 Signature Date: Page 5 of 7

6 For TCG use only Loan #: Approved Amount $ Loan date: Loan Check #: Applicant Check # s - Monthly Payment: $ First Payment Due: Verified Applicant: Y N Date: Verified Co-Signer 1 Y N Date: Co-Signer 2 Y N Date: TCG Signature: TCG Signature: Remarks: Please return application by either to loans@thechevragemach.org or by fax to UPDATED Page 6 of 7

7 Name Address Cell # Unit Number Current Date To whom it may concern, Please be advised that due to personal reasons I hereby resign from Hatzalah effective the above date. Thank you, Your Name Page 7 of 7

JOINT ACCOUNT. Last Name: First Name: Initial: Date of Birth: Street Address: City, State, Zip: County:

JOINT ACCOUNT. Last Name: First Name: Initial: Date of Birth: Street Address: City, State, Zip: County: CREDIT APPLICATION Location submitting application: MFA OIL COMPANY MFA PETROLEUM COMPANY One Ray Young Drive Columbia, MO 65201 INDIVIDUAL ACCOUNT Complete Parts 1, 4 and 5 if you are applying for an