Current Client REFINANCE APPLICATION

Transcription

1 Current Client REFINANCE APPLICATION Applicant Name: Date of Application: Loan Name (if different): Purpose of Refinance: Loan Number: List of Supplementary Information Enclosed (please check): 2 years Income Tax Returns or Financial Statements Quota information declaration form Other (please specify) The Service Fee for Re-amortization of Current Loans = ⅛ of 1% of the loan balance with a minimum fee of $ and a maximum fee of $ The applicable Penalty for re-amortization of current loans prior to the 5 year anniversary date, is the amount equal to: the greater of 3 months' interest at the interest rate on the loan balance, or an interest differential on the amount of the prepayments to a maximum term of 5 years equal to the loan balance outstanding, multiplied by the amount by which the interest rate on the loan exceeds the interest rate for new loans of a similar type and remaining term multiplied by the number of years remaining in the 5-year term. Please return to either: TRURO Office: KENTVILLE Office Edward F. Lorraine Building Agricultural Research Centre 74 Research Drive 32 Main Street Bible Hill, NS B6L 2R2 Kentville, NS B4N 1J5 Phone: (902) Phone: (902) Fax: (902) Fax: (902) For Office Use Only Name of Assigned Loan Officer Office Date Application Received Date of Loan Recommendation New Loan Number Revised: May 9,

2 REFINANCE REQUEST Estimated amounts may vary as loan dates are recalculated Loan Number Existing Balance Estimated Penalty Estimated Refinance Amount LOAN REPAYMENT Service Fee $ TOTAL $ Amortization Period () Term Length if Different () Circle your preferred Method of Circle your preferred Schedule Intended Closing Date M M M D D Y Y Interest Only Due Date M M M D D Y Y Pre-authorized s Dairy Check Off Other Monthly Semi-Annual Annual Other Blended Due Date M M M D D Y Y Intended Closing Date M M M D D Y Y The information provided in this application is, to the best of my knowledge, complete, true and correct. The applicant consents to having Nova Scotia Farm Loan Board make any inquiries of such persons, firms or corporations as it deems necessary in order to reach a decision on this application. The applicant will provide all information required by Nova Scotia Farm Loan Board to complete the assessment of this application. The applicant will instruct its lender/financial institutions to provide Nova Scotia Farm Loan Board with full information concerning my/our operations and financial position upon request. During the period of time I/we have financial arrangements with the Board, I/we provide irrevocable consent as follows: 1. I/we authorize Nova Scotia Farm Loan Board to discuss fully my/our affairs with other lenders/financial institutions, if necessary. 2. I/we authorize the exchange of information relating to property insurance quota and production to the Nova Scotia Farm Loan Board from any agency or commodity board providing credit, insurance coverage and/or production quota with whom I/we have financial or marketing arrangements with during the period of time I/we have a loan with the Board. 3. I/we authorize the exchange of information between my/our solicitor, accounting firm and municipalities (to confirm tax obligations) and the Nova Scotia Farm Loan Board during the period of time I/we have a loan with the Board. 4. I/we understand all information on the loan will be subject to the disclosure and protection of privacy provisions of the Nova Scotia Freedom of Information and Protection of Privacy Act. Revised: May 9,

3 NSFLB Creditor Group Life Insurance Premiums Age Monthly Premium Per $1, Date: Signed: Applicant 1 Print Name: Signed: Applicant 2 Print Name: LIABILITIES Current Repayment Terms Less than 12 months e.g. Operating Loan, Accounts Payable, Credit Cards Intermediate Repayment Terms 1 10 years e.g. Mortgages, Vehicle / Equipment Finance, Term Loans Long Term Repayment terms over 10 years e.g. Mortgages, Vehicle / Equipment Finance, Term Loans Leases e.g. Vehicles, Land etc. Revised: May 9,

4 Lessor (Landlord) Name Details of Leased Property I/We certify that this statement of liability and security provided is accurate and complete. I/We have disclosed all environmental issues related to and that can or will impact on the securities provided to and held by the Board. Date: Signed: Applicant 1 - Print Name: Applicant 2 Print Name:... Revised: May 9,

5 Use this form to: Contact Information Current loan number(s), if applicable: Name: Address: Authorization for Electronic Funds Transfer (EFT) Start direct deposit payments to my account Start deduction of payments directly from my account in amounts specified in my loan agreement and/or payment schedule plus arrears interest if necessary. or Effective Date: Loan Board Change information previously submitted YYYY MM DD Phone: Contact Person: Title: Confirmation of Deposit (only available for payments from the Board to you) By providing us with your address you will receive confirmation of deposit to your account. address for confirmation of deposit: OR I do not wish to receive confirmation Bank Account Information For accounts without cheques: Please have your bank Please attach a blank cheque with your bank complete the following: information. Write void across the front. Type of Account: Chequing Savings Type of Account: Chequing Savings Name of Account Holder: or Financial Institution Name: Branch Address: Transit No. Institution No. Account No. These instructions are effective until written notice to the contrary is given to your Loan Officer. This authorization/agreement may be cancelled at any time with notice being provided by any one of the undersigned, either in writing or orally with proper authorization to verify the identity of the person, within two weeks before the next payment date. Teller Stamp: Authorized signature(s) Print Name(s) Date Customer #: 9 office use only Fax, mail or completed form and void cheque to: Nova Scotia Loan Board Accounting 74 Research Drive, Bible Hill, NS B6L 2R2 Phone: Fax: FLBNS@novascotia.ca EFT