Please change my agent of record from my current carrier (Insurance company name Not agency or agent) My policy number is Policyholder Name (Please Print) The following information for the new agent of record: Super Auto Insurance Super Auto agent code Policyholder Signature Date Created by Neevia docuprinter LT trial version http://www.neevia.com
November 11, 2005 Change Agent of Record Process 1. We must represent the same company the client is currently insured with. 2. Have client provide a copy of the ID card from current carrier. 3. Complete attached form with client signature. 4. Enter client information in Agency Advantage with $ receipt. You can bridge from Accu Auto just as if you were doing a new policy. 5. Policy will renew under our producer code. 6. Payments and endorsements can be done immediately on behalf of client. Page 2 Created by Neevia docuprinter LT trial version http://www.neevia.com
(FIRST TIME CUSTOMERS TO CREATE ACCOUNT STATUS) GENERAL CUSTOMER ACCOUNT INFORMATION AND AGREEMENT You, the undersigned Applicant ( you or your ), have inquired about certain of our financial products and services and have expressed interest in establishing a customer/business relationship with Atlanta Check Cashiers, Inc., Super Auto Insurance Agency, Inc., Orlando Financial Services, Inc., Jacksonville Check Cashers, Inc.,, Raleigh Durham Check Cashers, Inc. or other similar owned corporations (collectively, ACC or we or our ). In order for ACC to process your application for our financial products and services, we require the following information from you, which you hereby agree to furnish to ACC in consideration of the products and services to be offered and (if your application is accepted) furnished by ACC to you: Applicant s First Name: Middle Initial: Last Name Address: City: State: Zip Code: Date of Birth: SSN: Auto VIN # Home Telephone: Work Telephone: Auto Insurance Carrier Cell Number: Fax Number: Email: Employer s Name: Supervisor s Name: Telephone: Employer s Work Address: Human Resources/Payroll Supervisor Telephone Number and Fax Number: Based upon your request and inquiry, ACC has agreed to provide information to you about its financial products and services. So that ACC can provide to you with updated information about its products and services as changes occur in the future, you hereby consent to your receipt of periodic marketing information from ACC, whether communicated by means of your residential telephone, cellular telephone, email, facsimile, or a text message. We will share information with other vendors and companies to complete your inquiry or request for service such as Western Union, Banks, Lexus Nexus, and other similarly related vendors when necessary to complete your transaction. You understand that you may revoke your consent (OPT OUT) at any time by providing written notice thereof to ACC at the following address: Compliance Officer, Atlanta Check Cashiers, Inc., P.O. Box 923088, Norcross, GA 30010. You may also OPT OUT from our website at www.gomoneycenter.com under OPT OUT. You hereby agree that your signature on any ACC form or document, whether original or electronic, shall constitute your valid and legally binding signature and that this signed form, if stored on electronic media, will have the same validity and legal effect as the original form. Initial NSF and Electronic Declination Fee Agreement: Initial With respect to your attempted payment for any product or service offered by ACC (except for small loans, as explained below), if your check or other instrument is returned unpaid, we may elect to re-present the returned draft up to two more times. In such event, you hereby agree that we may collect a not sufficient funds processing charge ( NSF fee ) from you in an amount not to exceed $35.00 for each and every time that we resubmit your initial check (or any subsequent check) for acceptance and it is returned unpaid as NSF, to the extent that such fee is permitted by state law. Similarly, should we elect to process your payment by means of electronic funds transfer ( EFT ) or automated clearing house ( ACH ) and your electronic payment is refused, you hereby agree that we may charge your account an electronic declination fee in an amount not to exceed $35.00 for each and every time that we submit your initial payment (or any subsequent payment) for acceptance and it is refused, to the extent that such fee is permitted by state law. To the extent permitted by state law, you hereby agree that ACC may charge you an amount not to exceed $35.00 for each returned small loan payment, excluding, however, any additional fees for resubmissions. Right to Collect and Apply any Balances Owed Agreement: Initial To the extent permitted by law, you hereby authorize ACC to contact persons having dealings with you and to obtain any needed credit reports, in connection with products or services requested by you or our collection of outstanding balances owed by you. In the absence of your prior written instruction, we will apply any payment received from you to any ACC entity with a negative balance then showing on its books. Any payment received from you shall be applied first to unpaid interest, then to unpaid costs and fees, and then to any principal balance owing by you. If authorized by you, we will also pay amounts that you might owe to any company with which ACC has a collection and payment agreement, including Atlanta Check Cashiers, Inc., Super Auto Insurance Agency, Inc., Orlando Financial Services, Inc., Jacksonville Check Cashers, Inc.,, Raleigh Durham Check Cashers, Inc. or other similar owned corporations. Authorization Signature Date (OUR COMPANY PRIVACY POLICY IS AVAILABLE VIA ANY CSR UPON REQUEST OR PLACED IN OUR LOBBY FOR YOUR USE. YOU MAY ALSO VISIT OUR WEBSITE AT WWW.GOMONEYCENTER.COM AND OBTAIN A COPY OF THE PRIVACY POLICY AS DESIRED) THIS IS FOR YOUR FIRST TIME TO REGISTER WITH OUR DATABASE AND YOU WILL NOT BE REQUIRED TO CONTINUE THIS PROCESS FOR ANY FUTURE TRANSACTIONS. OCCASIONALLY, WE MIGHT ASK TO UPDATE YOUR FILE BUT THIS IS NOT ON EACH VISIT. WE APPRECIATE YOUR PATRONAGE TO OUR LOCALLY OWNED AND OPERATED LOCATIONS!!
Schedule A LENDOR/CREDITOR NAME & ADDRESS 2050 Cobb Parkway BORROWER'S NAME & ADDRESS SHERRIE LYNN TORRANCE 1565 CRIDER ROAD SE APT 10B MARIETTA, GA 30060 BORROWER'S SSN/TAID# --9752 COBORROWER: COBORROWER'S SSN/TAID# ACCOUNT NUMBER 39003163 DATE OF LOAN 01/12/2017 COSIGNER: COSIGNER'S SSN/TAID# LIST OF COLLATERAL 2009 NISSAN ALTIMA 1N4AL21E29N428336 STERLING SILVER NECKLANCE STERLING SILVER BRACELET Borrower/Grantor CoBorrower/Grantor Credex SAEF02_CR8 8/2013
2050 Cobb Parkway Phone : 678-322-1030 PAYMENT COUPON Loan Date : Payment Number : 1 Due : Bi-Weekly Payment Amount : 62.46 Loan Number : 01/12/2017 02/03/2017 39003163 Balance Before Payment 499.68 Balance After 437.22 SHERRIE LYNN TORRANCE 1565 CRIDER ROAD SE APT 10B MARIETTA, GA 30060 A late charge of $1 will be added after 02/08/2017. 2050 Cobb Parkway Phone : 678-322-1030 PAYMENT COUPON Loan Date : Payment Number : 2 Due : Bi-Weekly Payment Amount : 62.46 Loan Number : 01/12/2017 02/17/2017 39003163 Balance Before Payment 437.22 Balance After 374.76 SHERRIE LYNN TORRANCE 1565 CRIDER ROAD SE APT 10B MARIETTA, GA 30060 A late charge of $1 will be added after 02/22/2017. 2050 Cobb Parkway Phone : 678-322-1030 PAYMENT COUPON Loan Date : Payment Number : 3 Due : Bi-Weekly Payment Amount : 62.46 Loan Number : 01/12/2017 03/03/2017 39003163 Balance Before Payment 374.76 Balance After 312.30 SHERRIE LYNN TORRANCE 1565 CRIDER ROAD SE APT 10B MARIETTA, GA 30060 A late charge of $1 will be added after 03/08/2017.
2050 Cobb Parkway Phone : 678-322-1030 PAYMENT COUPON Loan Date : Payment Number : 4 Due : Bi-Weekly Payment Amount : 62.46 Loan Number : 01/12/2017 03/17/2017 39003163 Balance Before Payment 312.30 Balance After 249.84 SHERRIE LYNN TORRANCE 1565 CRIDER ROAD SE APT 10B MARIETTA, GA 30060 A late charge of $1 will be added after 03/22/2017. 2050 Cobb Parkway Phone : 678-322-1030 PAYMENT COUPON Loan Date : Payment Number : 5 Due : Bi-Weekly Payment Amount : 62.46 Loan Number : 01/12/2017 03/31/2017 39003163 Balance Before Payment 249.84 Balance After 187.38 SHERRIE LYNN TORRANCE 1565 CRIDER ROAD SE APT 10B MARIETTA, GA 30060 A late charge of $1 will be added after 04/05/2017. 2050 Cobb Parkway Phone : 678-322-1030 PAYMENT COUPON Loan Date : Payment Number : 6 Due : Bi-Weekly Payment Amount : 62.46 Loan Number : 01/12/2017 04/14/2017 39003163 Balance Before Payment 187.38 Balance After 124.92 SHERRIE LYNN TORRANCE 1565 CRIDER ROAD SE APT 10B MARIETTA, GA 30060 A late charge of $1 will be added after 04/19/2017.
2050 Cobb Parkway Phone : 678-322-1030 PAYMENT COUPON Loan Date : Payment Number : 7 Due : Bi-Weekly Payment Amount : 62.46 Loan Number : 01/12/2017 04/28/2017 39003163 Balance Before Payment 124.92 Balance After 62.46 SHERRIE LYNN TORRANCE 1565 CRIDER ROAD SE APT 10B MARIETTA, GA 30060 A late charge of $1 will be added after 05/03/2017. 2050 Cobb Parkway Phone : 678-322-1030 PAYMENT COUPON Loan Date : Payment Number : 8 Due : Bi-Weekly Payment Amount : 62.46 Loan Number : 01/12/2017 05/12/2017 39003163 Balance Before Payment 62.46 Balance After SHERRIE LYNN TORRANCE 1565 CRIDER ROAD SE APT 10B MARIETTA, GA 30060 A late charge of $1 will be added after 05/17/2017.
2050 Cobb Parkway 678 322 1030 SHORT MESSAGE SERVICE (SMS) NOTICE AND OPT IN FORM INTERACTIVE VOICE RESPONSE (IVR) NOTICE AND OPT IN FORM E MAIL NOTICE AND OPT IN FORM For SHERRIE LYNN TORRANCE About Account Number: 3163 offers, as an additional convenience to you, the ability to receive Short Message Service (SMS) messages (also known as text messages), Interactive Voice Response (IVR) phone call messages and E Mail messages. Generally, the messages that we would send will provide you with information about your account, or will provide you with information about Choice Loan of Georgia, Inc. offers or promotions. How to Enroll To sign up to receive SMS messages, VOICE messages & EMAIL messages from please check the box below: By checking the box above, I understand that I am choosing to receive SMS messages, VOICE messages and EMAIL messages from. I understand that any such SMS, VOICE & EMAIL messages will be subject to whatever rates and charges associated with those messages as assessed by my wireless provider; and, I agree that any such rates and charges are my responsibility and not the responsibility of. My signature shall include an electronic, digital or handwritten form of signature, to the extent that such form of signature is recognized as a valid signature under applicable federal law or state contract law. I understand that I am not required to sign this agreement (directly or indirectly), or to agree to enter into such an agreement as a condition of any loan or the purchase of any property, goods, or services. Message and Data Rates May Apply. Cell Numbers: E Mail Addresses: Printed Name: Signed: Date: In the event that you subsequently decide that you no longer wish to receive notices via SMS, VOICE and/or EMAIL simply reply STOP from your cell phone, UNSUBSCRIBE via EMAIL or provide us with notice in writing at the following address: 2050 Cobb Parkway In the event your cell phone numbers change, you are required to notify immediately of your new cell phone numbers by calling one of our locations, in person at one of the locations OR in writing at the above address. You are liable for any violation of federal law in the event your cell phone numbers change and you fail to notify of those changes. You are giving permission to contact you on any future cell phone numbers in the event you change your cell phone numbers and any future email addresses in the event you change your email addresses. CredexTTMSG_OPT-IN_CR8.rpt 9/15 ORIGINAL
2050 Cobb Parkway 678 322 1030 SHORT MESSAGE SERVICE (SMS) NOTICE AND OPT IN FORM INTERACTIVE VOICE RESPONSE (IVR) NOTICE AND OPT IN FORM E MAIL NOTICE AND OPT IN FORM For SHERRIE LYNN TORRANCE About Account Number: 3163 offers, as an additional convenience to you, the ability to receive Short Message Service (SMS) messages (also known as text messages), Interactive Voice Response (IVR) phone call messages and E Mail messages. Generally, the messages that we would send will provide you with information about your account, or will provide you with information about Choice Loan of Georgia, Inc. offers or promotions. How to Enroll To sign up to receive SMS messages, VOICE messages & EMAIL messages from please check the box below: By checking the box above, I understand that I am choosing to receive SMS messages, VOICE messages and EMAIL messages from. I understand that any such SMS, VOICE & EMAIL messages will be subject to whatever rates and charges associated with those messages as assessed by my wireless provider; and, I agree that any such rates and charges are my responsibility and not the responsibility of. My signature shall include an electronic, digital or handwritten form of signature, to the extent that such form of signature is recognized as a valid signature under applicable federal law or state contract law. I understand that I am not required to sign this agreement (directly or indirectly), or to agree to enter into such an agreement as a condition of any loan or the purchase of any property, goods, or services. Message and Data Rates May Apply. Cell Numbers: E Mail Addresses: Printed Name: Signed: Date: In the event that you subsequently decide that you no longer wish to receive notices via SMS, VOICE and/or EMAIL simply reply STOP from your cell phone, UNSUBSCRIBE via EMAIL or provide us with notice in writing at the following address: 2050 Cobb Parkway In the event your cell phone numbers change, you are required to notify immediately of your new cell phone numbers by calling one of our locations, in person at one of the locations OR in writing at the above address. You are liable for any violation of federal law in the event your cell phone numbers change and you fail to notify of those changes. You are giving permission to contact you on any future cell phone numbers in the event you change your cell phone numbers and any future email addresses in the event you change your email addresses. CredexTTMSG_OPT-IN_CR8.rpt 9/15 BORROWER'S COPY
FACTS WHY? WHAT? HOW? WHAT DOES CHOICE LOANS OF GEORGIA, INC. DO WITH YOUR PERSONAL INFORMATION? DO WITH YOUR PERSONAL INFORMATION? Financial companies choose how they share your personal information. Federal law gives consumers the right to limit some but not all sharing. Federal law also requires us to tell you how we collect, share, and protect your personal information. Please read this notice carefully to understand what we do. The types of personal information we collect and share depend on the product or service you have with us. This information can include: Social security number Income and Credit History Account balance and Payment History Transaction History and transaction or loss history Rev. 10/2011 All financial companies need to share customer s personal information to run their everyday business. In the section below, we list the reasons financial companies can share their customer s personal information; the reasons Choice Loans of Georgia, Inc. chooses to share; and whether you can limit this sharing. Reasons we can share your personal information Does Choice Loans of Georgia, Inc. share? Can you limit this sharing? For our everyday business purposes - Such as to process your transactions, maintain your account(s), respond to court orders and legal investigations, or report to credit bureaus NO WE DON'T SHARE For our marketing purposes To offer our products and services to you NO WE DON'T SHARE For joint marketing with other financial companies For our affiliates everyday business purposesinformation about your transactions and experiences For our affiliates everyday business purposes- Information about your creditworthiness For our affiliates to market to you For nonaffiliates to market to you NO NO NO NO NO WE DON'T SHARE WE DON'T SHARE WE DON'T SHARE WE DON'T SHARE WE DON'T SHARE To limit our sharing 678-407-4004 Please note: If you are a new customer, we can begin sharing your information 30 days from the date we sent this notice. When you are no longer our customer, we continue to share your information as described in this notice. However, you can contact us at any time to limit our sharing. Questions? 678-407-4004 Borrower Signature Date Co-Borrower Signature Date CredexPrivacyNotice_CR8.rpt 12/16
Page 2 Who we are Who is providing this notice? This privacy policy is being provided by Choice Loans of Georgia, Inc. and applies to Choice Loans of Georgia, Inc. and all its affiliates. What we do How does Choice Loans of Georgia, Inc. protect my personal information? How does Choice Loans of Georgia, Inc. collect my personal information? To protect your personal information from unauthorized access and use, we use security measures that comply with federal law. These measures include computer safeguards and secured files and buildings. We collect your personal information, for example, when you Open An Account Pay Your Bills Apply For A Loan Use Your Credit Card Why can t I limit all sharing? I limit all sharing? Federal law gives you the right to limit only sharing for affiliates everyday business purposes information about your creditworthiness affiliates from using your information to market you sharing for nonaffiliates to market you State laws and individual companies may give you additional rights to limit sharing. What happens when I limit sharing for an account I hold jointly with someone else? I le? The account is limited for all account holders Definitions Affiliates Affiliates Companies related by common ownership or control. They can be financial and non financial companies: Our affiliates include financial companies with the following name: Choice Loans of Geogia, Inc. Nonaffiliates Companies not related by common ownership or control. They can be financial and nonfinancial companies. Choice Loans does not share with nonaffiliates so they can market to you. Joint Marketing A formal agreement between nonaffiliated financial companies that together market financial products or services to you. Choice Loans does not jointly market. Other Important Information
01/12/2017 39003163 SHERRIE LYNN TORRANCE 1565 CRIDER ROAD SE 2050 Cobb Parkway MARIETTA, GA 30060 101.49 86.68 413.00 499.68 62.46 05/12/2017 8 7 02/03/2017 BIWEEKLY BIWEEKLY PAYMENTS FROM DATE. 62.46 1 03 1.37 24.88 25.00 28.00 LATE CHARGE: YOU WILL BE CHARGED $1 OR 0.05% FOR EACH $1.00 OF ANY INSTALLMENT, WHICHEVER IS GREATER, IF NOT PAID WITHIN 5 DAYS FROM ITS DUE DATE. PREPAYMENT: IF YOU PAY OFF EARLY, YOU MAY BE ENTITLED TO A REFUND OF PART OF THE FINANCE CHARGE. YOU WILL NOT HAVE TO PAY A PENALTY. SEE YOUR CONTRACT DOCUMENT FOR ANY ADDITIONAL INFORMATION ABOUT NONPAYMENT, DEFAULT, ANY REQUIRED REPAYMENT IN FULL BEFORE THE SCHEDULED DATE, PREPAYMENT REFUNDS AND PENALTIES. 30 Car Club/Misc 6 36 FOR VALUE RECEIVED, Borrower(s) jointly and severally promise to pay to Lender, at its offices, the total of payments as disclosed, in installments of the amounts and upon the dates shown above, plus a late or delinquent charge of $1 or 0.05% for each $1.00 of any installment, whichever is greater, if not paid within 5 days from its due date. (This late or delinquent charge shall not be collected more than once for the same default). Failure to pay any installment when due, time being of the essence of this contract, or a default under any provision of the Security Agreement shall, at the option of the Holder, without notice or demand, render immediately due and payable all unpaid installments, provided that in such case charges will be reduced in proportion to the reduction in the loan term. All refunds in the event of prepayment without default shall be by the sum of the digits method. In either event, to the extent that the sum of the earned charges yields a rate of interest greater than 5% per month, borrower shall receive an additional rebate of such excess. No interest refunds of less than $1.00 shall be made upon prepayment. Any balance remaining unpaid after maturity shall bear interest at the rate of 16% per annum. If this note is collected by or through an attorney-at-law, attorney's fees of 15% of the unpaid balance, less unearned charges, shall be assessed. The terms "Lender" and "Holder" include the Lender's successors and assigns. Notwithstanding any language used in this note, when this note is made pursuant to the Georgia Industrial Loan Act, the note shall not be construed to contract for or claim any charge or interest in an amount greater than allowed by that Act. 487.68 487.68 487.68 60.96 487.68 25.00 28.00 1.37 24.88 16.21 32.22 32.22 12.00 413.00 86.68 499.68 See all pages for important information. By this reference, the additional terms and conditions set out on the additional pages are incorporated herein. PAGE 1 OF 3 Georgia GILA NTGAEFGI03(CR8) ORIGINAL
STERLING SILVER NECKLANCE STERLING SILVER BRACELET 2009 NISSAN ALTIMA SILVER 1N4AL21E29N428336 ARBITRATION. Borrower(s) acknowledge(s) that this loan contract includes an agreement between the parties to submit all disputes arising out of or in any way related to this agreement or any prior or future agreement between them to arbitration. The arbitration agreement is set forth on the third page of this agreement. I (we) acknowledge that we have read and understand this notice and the arbitration agreement before signing, as shown by my initials hereon. See all pages for important information. By this reference, the additional terms and conditions set out on the additional pages are incorporated herein. PAGE 2 OF 3 Georgia GILA NTGAEFGI03(CR8) ORIGINAL
NTGAEFGI03(CR8) ORIGINAL PAGE 3 OF 3 Georgia GILA
01/12/2017 39003163 SHERRIE LYNN TORRANCE 1565 CRIDER ROAD SE 2050 Cobb Parkway MARIETTA, GA 30060 101.49 86.68 413.00 499.68 62.46 05/12/2017 8 7 02/03/2017 BIWEEKLY BIWEEKLY PAYMENTS FROM DATE. 62.46 1 03 1.37 24.88 25.00 28.00 LATE CHARGE: YOU WILL BE CHARGED $1 OR 0.05% FOR EACH $1.00 OF ANY INSTALLMENT, WHICHEVER IS GREATER, IF NOT PAID WITHIN 5 DAYS FROM ITS DUE DATE. PREPAYMENT: IF YOU PAY OFF EARLY, YOU MAY BE ENTITLED TO A REFUND OF PART OF THE FINANCE CHARGE. YOU WILL NOT HAVE TO PAY A PENALTY. SEE YOUR CONTRACT DOCUMENT FOR ANY ADDITIONAL INFORMATION ABOUT NONPAYMENT, DEFAULT, ANY REQUIRED REPAYMENT IN FULL BEFORE THE SCHEDULED DATE, PREPAYMENT REFUNDS AND PENALTIES. 30 Car Club/Misc 6 36 FOR VALUE RECEIVED, Borrower(s) jointly and severally promise to pay to Lender, at its offices, the total of payments as disclosed, in installments of the amounts and upon the dates shown above, plus a late or delinquent charge of $1 or 0.05% for each $1.00 of any installment, whichever is greater, if not paid within 5 days from its due date. (This late or delinquent charge shall not be collected more than once for the same default). Failure to pay any installment when due, time being of the essence of this contract, or a default under any provision of the Security Agreement shall, at the option of the Holder, without notice or demand, render immediately due and payable all unpaid installments, provided that in such case charges will be reduced in proportion to the reduction in the loan term. All refunds in the event of prepayment without default shall be by the sum of the digits method. In either event, to the extent that the sum of the earned charges yields a rate of interest greater than 5% per month, borrower shall receive an additional rebate of such excess. No interest refunds of less than $1.00 shall be made upon prepayment. Any balance remaining unpaid after maturity shall bear interest at the rate of 16% per annum. If this note is collected by or through an attorney-at-law, attorney's fees of 15% of the unpaid balance, less unearned charges, shall be assessed. The terms "Lender" and "Holder" include the Lender's successors and assigns. Notwithstanding any language used in this note, when this note is made pursuant to the Georgia Industrial Loan Act, the note shall not be construed to contract for or claim any charge or interest in an amount greater than allowed by that Act. 487.68 487.68 487.68 60.96 487.68 25.00 28.00 1.37 24.88 16.21 32.22 32.22 12.00 413.00 86.68 499.68 See all pages for important information. By this reference, the additional terms and conditions set out on the additional pages are incorporated herein. PAGE 1 OF 3 Georgia GILA NTGAEFGI03(CR8) BORROWER'S COPY
STERLING SILVER NECKLANCE STERLING SILVER BRACELET 2009 NISSAN ALTIMA SILVER 1N4AL21E29N428336 ARBITRATION. Borrower(s) acknowledge(s) that this loan contract includes an agreement between the parties to submit all disputes arising out of or in any way related to this agreement or any prior or future agreement between them to arbitration. The arbitration agreement is set forth on the third page of this agreement. I (we) acknowledge that we have read and understand this notice and the arbitration agreement before signing, as shown by my initials hereon. See all pages for important information. By this reference, the additional terms and conditions set out on the additional pages are incorporated herein. PAGE 2 OF 3 Georgia GILA NTGAEFGI03(CR8) BORROWER'S COPY
NTGAEFGI03(CR8) BORROWER'S COPY PAGE 3 OF 3 Georgia GILA
01/12/2017 39003163 SHERRIE LYNN TORRANCE 1565 CRIDER ROAD SE 2050 Cobb Parkway MARIETTA, GA 30060 101.49 86.68 413.00 499.68 62.46 05/12/2017 8 7 02/03/2017 BIWEEKLY BIWEEKLY PAYMENTS FROM DATE. 62.46 1 03 1.37 24.88 25.00 28.00 LATE CHARGE: YOU WILL BE CHARGED $1 OR 0.05% FOR EACH $1.00 OF ANY INSTALLMENT, WHICHEVER IS GREATER, IF NOT PAID WITHIN 5 DAYS FROM ITS DUE DATE. PREPAYMENT: IF YOU PAY OFF EARLY, YOU MAY BE ENTITLED TO A REFUND OF PART OF THE FINANCE CHARGE. YOU WILL NOT HAVE TO PAY A PENALTY. SEE YOUR CONTRACT DOCUMENT FOR ANY ADDITIONAL INFORMATION ABOUT NONPAYMENT, DEFAULT, ANY REQUIRED REPAYMENT IN FULL BEFORE THE SCHEDULED DATE, PREPAYMENT REFUNDS AND PENALTIES. 30 Car Club/Misc 6 36 FOR VALUE RECEIVED, Borrower(s) jointly and severally promise to pay to Lender, at its offices, the total of payments as disclosed, in installments of the amounts and upon the dates shown above, plus a late or delinquent charge of $1 or 0.05% for each $1.00 of any installment, whichever is greater, if not paid within 5 days from its due date. (This late or delinquent charge shall not be collected more than once for the same default). Failure to pay any installment when due, time being of the essence of this contract, or a default under any provision of the Security Agreement shall, at the option of the Holder, without notice or demand, render immediately due and payable all unpaid installments, provided that in such case charges will be reduced in proportion to the reduction in the loan term. All refunds in the event of prepayment without default shall be by the sum of the digits method. In either event, to the extent that the sum of the earned charges yields a rate of interest greater than 5% per month, borrower shall receive an additional rebate of such excess. No interest refunds of less than $1.00 shall be made upon prepayment. Any balance remaining unpaid after maturity shall bear interest at the rate of 16% per annum. If this note is collected by or through an attorney-at-law, attorney's fees of 15% of the unpaid balance, less unearned charges, shall be assessed. The terms "Lender" and "Holder" include the Lender's successors and assigns. Notwithstanding any language used in this note, when this note is made pursuant to the Georgia Industrial Loan Act, the note shall not be construed to contract for or claim any charge or interest in an amount greater than allowed by that Act. 487.68 487.68 487.68 60.96 487.68 25.00 28.00 1.37 24.88 16.21 32.22 32.22 12.00 413.00 86.68 499.68 See all pages for important information. By this reference, the additional terms and conditions set out on the additional pages are incorporated herein. PAGE 1 OF 3 Georgia GILA NTGAEFGI03(CR8) LENDER'S COPY
STERLING SILVER NECKLANCE STERLING SILVER BRACELET 2009 NISSAN ALTIMA SILVER 1N4AL21E29N428336 ARBITRATION. Borrower(s) acknowledge(s) that this loan contract includes an agreement between the parties to submit all disputes arising out of or in any way related to this agreement or any prior or future agreement between them to arbitration. The arbitration agreement is set forth on the third page of this agreement. I (we) acknowledge that we have read and understand this notice and the arbitration agreement before signing, as shown by my initials hereon. See all pages for important information. By this reference, the additional terms and conditions set out on the additional pages are incorporated herein. PAGE 2 OF 3 Georgia GILA NTGAEFGI03(CR8) LENDER'S COPY
NTGAEFGI03(CR8) LENDER'S COPY PAGE 3 OF 3 Georgia GILA
800 Yamato Road, Suite 100 Boca Raton, Florida 33431 (800) 338-2680 01/12/2017 07/12/2017 SHERRIE LYNN TORRANCE Choice Loan of Georgia, Incorporated 12 January 2017 $ 6 CCGAEFNM01_CR8.rpt 3/13
CCGAEFNM01_CR8.rpt 3/13
39003163 SHERRIE LYNN TORRANCE 49 2050 Cobb Parkway Life = 4 487.68 121.92 01 12 17 A&H = 4 1.37 24.88 26.25 487.68 25.00 25.00 2009 NISSAN ALTIMA MARIETTA 1N4AL21E29N428336 TORRANCE WRIGHT (404)-828-0227 499.68 8 AGENT'S COPY Credex Systems Form: CLGAEFLOTS1_CR8.rpt (7-2014)
39003163 SHERRIE LYNN TORRANCE 49 2050 Cobb Parkway 487.68 121.92 01 12 17 Life = A&H = 4 4 1.37 24.88 26.25 TORRANCE WRIGHT (404)-828-0227 Credex Systems Form: CLGAEFLOTS2_CR8.rpt (7-2014)
Credex Systems Form: CLGAEFLOTS2_CR8.rpt (7-2014)
39003163 SHERRIE LYNN TORRANCE 2050 Cobb Parkway 01 12 17 8 487.68 25.00 25.00 2009 NISSAN ALTIMA 1N4AL21E29N428336 MARIETTA TORRANCE WRIGHT (404)-828-0227 499.68 8 Credex Systems Form: CLGAEFLOTS3_CR8.rpt (7-2014)
Credex Systems Form: CLGAEFLOTS3_CR8.rpt (7-2014)
Credex Systems Form: CLGAEFLOTS3_CR8.rpt (7-2014)
39003163 INSURED COPY Credex Systems Form: PNGAEFLS01_CR8.rpt Rev(1-2010)
(NATIONS SAFE DRIVERS) ELECTION FORM YOU HAVE ALREADY BEEN APPROVED FOR THIS LOAN WHETHER OR NOT YOU CHOOSE TO PURCHASE(NATIONS SAFE DRIVERS) NATIONS SAFE DRIVERS YOU DO NOT HAVE TO PURCHASE (NATIONS SAFE DRIVERS) TO OBTAIN THIS LOAN. NATIONS SAFE DRIVERS If you decide to buy (NATIONS SAFE DRIVERS), you will pay the amount listed below. Lender will add the premium or cost to your NATIONS credit transaction SAFE DRIVERS amount. You acknowledge that Lender has a financial interest in the sale of (NATIONS SAFE DRIVERS) by virture of commission income or other income which it may receive. The Lender may retain a portion of the amount that you pay. You also acknowledge that you have received a copy of this Election Form. IF YOU DO NOT WANT TO BUY THIS PRODUCT, DO NOT PLACE YOUR SIGNATURE ON THE LINE BELOW. YOU HAVE CHOSEN TO PURCHASE THE FOLLOWING PRODUCT: Type Cost to You Signature NATIONS SAFE DRIVERS I want to purchase (NATIONS SAFE DRIVERS) and I understand that I am not required to purchase (NATIONS SAFE DRIVERS) to obtain this loan. $ 6 Borrower Co-Borrower Loan Closer for Lender Date: 01/12/2017 Credex Systems CIGAEF15_CR8
1.37 24.88 25.00 51.25 01/12/2017 CIGAEF01_CR8.rpt (3/14)