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PERSONAL INFORMATON
Name
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First
Last
Middle Initial
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Date of Birth
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MM
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DD
YYYY
Date of Loan Application
*
/
MM
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DD
YYYY
Work Phone #
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-
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Home Phone #
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-
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Cell Phone #
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-
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-
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Residential Address
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Email Address
*
TRN#
*
Identification
*
Driver's License
Passport
National ID
Identification Number
*
Employer's Name
Employer's Address
Self Employed
Yes
No
TYPE OF SERVICE NEEDED
Type of Service Required
*
Loan
Consultaion
Purpose of Loan
*
Personal Expenses
Consultation
Business Venture Loan
Medical Expenses
Loan Amount Requested
*
$
.
Dollars
Cents
BANKING INFORMATION
Bank Account Number
*
Bank Name for Salary Deduction
*
BNS
NCB
Sagicor
JN Bank
Bank Account Type
*
Savings
Chequing
GUARANTOR INFORMATION
Name
*
First
Last
Address
*
Cell Number
*
-
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-
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Work Number
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-
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Name of Employer
*
First
Last
Address
Name of Bank
*
Bank Account Number
*
TERMS OF AGREEMENT
Checkboxes
*
I agree to pay a loan Processing Fee of $500.00. This fee was determined based on the borrower’s risk assessment and cost incurred for screening and loan issuance.
I agree to pay a Late Fee for any installment not paid two (2) days (including weekends) after its due date. I shall be subject to a late fee not exceeding $ 2,500.00 for any such late installment for each proceeding month
I agree to pay a Penalty Fee on Loans which have not been paid for over two weeks and not exceeding two (2) months. This shall attract a Penalty Fee of 25% on the principal.
A Same Day Reimbursement Fee is charged on Loans that are needed immediately after final repayment of loan can be considered for a same day loan. This shall attract a fee of $2, 000 and should be paid upfront and/or can be deducted from the new loan amount. All prior loans that are outstanding loans must be paid in full before being considered for a new loan.
Borrowers whose accounts are delinquent for two (2) months and over; will be advised in writing that their Accounts will be transferred for recovery by the Jamaica Debt & Recovery Collections.
Default:If for any reason the borrower fails to make payment on time, the borrower shall be in default. The lender can then demand immediate payment of the entire remaining unpaid balance of this loan, without giving anyone further notice. The borrower will be in default: (a) If the borrower does not make any payment before or on the date it is due (b) If the borrower fails to keep any promise made in this loan agreement or defaults in any other agreement with the lender (c) If anyone who signs the security agreement securing this loan breaks any promise made in the loan agreement (d) If the borrower has made any untrue statement or misrepresentation in the loan application or any other documents given or made for this loan (e) Upon death of the borrower
I agree to pay the lender if the lender takes action to collect this loan; the borrower agrees to pay the lender’s cost and expense to collect the outstanding balance due by The Jamaica Collection & Recovery Services Ltd. The cost of this expense charged by the collections agency will be 30% of the balance due.
I agree that this agreement is made between me (hereafter referred to as the borrower) and TERI MANAGEMENT SOLUTION SERVICES LTD (herein described as the lender). By signing this agreement, I acknowledge that I have read and accepted the terms of this agreement in its entirety and bound by the conditions for the duration of the agreement. In witness thereof, this agreement has been duly executed by the parties hereto and constitutes a legal understanding of the terms outlined.
This is an acknowledgement and an indication that I will comply with the terms and conditions stated thereto with TERI MANAGEMENT SOLUTION SERVICES LTD.
(Signature of Borrower)
*
Clear
Date
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MM
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DD
YYYY