Loan SA - Debt Consolidation Application Form

DEBT CONSOLIDATION APPLICATION FORM

Application takes 5 minutes to complete

You get an instant decision

This is not debt review or debt restructure. All your accounts will be settled and you will have 1 installment to pay only

Process takes 48 hours to finalize all outstanding debt

You can apply if you are blacklisted or not

Fast, secure and confidential

Once approved, you will pay 1 installment

First Name:

Last Name:

ID Number:

Cellphone Number:

Email Address:

Amount:

Salary Frequency:

Employment Status:

Nett Salary:

Salary Date:

Bank Name:

Account Number:

Account Type:

Branch Code:

Marketing Consent?

Consent to marketing from Loan SA?

Agreement

Yes, I the applicant/client hereby irrevocably agree to and accept the Terms and Conditions and the Terms of Use and the Legal Disclaimer as well as the Privacy Policy (known collectively as the policies) of Loan SA which I have read and understood. If you do not agree to the Policies do not submit this application. The following reference will appear on your bank statement: CCSCRE. This website is operated by Computech Credit Services.

The cost of R390 once off and R121 monthly charge is accepted by me by ticking this box and signing in the box below. I accept the above charges will be debited from my bank account for the purchase of our 4 in 1 package.

Signature

To complete your application, please sign below and click on "Save Signature" BEFORE you click on "Submit Application".

The following information refers to the loan referral service of Loan SA, which is a complimentary benefit to your service package that you have purchased.

ANNUAL PERCENTAGE RATES

(unsecured credit transactions) Initiation fees: R150 per agreement plus 10% of the amount of the agreement in excess of R1000 but never to exceed R1000 Interest rates :RR X 2.2 + 20% per year.Maximum APR = (RR x 1.7) + 15% per year

Minimum period offered by registered credit providers: 6 (Six) Months

Maximum Period offered by registered credit providers : 60 (Sixty) Months

Maximum Annual Percentage Rate (APR): 27% (Repo Rate + 21%)

IMPLICATIONS OF NON PAYMENT

It is important however that you repay the loan on the agreed date. On the repayment date the lender will try to collect the full amount from your bank account. If this is unsuccessful due to you not having sufficient funds in your account, the lender will make subsequent attempts to collect all or part of the money. If you are likely to experience any issues with repayment it is important to contact the lender as soon as possible.If no resolution has been found the next step is to pass your account to a debt collection agency where additional fees may be encountered.

RENEWAL POLICY

Lenders permits a second loan only after three successful payments.

ILLUSTRATIVE EXAMPLE ON A 36 MONTH LOAN

Loan amount: R50 000

Term: 36 month

Services Fee: R1000

APR (10.71%): R8681

Total Instalment: R1630

Total Amount Payable: R59 716