Aboriginal Affairs and Northern Development Canada
www.aandc-aadnc.gc.ca
Common menu bar links
Institutional links
Guarantee Loans Terms and Conditions Report Ministerial Loan Guarantee
PDF Version - Fill & Print (98 Kb, 1 Page)
Help on accessing documents in PDF format can be obtained on the help page.
PROTECTED A
For DIAND Use Only
Region
File No.
CIDM No.
Privacy Act Statement
The information requested on this document is collected under the authority of the Department of Indian Affairs and Northern Development Act in order to facilitate the operation of a housing loan guarantee program. This information will be stored in Personal Information Bank No. INA PPU-011. Personal information that you provide is protected under the provisions of the Privacy Act.
Status Report Ο Initial Terms and Conditions (New)Ο Renewal
Ο Refinance
Ο Transfer
Ο Assign
Ο Paid in Full Terms and Conditions Any increase in the total amortization of the existing Loan or of the outstanding principal amount will require an Application for a new Ministerial Loan Guarantee. The Borrower must be prepared to cover any costs (penalty for early pay-out, administration fees, etc.) arising from the Borrower's decision to transfer the Loan during the term.
Borrower Name(s)
Lender Loan No.
Guarantee Certificate No.
Principal Amount
$
$
Date of First Installment (YYYYMMDD)
Term Start Date (YYYYMMDD)
Term End Date (YYYYMMDD)
Interest Adjustment Date (YYYYMMDD)
Installment Amount
$
$
Installment Frequency
Ο Monthly
Ο Semi-Monthly
Ο Bi-Weekly
Ο Weekly
Ο Accelerated Weekly
Ο Accelerated Bi-Weekly
Ο Yearly
Ο Monthly
Ο Semi-Monthly
Ο Bi-Weekly
Ο Weekly
Ο Accelerated Weekly
Ο Accelerated Bi-Weekly
Ο Yearly
Amortization Period (YY / MM)
Interest Type (If Fixed)
Interest Rate __________%
Interest Rate __________%
Interest Type (If Variable)
Ο At Prime
Ο Below Prime - ________%
Ο Above Prime + _______%
Ο At Prime
Ο Below Prime - ________%
Ο Above Prime + _______%
Lender Name
Previous Lender Name (if Loan is refinanced, transferred of assigned)
Address
Address
Municipality _________________________
Province / Territory __________________
Postal Code __________________
Municipality _________________________
Province / Territory __________________
Postal Code __________________
Contact Person
Contact Person
Telephone No. _____________________
Email Address ______________________
Telephone No. _____________________
Email Address ______________________
Lender's Authorizing Signator Name
Title
Signature
X
X
Date (YYYYMMDD)
Please Return to
► Aboriginal Affairs and Northern Development Canada
Attention: Regional Officer responsible for Ministerial Loan Guarantees
Attention: Regional Officer responsible for Ministerial Loan Guarantees
Regional Address
►
DCI No: 2948768(2012-2013)
