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24 1995

CONSUMER CREDIT ACT, 1995

SEVENTH SCHEDULE

Consent to Collect Repayments Between the Hours of 8.00 a.m. and 10.00 a.m.

Section 110 .

I [    OF    ]1 HEREBY CONSENT TO [    ]2 OR AGENT COLLECTING REPAYMENTS BETWEEN THE HOURS OF 8.00 A.M. AND 10.00 A.M.

Signed:__________________________

Date:__________________________

I UNDERSTAND THAT I MAY CANCEL THIS CONSENT AT ANY TIME BY NOTIFYING THE LENDER EITHER BY USING THE CANCELLATION FORM BELOW OR BY WRITING TO THE LENDER OR HIS AGENT

Cancellation of Consent to Collect Repayments Between the Hours of 8.00 a.m. and 10.00 a.m.

TO [     ]2

I [   ]1 HEREBY WITHDRAW THE CONSENT I HAVE GIVEN FOR REPAYMENTS TO BE COLLECTED BETWEEN THE HOURS OF 8.00 A.M. AND 10.00 A.M.

Signed:__________________________

Date:__________________________

1 Insert name and address of borrower.

2 Insert name of moneylender.