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Appendix A to Part 1041 - Model Forms

This version is not the current regulation.
You are viewing a previous version of this regulation with amendments that went into effect on Aug. 16, 2019.

A-1 Model Form for First § 1041.6 Loan

Model form A-1

A-2 Model Form for Third § 1041.6 Loan

Model form A-2

A-3 Model Form for First Payment Withdrawal Notice Under § 1041.9(b)(2)

Model form A-3

A-4 Model Form for Unusual Withdrawal Notice Under § 1041.9(b)(3)

Model form A-4

A-5 Model Form for Consumer Rights Notice Under § 1041.9(c)

Model form A-5

A-6 Model Clause for First Payment Withdrawal Electronic Short Notice Under § 1041.9(b)(4)

Model form A-6

A-7 Model Clause for Unusual Withdrawal Electronic Short Notice Under § 1041.9(b)(4)(ii)(B)

Model form A-7

A-8 Model Clause for Consumer Rights Electronic Short Notice Under § 1041.9(c)(4)

Model form A-8