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MLA - Request for Borrower's Information w/Social
Item #11-5565

Larger image for MLA - Request for Borrower's Information w/Social

Military Lending Act
With Social Security Number Request
(prior version was green)

Are you checking all your consumers against the DoD's database (safe harbor)?
This form
is designed to help you collect the needed information as well as document the borrower's Military Status, requiring the borrower to sign to their statements, for times when the DoD's database is unavailable or when the borrower does not have or won’t provide their social security number.

** This Request for Borrower's Information form does not in itself afford you any specific legal protection and DOES NOT constitute compliance with the Military Lending Act's Safe Harbor provisions.

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Quantity Price
10 Pads $67.00
20 Pads $90.00
30 Pads $113.00
40 Pads $136.00
50 Pads $159.00
60 Pads $182.00
70 Pads $205.00
80 Pads $228.00
90 Pads $251.00
100 Pads $274.00