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MLA - Request for Borrower's Information w/o Social
Item #11-5570
Military Lending Act
REQUEST FOR BORROWER'S INFORMATION
Without Social Security Number Request
#11-5570**
Are you only asking Active Duty status and NOT requesting Social Security Numbers from non-military Borrowers and you are NOT checking your borrowers against the DoD's database (non-safe harbor)?
This form has been designed to document the borrower's Military Status and require the borrower to sign to their statements.
** 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.
This form has been designed to document the borrower's Military Status and require the borrower to sign to their statements.
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| Quantity | Price | |
|---|---|---|
| 10 | Pads | $80.00 |
| 20 | Pads | $105.00 |
| 30 | Pads | $130.00 |
| 40 | Pads | $155.00 |
| 50 | Pads | $180.00 |
| 60 | Pads | $205.00 |
| 70 | Pads | $230.00 |
| 80 | Pads | $255.00 |
| 90 | Pads | $280.00 |
| 100 | Pads | $305.00 |
