Schedule 4 - Loan Consent Form - Maryland State Board Of Elections
ADVERTISEMENT
11
Schedule 4 – Loan Consent Form
Terms of Loan
Amount of Loan _________________________________________________________
2
Schedule for Repayment
__________________________________________________
3
4
Interest Charged
___________
Prime Rate on the Day Loan is Made
____________
Lender Information
Name of Lender ________________________________________________________
Address of Lender ______________________________________________________
Signature of Lender _____________________________________________________
Date
Recipient Information
Name of Campaign Finance Entity ___________________________________________
Entity Number
Name of Treasurer _______________________________________________________
5
Signature of Treasurer
____________________________________________________
Date
Consent of Candidate
I, ______________________________, hereby acknowledge receipt on ____________________
Name of Candidate
Date
of a loan in the amount of $_________ from __________________________________________
Name of Lender
to ____________________________________________________________________________
Name of Campaign Finance Entity
A copy of this consent has been supplied to the lender.
_______________________________________________________________
Signature of Candidate
Date
1
The loan consent form is not required to be filed if the loan is from the candidate or the candidate’s spouse to the
candidate’s own campaign committee and if interest is not being charged on the loan.
2
Loans must be repaid by the end of the next election cycle. If full repayment is not made, the balance due will be
considered a contribution, unless the loan is from a financial institution in the business of making loans.
3
If the interest rate charged is less than the prime rate, the difference constitutes an in-kind contribution which must be
reported on Schedule 1B of the current report.
4
Enter the bank lending prime rate on the day the loan was made. The prime rate can be ascertained by calling your
local bank or contacting the State Board of Elections.
5
A non-candidate committee must provide the signature of the treasurer to acknowledge receipt of the loan. Candidate
committees only need to have the candidate fill out and sign the Consent of Candidate box.
SBE-13-03 (Rev. 4/03)
ADVERTISEMENT
0 votes
Related Articles
Related forms
Form 06w - North Carolina Voter Registration Application - The State Board Of Elections And Ethics Enforcement
Life
Form Bol-cos-cs-5 - Student Registration Form - Idaho State Board Of Cosmetology Bureau Of Occupational Licenses
Legal
Form Occ 1216 - Medication Administration Authorization Form - Maryland State Department Of Education
Legal
Application For Homestead Tax Credit Eligibility Form - Maryland State Department Of Assessments & Taxation
Financial
Related Categories
Parent category: Business