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Canadian Agricultural Loans Act - Loan Registration and Fee Submission (Schedule 1)

You can use either the Web version or the PDF (598 KB). Please complete, print and send the form by mail or fax.

Please mail to:
Canadian Agricultural Loans Act (CALA)
Financial Guarantee Programs Division
Agriculture and Agri-Food Canada (AAFC)
1341 Baseline Road, Tower 7, 7th Floor
Ottawa, Ontario K1A 0C5
Fax: 613-773-2020

Protected "B" once completed

The information you provide on this document is collected under the authority of the Canadian Agricultural Loans Act for the purpose of obtaining a loan. Personal information will be stored in Personal Information Bank AAFC PPU 165, and will be protected under the provisions of the Privacy Act. The Collection Registration Number is AGR/POL-465-02960.

1. Lender Information (print)

Name of lender

Transit number

Telephone number

Extension

Fax number

Street name, RR or PO box

Municipality (City, Town, etc.)

Province

* Postal code

2. Borrower Information (print)

Name to appear on registration

Street name, RR or PO box

Telephone number

Extension

Municipality (City, Town, etc.)

Province

* Postal code

Loan Details

3. Type of farmer:

Existing Beginning / Start Up (less than 6 years in farming)

4. Type of farm operation:

5. Date of disbursement (YYYY-MM-DD)

6. Term (in months)

7. Interest rate (%)

8. Interest type

Fixed

Variable

9. Repayment frequency

Monthly
6 months
Yearly
Other

10. Loan Purpose

See below for purpose codes.

Purpose code

Amount (1)
$

Purpose code

Amount (2)
$

Purpose code

Amount (3)
$

A. Sub-total (A)
$ (Sum of 3 above amounts)

11. Fees Details

The Registration Fee (B) of 0.85% indicated below must accompany this registration request.

B. Registration Fee (Sub-total A × 0.85%) (B)
$ Sub-Total (A) × 0.85% (Simple Calculation)

C. Bank Fee (C)
$

D. Registration Fee (B) and/or Bank Fee (C) (if included in the loan) (B) + (C)
$

12. Total Amount of Loan (A + D) $

Cheque payable to the "Receiver General for Canada".

13. Lender Acknowledgement

I hereby certify that I have scrutinized and checked the foregoing application and the statements contained therein with the care required of me by the Lender in the conduct of its ordinary business and that to the best of my knowledge the conditions and purposes of the loan made pursuant to the application are such as to qualify it for a guarantee under the Canadian Agricultural Loans Act and the Regulations made thereunder.

In name of Lender (print)

Signature on behalf of Lender: (by hand only)

Date (yyyy-mm-dd)

14. Borrower Acknowledgement

I hereby apply for a loan under the Canadian Agricultural Loans Act and declare that I am the proprietor of the enterprise described above in respect of which the loan is to be granted and that to the best of my knowledge the information contained in the application is complete and correct.

I authorize you to furnish any person appointed by or on behalf of the Government of Canada in connection with the administration of the Canadian Agricultural Loans Act with all information in respect of the loan hereby applied for or in connection with any of my dealings with you.

I authorize you or the Government of Canada to make credit inquiries at any time in connection with the financing hereby applied for.

Name of Borrower (print)

Signature of Borrower:

Date (yyyy/mm/dd)

Loan Registration Number (AAFC):

Codes (for Loan Details)
	Type of Enterprise
Loan Purpose	Beef	Hog	Dairy	Grains and Oilseeds	Poultry	Pulse Crops	Fruits	Vegetables	Exotic Birds	Exotic Ruminants	Other
Implements (Combine, hay baler, tractor, truck, bee-keeping equipment, others)	110	111	112	113	114	115	116	117	118	119	1110
Livestock (Livestock, bee-stock)	120	121	122	123	124	125	126	127	128	129	1210
Equipment (Purchase or installation fixed equipment, electrical system)	130	131	132	133	134	135	136	137	138	139	1310
Building (Construction, renovations, alterations, repairs, extension)	140	141	142	143	144	145	146	147	148	149	1410
Land	160	161	162	163	164	165	166	167	168	169	1610
Improvement or Development (Irrigation, drainage, fencing, clearing/breaking)	170	171	172	173	174	175	176	177	178	179	1710
Major Repair / Overhaul (Implements equipment, bee-keeping equipment, electrical systems)	180	181	182	183	184	185	186	187	188	189	1810
Other (specify) (for example insurance)	190	191	192	193	194	195	196	197	198	199	1910
Consolidation / Refinancing	210	211	212	213	214	215	216	217	218	219	2110
Intergenerational Loans (Purchases of assets/shares between generational family members)	220	221	222	223	224	225	226	227	228	229	2210

Instructions

Prepare a separate report for each loan.
The Schedule 1 is to be completed and signed by the borrower at the time the loan is negotiated and full or partial disbursement of funds is made. The Schedule 1 must be received at Agriculture and Agri-Food Canada, Ottawa, within 60 days from the date the funds are disbursed along with the lender's cheque in the amount of 0.85% (Registration fee) of the amount of the loan in order to obtain the Government guarantee.
Upon receipt of the Schedule 1, Agriculture and Agri-Food Canada will register the loan. An Acknowledgement of Loan will be returned to the lender certifying the loan has been registered in the Minister's Register.
The lender should take care to complete the form in full (areas 1 to 13)
Retain on file the following current information to this schedule: application form, financial statements or tax return, plan of operation, any other pertinent information.