Creditor

[Identity]

Address

Telephone number (*1)

E-mail address (*1)

Fax number (*1)

Web address (*1)

[Geographical address to be used by the consumer]

If applicable

Credit intermediary

[Identity]

Address

Telephone number (*1)

E-mail address (*1)

Fax number (*1)

Web address (*1)

[Geographical address to be used by the consumer]

The type of credit

The total amount of credit

This means the ceiling or the total sums made available under the credit agreement.

The conditions governing the drawdown

This means how and when you will obtain the money.

The duration of the credit agreement

Instalments and, where appropriate, the order in which instalments will be allocated

You will have to pay the following:

[The amount, number and frequency of payments to be made by the consumer]

Interest and/or charges will be payable in the following manner:

The total amount you will have to pay

This means the amount of borrowed capital plus interest and possible costs related to your credit.

[Sum of total amount of credit and total cost of credit]

If applicable

The credit is granted in the form of a deferred payment for a good or service or is linked to the supply of specific goods or the provision of a service

Name of good/service

Cash price

If applicable

Sureties required

[Kind of sureties]

This is a description of the security to be provided by you in relation to the credit agreement.

If applicable

Repayments do not give rise to immediate amortisation of the capital.

The borrowing rate or, if applicable, different borrowing rates which apply to the credit agreement

[ %

Annual Percentage Rate of Charge (APR)

This is the total cost expressed as an annual percentage of the total amount of credit.

The APR is there to help you compare different offers.

[ % A representative example mentioning all the assumptions used for calculating the rate to be set out here]

Is it compulsory, in order to obtain the credit or to obtain it on the terms and conditions marketed, to take out

—  an insurance policy securing the credit, or

Yes/no [if yes, specify the kind of insurance]

—  another ancillary service contract?

Yes/no [if yes, specify the kind of ancillary service]

If the costs of these services are not known by the creditor they are not included in the APR.

Related costs

If applicable

Maintaining one or more accounts is required for recording both payment transactions and drawdowns

If applicable

Amount of costs for using a specific means of payment (e.g. a credit card)

If applicable

Any other costs deriving from the credit agreement

If applicable

Conditions under which the abovementioned costs related to the credit agreement can be changed

If applicable

Obligation to pay notarial fees

Costs in the case of late payments

You will be charged [… (applicable interest rate and arrangements for its adjustment and, where applicable, default charges)] for late payments.

Missing payments could have severe consequences for you (e.g. forced sale) and make obtaining credit more difficult.

Right of withdrawal

Yes/no

You have the right to withdraw from the credit agreement within a period of 14 calendar days.

Early repayment

You have the right to repay the credit early at any time in full or partially.

If applicable

The creditor is entitled to compensation in the case of early repayment

[Determination of the compensation (calculation method) in accordance with the provisions implementing Article 16 of Directive 2008/48/EC]

Consultation of a database

The creditor must inform you immediately and without charge of the result of a consultation of a database, if a credit application is rejected on the basis of such a consultation. This does not apply if the provision of such information is prohibited by European Community law or is contrary to objectives of public policy or public security.

Right to a draft credit agreement

You have the right, upon request, to obtain a copy of the draft credit agreement free of charge. This provision does not apply if the creditor is at the time of the request unwilling to proceed to the conclusion of the credit agreement with you.

If applicable

The period of time during which the creditor is bound by the pre-contractual information

This information is valid from … until …

(a)  concerning the creditor

If applicable

Representative of the creditor in your Member State of residence

[Identity]

Address

[Geographical address to be used by the consumer]

Telephone number (*1)

E-mail address (*1)

Fax number (*1)

Web address (*1)

If applicable

Registration

[The trade register in which the creditor is entered and his registration number or an equivalent means of identification in that register]

If applicable

The supervisory authority

(b)  concerning the credit agreement

If applicable

Exercise of the right of withdrawal

[Practical instructions for exercising the right of withdrawal indicating, inter alia, the period for exercising the right, the address to which notification of exercise of the right of withdrawal should be sent and the consequences of non-exercise of that right]

If applicable

The law taken by the creditor as a basis for the establishment of relations with you before the conclusion of the credit contract

If applicable

Clause stipulating the governing law applicable to the credit agreement and/or the competent court

[Relevant clause to be set out here]

If applicable

Language regime

Information and contractual terms will be supplied in [specific language]. With your consent, we intend to communicate in [specific language/languages] during the duration of the credit agreement.

(c)  concerning redress

Existence of and access to out-of-court complaint and redress mechanism

[Whether or not there is an out-of-court complaint and redress mechanism for the consumer who is party to the distance contract and, if so, the methods of access to it]