Quick RRSP & Investment Loan Application Please fill out this application and fax to 416.366.6225 or email to inquiries@luminusfinancial.com. You will be contacted within 24 hours. Step 1: Your Information Name Address Date of Birth Social Insurance Number Email Telephone Step 2: Please Select Loan Amount. The following monthly payments are based on the credit union’s prime rate on a 12-month term. You will receive a call with further payment options. ☐Other: Loan Amount $1000 $2000 $3000 $4000 $5000 Monthly Payment $86.00 $171.00 $256.00 $341.00 $426.00 You will receive a call from a Credit Union Representative with further payment options. Payments will be for a period of 12 months. Your loan will be life and disability insured. For value received, I/we promise to pay jointly and severally the sum requested above and costs of the loan to Luminus Financial Services & Credit Union Limited. For Valuable Consideration hereby assign, transfer and set over unto the Credit Union, (i) 20 per cent of all wages, (as defined in the Wages Act of Ontario), but excluding any amount that an employer is required by law to deduct from any such wages and (ii) all other monies owing to me, or hereafter to become owing to me, by any person, firm, corporation or entity by whom I am now or may be hereafter employed. AND I HEREBY AUTHORIZE AND DIRECT my employer or any future employer to pay the said 20 per cent of all such wages and all such other monies to the Credit Union, and I hereby irrevocably authorize the Credit Union to take all proceedings which may be proper and necessary for the recovery of any amount or amounts above assigned and to give receipts for same, or any part thereof, in my name and I hereby release and discharge my said employers and each of them from all liability to me for or on account of any or all monies paid in accordance with the terms hereof. Nothing herein shall prevent the Credit Union from exercising any other right of recovery available in law of any amount lawfully owing to the Credit Union in excess of the amounts assigned above. THIS ASSIGNMENT OF WAGES is irrevocable by the Assignor. and shall remain a valid and enforceable security in respect of all debts owing by the Assignor to the Credit Union until delivery of notice in writing signed by the Credit Union to the contrary. RRSP DEADLINE IS FEBRUARY 29TH I authorize you to transfer payment from account number X APPLICANT’S SIGNATURE Other: DATE