Committee Use Only

LOAN AGREEMENT Transaction ID:

Enter Committee Name

(Committee Name)

LENDER’S INFORMATION

Name:
Address:

City / State / Zip:

Employer:

Occupation:

Employer Address:

Employer City / State / Zip:

LOAN DETAILS AND CONDITIONS

agrees to loan Enter Committee Name

(lender’s name) (committee’s name)

$ at % interest rate (if any) on / / . The repayment of

(loan amount) (interest rate) (date of loan)

this loan by the committee shall occur on or before / / .

(date set by the parties)

/ /
Lender’s Signature Date (mm-dd-yyyy)

/ /
Candidate / Treasurer Signature Date (mm-dd-yyyy)

ATTACHMENT(S)

 Copy of loan check (loans cannot be made in cash)

 Copy of committee’s loan repayment check(s) (front and back)

* Make sure all copies are referenced with the appropriate transaction ID.

REMINDER

Any loan that has not been repaid by the date of the candidate’s next election (primary or general) is
considered a contribution from the lender, subject to the contribution limit.

08/11/2022