​​Appendix A - Short Form Disclosures

• ​​This product is optional

​Your purchase of [Product Name] is optional.  Whether or not you purchase [Product Name] will not affect your application for credit or the terms of any existing credit agreement you have with us.

• Lump sum payment of fee

​​[Applicable if a creditor offers the option to pay the fee in a single payment]​

​​[Prohibited where the debt subject to the contract is a residential mortgage loan]

​​​​​​​You may choose to pay the fee in a single lump sum or in [monthly/quarterly] payments.  Adding the lump sum​ of the fee to the amount you borrow will increase the cost of [Product Name]

• Lump sum payment of fee with no refund

[Applicable if a creditor offers the option to pay the fee in a single payment for a no-refund DCC (Debt Cancellation Contract)]

[Prohibited where the debt subject to the contract is a residential mortgage loan]​

​​​​You may choose [Product Name] with a refund provision or without a refund provision.  Prices of refund and no-refund products are likely to differ.

• Refund of fee paid in lump sum

[Applicable where the customer pays the fee in a single payment and the fee is added to the amount borrowed]

[Prohibited where the debt subject to the contract is a residential mortgage loan]