Produced by the Office of the Attorney General
Táirgthe ag Oifig an Ard-Aighne
SIXTH SCHEDULE
Record of Repayments
Section 100 .
Form to be included in a repayment book in respect of a moneylending agreement.
SCHEDULE
£
Total Amount Repayable
_______________
Date
Amount of Repayment
Balance Now Due
Signature