SPCSW No. 《発番》

《局出し日(和暦)》《郵便番号》《住所_上段》《住所_中段》《住所_下段》《借受人姓》 《借受人名》《バーコード：資金コード+貸付コード》(バーコードの下に文字も表示)

Saitama Prefectural Council of Social Welfare
Repayment and Exemption of COVID-19 Special Loan Section

Notice of Repayment Balance of Special Loans for Emergency Small Amount Funds, etc.
for ≪ 資金名称 ≫[Notice of Repayment Amount in Arrears of Special Loans for Emergency Small Amount Funds]

We hereby inform you of the current repayment balance (as of the creation reference date) of ≪資金名
称≫, which is currently in its repayment period, as shown below.
Please check the repayment amount, repayment dates, etc., and plan your repayments accordingly.
Please note that the repayment balance may differ if any repayments have been made after the creationreference date.
Details[Creation reference date: ≪令和 yy 年 mm 月 dd 日≫]Fund Name
Borrower's Name

≪資金種類≫≪借受人姓≫ ≪借受人名≫

Loan Code≪貸付コード≫Loan amount≪貸付額≫

Repayment period≪yy 年 mm ヵ月≫

Repayment start date

≪償還開始日≫

Repayment deadline≪償還期限日≫Amount already repaid≪償還済額≫ yen

Outstanding amount to be repaid≪償還残額≫ yen

Amount in arrears out of theoutstanding amount to be repaid≪滞納額≫ yen

If you are having trouble with future repayments
Repayment instructions and related procedures can be found on the back of this notice.
[For Inquiries]

Saitama Prefectural Council of Social Welfare,
Repayment and Exemption of COVID-19 Special Loan Section
Telephone Number: 050-2018-1839
Reception Time: Weekdays 9:00 am to 5:00 pm
Saitama Prefectural Council of Social Welfare website https://www.fukushi-saitama.or.jp/site/problem_33.html

● Regarding repayment forgiveness and repayment deferment
You may be able to apply for repayment forgiveness or a deferment of the repayment deadline if certain
requirements are met, even if you have already begun repayment of the loan. For detailed information on how toapply and the documents required, please contact us via the information below.

○ Persons eligible for repayment forgiveness･ Those receiving public assistance･ Those who have been issued the Mental Health and Welfare Handbook (Level 1) or the PhysicallyHandicapped Persons Handbook (Level 1 or 2), etc.

○ Applying for repayment deferment
Even if you are not eligible for repayment forgiveness, you may be able to defer repayment if you havedifficulty in repaying the loan due to illness, unemployment, decreased income, or other circumstances.

● If you have changed your address or name
If this applies to you, you will need to submit a Notification of Change of Name, etc. along with the necessary
documents to complete the procedure.
*The Notification of Change of Name, etc. can be downloaded from the Saitama Prefectural Council of Social
Welfare website.
* You may not receive repayment notifications in the future if you do not complete the procedure.
Details of change

Required documents

Change of address

Certificate of residence (original) *Copies not accepted･ Bearing all members of the household at the previous address andcurrent address･ It does not include the members’ Individual Numbers (MyNumbers)･ Issued within the last 3 months

Change of first/last
nameCertificate of residence (original) *Copies not accepted･ Bearing all members of the household with their new and former family
name･ It does not include the members’ Individual Numbers (MyNumbers)･ Issued within the last 3 months

The borrower has
diedRecord of deletion of the certificate of residence (issued within the last 3months) or a copy of the death certificate● Consultation agencies for those with problems regarding daily life
"Self-reliance support consultation agencies" have been set up throughout the country to provide
consultation to people experiencing problems in their daily life. If you have any problems regarding your dailylife, such as wanting to work but not being able to, or not having a place to live, please consult with your local
consultation office.
<< List of self-reliance support consultation agencies >> https://www.mhlw.go.jp/content/000707280.pdf● Other frequently asked questions
It is posted on the Saitama Prefectural Council of Social Welfare's website (and will be updated whenneeded).
https://www.fukushi-saitama.or.jp/site/problem_33.html[For Applications and Inquiries]

Saitama Prefectural Council of Social Welfare,
Repayment and Exemption of COVID-19 Special Loan Section[Address] 2-11-27 Kami-ochiai, Chuo-ku, Saitama-shi, Saitama 338-0001[Telephone Number] 050-2018-1839 [Reception Time] Weekdays 9:00 am to 5:00 pm
https://www.fukushi-saitama.or.jp/site/problem_33.html[Requests]･ We do not accept documents relevant to the procedures directly. Please refrain frombringing your documents to this office.
･ It may be difficult to get through by phone immediately after receiving this notice.