SPCSW No. 4299
//2024

11

If you are having trouble with repayment• If you have any difficulties regarding future repayments, please contact us via[Inquiries] below first. We will explain future repayment methods and repayment
deferment periods and exemptions that may be available at that time.

330-0028
XXX, Misonohigashi 1-chome, Iwatsuki-ku, Saitama-shi, Saitama◎◎◎◎◎◎◎◎◎◎◎◎XXXXXXXXXXXXXXX YYYYYYYYYYYYYYY[For Inquiries]*999999999*[Office hours] Weekdays 9:00-17:00 [Phone number] 050-2018-1839

Initial application for repayment deferment
 If you have difficult circumstances in your daily life and are finding it difficult to repay the loan, you can applyfor deferment (1 year).
Hiroki Yamaguchi, Chairman
Saitama Prefectural Council of Social Welfare(Official seal omitted)

Notice of Repayment Amount in Arrears of Special Loans for Emergency Small AmountFunds, etc.
For <Fund Name>

Application for extension of deferment of repayment
 If you are currently in the deferment period, you can apply for a deferment extension. After applying, we willconduct an interview at the municipal CSW, etc., confirm the situation of your daily life problems, andprovide counseling support to help you rebuild your life.

The unpaid amount of <fund name> as of <mm/dd/yyyy> is as follows, so you are requested to please repay it.

Requirements to be eligible to applying for repayment exemption, other than exemption frominhabitants tax[As of <20• Exemption can be applied for if any of the following conditions are met after the start of repayment.

//>]
Fund Name<Fund Type>

Borrower's Name

<Borrower's last name><Borrower's first name>

Loan Code<Fund Code>Loan amount<Loan amount>

Repayment period<yy years mm months>

Repayment start date<Repayment Start Date>

Repayment deadline<Repayment Deadline>

Amount already repaid<Amount already repaid> yen

Outstanding amount to be repaid<Outstanding amount to be repaid> yen

Amount in arrears out of the outstanding amount tobe repaid (No. of payments in arrears)<Amount in arrears> yen (<No. of payments in arrears>)

Payment of amount inarrears[Important points making abank transfer]

Bank nameBranch number

256

Branch nameUrawa Chuo Branch

Account NumberDeposit account name* Other exemption requirements other than inhabitants tax exemption are posted on the website. Please check via
the QR code or URL below.

Phone number 050-2018-1839(1) Please make a separate transfer for each fund name.
(2) When making a bank transfer at an ATM, please be sure to enter the borrower's name andloan code in the name field.
(3) Please transfer as large an amount as possible in order to avoid falling into further arrears.
Fund Type[Requirements for exemption due to receiving public assistance, holding a mental health and welfare
handbook or holding a physical disability certificate]• If any of the following apply:(1) If you have received public assistance(2) If you have been issued the Mental Health and Welfare Handbook (Level 1) or the Physically Handicapped
Persons Handbook (Level 1 or 2)[For those who do not understand Japanese (For Foreigners)]
If you do not understand Japanese, please contact the call center• Please transfer the amount to the account below.

Saitama Resona Bank

Please check the following information and contact us via the contact information below if you wish to apply.

Savings
5742380
Saitama Prefectural Council of Social Welfare

open/closed weekday 9:00-17:00[For Applications and Inquiries]

Saitama Prefectural Council of Social Welfare, Repayment andExemption of COVID-19 Special Loan Section[Phone number] 050-2018-1839 [Office Hours] Weekdays 9:00-17:00
https://www.fukushi-saitama.or.jp/site/problem_33.html