The Tulalip Tribes Application#: _______
6406 Marine Drive Membership Loan #: _____
Tulalip, WA 98271 Tulalip Tribal Number #: ____
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_ ___ (initials)
Tulalip Tribes
Principal Amount: ______________ Interest Rate: Nine Percent (9%) Note Date: _________
For value received, I ______________________ also known as Tulalip Tribal Member
T-________ (“Borrower”), located at ______________________________________________
(provide physical and mailing address, if different) promises to pay to the Tulalip Tribes of
Washington (“Holder”) located at 6406 Marine Drive, Tulalip, WA 98271, the sum of
_____________________ ($ ) (“Loan Amount”) from the date hereon for a loan term of
twenty-two months (22 months), with simple interest thereon at the rate of Nine Percent (9%)
until the loan principal, interest and any applicable fees identified in the note are paid in full.
[ ] I acknowledge that this note is secured by my monthly Tribal Membership Distribution
(see Payments). I hereby pledge my distribution to secure the debt owed by me to the
Holder under this Promissory Note, which Holder may execute without further notice to
me in the event of my default (_________ Borrower Initial).
[ ] I acknowledge that along with this note I am executing a Financing Statement pledging
the security interest in the my Tribal Membership Distribution defined above and that the
Financing Statement will be recorded at the Tulalip Tribes Court until the debt associated
with the promissory note is paid in full. (_________ Borrower Initial)
I acknowledge a minimum monthly payment of $_______ per month which I authorize to be
deducted monthly from my Tribal Membership Distribution. I also acknowledge that I may elect
to pay more than the minimum monthly payment required by this note without prepayment
penalty and that any payment overages will be applied in the following priority: interest due at
the time of payment, applicable fees identified in this promissory note (i.e.: late / legal), and
then principal reduction until the loan is paid in full.
option selected.
The Tulalip Tribes Application#: _______
6406 Marine Drive Membership Loan #: _____
Tulalip, WA 98271 Tulalip Tribal Number #: ____
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_ ___ (initials)
[ ] TRIBAL MEMBERSHIP DEDUCTION: I authorize the Finance
Department of the Tulalip government to deduct $___________ per month from
my _____________Tribal Membership Distribution account (INSERT ONE: Per
Capita / Senior Support / Elder Support or Disability Support) until the loan is
paid in full.
I understand the requested monthly deduction will continue even in the event that
my Tribal Membership Distribution status changes (i.e.: from “Disability
Support” to “Senior Support” ) until the balance of my loan is paid in full. I
understand that at any time, with 30 days’ notice to Finance but no more than two
times per year, I can amend the amount of my Per Capita deductions as long as it
does not go below $________ per month and the loan is paid in full within
twenty-two months (22) from initial disbursement. (_________, Borrower
Initials, this is deduction option is selected).
[ ] PAYROLL DEDUCTIONS: I authorize the following payroll
deduction: $________ per month until the loan is paid in full. I understand and
authorize Finance, in the event of employment separation, to automatically deduct
the monthly payments due on this note from my Tribal Member Distribution until
the loan is paid in full. (_________, Borrower Initials, this is deduction option
is selected).
Borrower to indicate employer by checking applicable entity below:
Tulalip Tribes Government
Tulalip Gaming Organization
Quil Ceda Village
o Pharmacy
o Salish Networks
I acknowledge that payments on this note are due on the 1st day of each month, with the first
payment due the second month from the date of loan disbursement.
I acknowledge that it is my responsibility to confirm that the correct monthly payments are
being deducted from my Tribal Membership Distribution (or payroll, as applicable) and
applied to my loan balance each month. I will notify the Finance Department immediately, no
more than three business days upon discovery, if payments are not correctly deducted as
instructed in this promissory note and any other related loan documentation.
I understand that this note is due upon my death, or can be assumed by my surviving tribal
spouse, and obligate my estate to the repayment of this debt prior to any distributions to heirs
(________ Borrower Initials).
The Tulalip Tribes Application#: _______
6406 Marine Drive Membership Loan #: _____
Tulalip, WA 98271 Tulalip Tribal Number #: ____
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_ ___ (initials)
The interest rate of this note hereunder shall be a rate of nine percent (9%) simple interest,
calculated from the loan funding date through loan payoff.
1) If any installment is not paid, when the installment becomes due, the whole sum of the loan
including both principal and interest with any applicable fees, are due and payable at once
without further notice.
2) A Notice of Default will be issued at such time that payments are 60 days outstanding per this
promissory note and the Borrower will have 30 days to cure the default.
3) Upon issuance of a Notice of Default, late fees of $20 per month will be assessed to the loan
until the default is cured.
4) In the event of default, Holder has no further obligations to Borrower and may take action
without further notice.
5) If this loan is defaulted in accordance to the terms specified above the Tulalip Tribes shall be
entitled to the Borrowers’ per capita, consistent with approved law and policies, and
applicable limits until all outstanding principal, fees and interest are paid in full.
All disputes shall be resolved exclusively according to Tulalip Tribal Law and heard by the
Tulalip Tribal Court. Nothing in this agreement shall constitute a waiver of sovereign immunity
of the Tulalip Tribes. Borrower shall pay all costs incurred by Holder in collecting sums due
under this Note after a default, including reasonable attorneys’ fees, costs, and related late fees,
whether or not suit is brought. If Borrower or Holder sues to enforce this Note or to obtain a
declaration of its rights, the prevailing party in any such proceeding shall be entitled to recover
its reasonable attorneys’ fees and costs incurred in the proceeding (including those incurred in
any bankruptcy proceeding or appeal) from the non-prevailing party.
The parties agree that this note and identified Exhibits represent the entire agreement between the
If Holder allows the borrower to break or ignore an obligation the Holder does not waive any future
right to require those or any other obligations to be fulfilled.
If any part, or parts, or the application of any part of this note is held invalid, such holding shall not
affect the validity of the remaining parts of this note.
The Tulalip Tribes Application#: _______
6406 Marine Drive Membership Loan #: _____
Tulalip, WA 98271 Tulalip Tribal Number #: ____
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_ ___ (initials)
The party executing this promissory note is the Tulalip Tribes member obligated to repay the debt, the
use of a Power of Attorney is not allowed by the Membership Loan Program.
Prior to signing this Promissory Note, I have read and agree to all the conditions and terms
mentioned above, and I understand that the Tulalip Tribes Reserves the right to garnish the full
allowable amount to pay off the outstanding debt including but not limited to all principal, and
I acknowledge that I have received a completed copy of this Promissory Note.
_______________________________ ________________________
Borrower’s Signature Date
_______________________________ ________________________
Print Name Date
Tribal Identification Number: T-
click to sign
click to edit
The Tulalip Tribes Application#: _______
6406 Marine Drive Membership Loan #: _____
Tulalip, WA 98271 Tulalip Tribal Number #: ____
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_ ___ (initials)
State of Washington
County of Snohomish
Signed or attested before me on ______________, 2020 by
___________________ Tribal Identification Number.
(Seal or stamp)
Print Notary Name _____________________________
My appointment expires _________________________
For Official use only:
BOD Approval date and Resolution or Directive #
Loan ID #:
Customer Number
Mailing Address if different:
Beginning Balance
Interest Rate:
Loan Type: Fixed
Period type: Month
Number of Periods: 60
Payment Amount:
AR Code:
Start Date: