Hey mate, I FINALLY remembered my password so after a long time lurking, here goes.

Loan Amount: 0.75 BTC.
Signed message from a staked address I went though all my posts and was able to find one address from 2011 that I no longer have access to (due to it being 5-6 years ago)
Amount to be repaid: 0.8 BTC
Repayment Date: November 16, 2016
Bitcoin Address: I'll let you know if you accept.
Collateral My account (hopefully no collateral needed as I'd like to use it but if you require it, sure. I have no idea how much accounts are worth these days (collateral wise) but I hope it's enough to cover my loan, I spent 10 BTC on a donator rank.)

Thanks.