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~ ur~•~ (Date) . 19
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Fa value received, ~ ~~i ~ ~ - (hereiaafte~ called
`•Undusigned"), pramises to pay to the ada of Small Busineas Administradon (haeinafter called "Payee"). at
Payee's OfCce in the city of ~ . State of ~ r .
or at Pay~te's option, at such otha place as may be deaignated fnom time to time by the Payr.e~ the aum a~f
dollus. ~vith interest on the unpaid principal computed
Nrte• one ~eaee)
from the dau of euh advance o~ the Undersigned at the rate of 4 percent per annum~ payment to
be made in instaliments as folla+vs:
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P~ a~, ~i N~~M ~3~ ao~ilr i~r la1~, ~i ~i~i ~ +
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D~ ~p1lM 11~ la~~ aN~~ri 1~ ii~ i~ o~ ~~~33~,
a~ 1~ tiaL~, ~t q~ 1o a~ ia D~i~ ot pelr~l ~ l~ia~s~
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STA i~t ~F t-~LURiDA ' .
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' -_O~UMEN.TA~ ~AMP ~AX .
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Payment of any instiliment of principal er intereat o~ving on tLis Note may be made prior to the maturity date thereof
~
wit6ont peualty. `
,!/fir~a~ive Cove~ca. - Tde Undaaigned oovenanta and agrees that, until the paymeat in full of the moneys
owing on t6ie Note~ the Undersi~ will:
1~ Deliva to Payee within 45 daya after the end of each fiscal annual period, a balance aheet of the Un-
dersigned as of such date aad a profit and loas atateme~ of the Undusigned for such 6sca1 period, in form satisfac-
tnry to the Payee;
~ 2. Deliver to Payee with reasonsble prompmesa such other finaacial data at such times aad in such form ss
Paroe may reqnest; -
3. Pay all tues~ assessments aad otha governmental chargea w whic6 t~e Undersigned, a t!u property of the
Uadersigped. is a~ ahall be subject befae such chuges becume delinquent, ezcept that no such charge need be
paid so long ss ita validity or amomt ahall be oontested in gpod fait6 byr appropriate proceediags and the Under-
aigued shall have aet np on the books of the Undusi~ed such resenre ~rith reapect therew ss s6a11 be required by
sound aooounting pra~cticea;
,
4. Reep all of tbe real and tangible persoaal p~operty of tbe Undasigned insured in anch amonnts ~w~d agaiast
snc6 riska as may be eatiefactory tn t6e Payee or is ue oomm~nly insured againat in the same ueaa by owners of
similu propert~r, aad maintain in face poli~ies of inaurance, astiafact~y to Payee. against liability for damage to
persons or pnopaty aad nadet aU spplicable ~malcmen's aompensation laws. ~
O R SBA Fona 326B (I 1-61) i
BooK 145 542 k
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