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1~~~5 ?torth ?th Street ~~''au~ ~ ~
~1f Fort p~~_-ce, Florida ' ~c~.rou~ or rw~rw~
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• ~ ~scuRmr ttun
' ~~r /16REE0 RATE Of INTEItEST:
~ ss rcw ~N cM n~~T pwar oF n~~
UNrA1D NtINCIrAL ~ALANC< MOT ~C[[O-
ING i~OO.00.
J KR MdITN ON ANr PART TNt!!WR
L ~ ~?~.o ~Y u~~~
O I S D II a 8 E M E lf ! V O O C!i E H ~ wL= ~IN ut++wt ai tM ~seeea a+t~ b M~n?N
limo~nt d Loan h a~d~4 inW~ b b tM ~Mh ~c~~M: Me~ lutW~~t ~el~i
DIDUCTIONS w t i.s .e ..ca ...a ?.s~~s ••~a ans ~+s-
Balancs Dus oa l.o~ No S-- as~~ i~ i~te ew utlt tM ~atir~ w~aR !w V~0. ls IrH 1~
Ir.tecest !or da7s
Document~y Stmnpe =_a.~_ N O T E
Re.:ording Fee~ - Mortgage a •!1• ?~r ~a1M e~atni. t~e ~~n~[~. J~i~tl~ Mi N~+t~11~. ~r~als~ b M7
Auto Lien ~ p tM ~M~e M.a.r. ~t Iq ~Nti ~ttlea ~M P+I~NP~1 wut ~t t?b .~b t~tNr
w1t~ 6t~eMt at tM aLeee~ nt~ 1~ a~~t?IY futWM~b. ~11 Y~1~t~ sLbi~
Releaslnq Fees - Mortg~ge ~ y1i M~a~~4 M N ytli~i flrat M w1i i~t~re~t tMi ~w rai tM noiai~r
U ~ii Nl~dMl.
CtC(~l~ ~.II@ lI1S_ pf@II!. ~-1:1+~L . !M U~~ 10~ H Y7 1~~ ~M~ ~lY alCf1~ btNN~
a~7r ~t tM ~~tIM ~t {w t~ed[M~~ M 1~1i ~t ~87 tlM`
l.sss Retund : D.t..~~ w~.s~••t •t a.~ b..wl~e~t •e u. ~el~e~p~l af~.«t j
r9t Credie Lie'Deducnoa i l~ .~1 ti••••i. •r a•~ r~*~ ~~u~. •~•u. u. wu...r a. ~av :
H~d A L~s..Pnm. ~dtM~t a~t1c~ ~r /e~ui. ewNr tM tre~ op~N iw~a~[s t~s ~rl~eiMl MrMt ~
f--~~- ~i ~eer~ei IatNCSt Mre~~. ~t iie ui p~riMe. lael~dl~ al! ewte ~
Less Raf~d ~ e.~bew. .at .tt.rrs'• tee~. s.t .a~s a trs ~st~at tras ~.ta...t'. te..
N~t A~ H Deduction ari i~dai~i 1. ~ 1~t•••t ..Urot w.+... '
bc1N~Na ~t W tIM ~t }~~e~t ~11 ~e aa7 lrrt ~f tM as~ut ~wl~
DL41~SF.I~NlS MnN ~t ~a7 t1~. ~r tl~. ~WI rt aHeet tN W1WtT ~t u7 M+~l ~ersb.
Chec~.l to Uidsrsign~d ~1d ?M a~iw~i~ K~wMdsa~ ~ral~t d~~bte~ewt la EasIW a~ rKdni
:~;,~~~~%Thrift nla*!._ ~l!, b e«w. i~ .r cw~ ~i» •r i....~ n.~u...a s.~w. u.~ c~.~~ su.
~!M ~f lf~l. M ~~l~aN. , : ~
~:lS t 0 A'rd Y' TY~ MsM Meeta ~~ei 1~ 1lewwi 11 tM S~di ~t ~rids t~ w~ks Iw~
~ a=~ee tM Sol1 lw~a Lw ~t F1~Nia. C~aPtee'I~1??. deis ~f ll2S, ~ ao~ai~i '
~ • C~ybr !~'1t~. ~ets ~t 19tl. a~i CLpt~r 61i. ~ ~eaiei. ~
Tot~ Deductioos ~d ursemsnts (Subtracl) _ ~fl-~ , ~ • . '
Cash Recei~ed t 'qasd -a- . ~ -
Disburs~i ~ SE{uR~ A~~
The undessisned, ~ereinaker [eferted to u{?ebtot, hercb~ aknorltdse ~aeeipt of a ban irom tbe abo~e named Itnder. heteinahet rekre~td to as
~C: ured Puty, u erideaced bp a ptomusory noce af erea datc t~er:rit6. ex~ted b~ t6e undersisned and parable to t6e Secuced Part~ ia t6e amw~nt
' and upon the terms u abore stated-
\~~r, [herdore. in considera[ion of said loan and to further xcute tl~e p~~eat of said aooe ud aoy oote or aotes e~ecuted and deli~eted w Secvrcd
Pe..> b~ Debtor ac aoy time beforc the mci~e indebtedoess secured aboK ~eieb~ s6all be pid in fuU but within fi~e ~ean hom tbe daoe he~eof. eridenc-
~~K ri~her a fueure loan by Secured Party~ or a rcfioaocins of :ny rupaid baluue oF the noa dexribed or renewal cbereof. ot bod~ sucb (uturc loan and :
U
rrfinancing, but not e:ceedin= in the a~re`ue:n unpaid priwcipal amouat of =600.C0 at anr one rimt outstaud~nE• ehe Debtor 6ereby coo~e~s and ~
murtgagts co said Setured Partr. its sucaYSSOn aad nsi~as. tbe soods and c6aetcls 6ereinaket detcn~bed: Pro~ided. 6owerer. if said Debcor shall par and
,i~scharge said note or notes accorJin` to che terms tberaof. ~hea c6is Aareemeoe to cease and terminate and be void; othenrix so rem:iu in full force
and rffeci_ All papments made u any time oo said note or naes shaU be applied fi~st to interes~ tAm dat accordias to ~6t tertns of said iwte aod tht
rcmainder to the principal uF said note Y-btil ptid. 7~t uapaid baltnte of said no[e or notes ot an7 part theteo~. PI~ ~1. u~~°
~ ~~f thr Debtor. bt ptepa~d u an~ cimt.
DEBTOR REPRESENTS, VPARRANTS, COVENANTS AND AGREES: t6at Debtor is Ia~rfnllT seitcd of, and has sood risht and title, frte from ~
rncumbt~nCCf. ~o mongage and plnlse said proper~p; ro delivcr Cenificatc of Tiele (if anY1. show~ins [his lirn. to Secured PanY: to keep said propechr ~
rrce of atl ta:es. liem and encumbnoco: tlut anY paymrnt or dischuse lb~ Secured Put~) o~ ea:es; liens. insunnce snd entumManees on said propert7 •
~r any other amount owtd to Secured Put~ by Debtor shal: be xcured b~ thu Asreemenr, to kcep said propert~ cor•end b~ such inwnnce u Secuted ~
Part. may from time to time tcasonabir ~equest, plscina such inwnntt with tompanies scceptaWe to Secured Pscty and to deliret wc6 policies (w~ith i
I~n~ pa~able clause in favo~ of Secured Partr) ~o Secund Put~, to apply ~6e qxeeds of an~ inwrance. ~udless how mlized. to c4t liquidation of the #
~m~.unt dur, nat to remove the propcriY from this xue, twr to ose it illeaall~, iiapropedr or for hite, nor tnmkr anY iotettst therein writbout prioc
v rieecn cunaent of the Secured Paet~ w without accountina to Secured Psety (or t~e procetds of aa~ transfer: to pa~ all tecordiaa and other cbarjes in
.~.~nncc[~ot~ herewtith. as w-cll as rclcasina clurges. if anp: co hold aad sa~e ?arakss the Secuted Puts from aar and all liabilitp arisina from the use of
thr property.
l:cMor may reeain pusscssion uf said chands, aecessaies aod eqaipment. as l006 as the P~lmmts on said note arc made b~ che due dace therein
E.r:~.idcd and all uther covenants uf this aarcemmt ue fulblled. bae Debior ~a~ no[ pe*manendy «more said P~PMY from tl~e Countq or Sqtt wit6out
.unsent of Securcd Party- If Debtor fails to paf aop installoent d stid sote ~hen dut, or fails to perform any of thc corrnants heteof, or makes
.irfault in anp respece, ur uses said propeny contrat~r to la~?, or if Secu~ed Partr feels insecurc fot aaT teason ~ha~soerer, then all installmrna of said
„~xr ~hall u ~fie opeion d Secu~ed Puty, wichout notice ur deoand. bccorat ismediael~ due and paYabk. aad Sccurrd PartT may cake posse:sion of and
r~ m~..r w-ithuut liabili[~• said pronercr togr[her with anr ot6er cbattels or thinjs attuhed thereto or t6rrein connined, w~thout notice, demand, or Itsal
~.nKrss. The Det+tor aartrs, in the evrnt uf declara[iun af defarlt bY t6e Seeontd Part~, that he shall assembk wch collatenl and ma4e it availabk to the
~~rrJ Puey. n ~he Ikbcur's place of residence ar:J tM -Secured Parq ma~ dis~e of such cu:lucnl on said premises_ The Dcbtor's plxr of rcsides+ce
.hell tx at ehe ~ddress Ri~en abo.e: or. in the ereot of temo~al of the eoUuenl or ~oods from said addtess writh tht Secuted PutT's consent. thrn the
a~i.ir~~s to which such guods are remuved. The rrmedies acailabk to the Secuted PaKy~ shall be sorerned bY. and ehe Serured Puty sha11 Proaied ~n ac'
.~~rd~nce with. the prorisiuns o( Art~de 9 of tht Unifotm Coonercial Codt o( Florida. efFecti~e )m. 1. 196~-
.1n~~ w~ji~rr or indulgence oF an~ ddiuh io an~ o( said terms. conditiws. to~Maaa. teptexnatiw~s and aateements shall no~ opente u a~raiver of
~ n. .utneque~n defaulr, euh and erery• remedy herein cunuined shall be c~mnlaei~e and ~n adJition io e~ery other rcmedT B~rrn hercunder, w now• or ~
hrr~.~Rer evstinE u law• or in equ~ty. and not alternstire_ la ~he cren~ of non-pa~se.~ (.hen ducl of the anwunt dut or anr inuallment thereof, Sccurcd
1'3rc~ maY sue for and «aover, w~ithout repossessins or otbencise rcwrcina to said ptopen~ and writhout wairina the risht ~o do so. the whok ur any
~:~n ehe indeMeJness secured hereb~_ This Aarcement shall be bindins on the bein, e:ecuton, administn[on, successors and usisns of tix Debtor.
,nu u to ill uf ~ts rights and pri~ileaes it shall in~rc co tAc beorfi~ of tbe succeuors aod usigns of [bt Secured Partp, a~d it ~ontairs the rntire asne-
;,~~nc hrtw-ren thc partirs hereto. ei~her verbal or ~rritt.•n, c:cep~ as set fw~t6 u ibt p~oa~~swrT note of eten datc hcrewith. "Il~e Securrd PartY is au[hor-
vrd u. catect errors in this Asreemmt and the note executed in conneetioa 6ere~it6.
~x"~°" ~ Moke of Automobile Seriol Nwnber Mo~w Nuw~bsr Bodr Strle Crl. Yeor Modei
v~~? r4a
e. yr•..~.k
l11D/Ot
Atl of ~he household soods of e.er~ kind aod descriptioa ~so~ or 6etrafter owoed b~ tbc Debtor and oow~ or hercaker located in or abou~ the
7etxor's resideece at the addtess sbown hereon, inclwlins but not btio~ limircd to t6e folb~int:
1b. , 1a h~oryf~ i' ' w- - :
~eS CASe ~C •lE , .g . ~1,P,1 .31T'e ref:1=
,•.ial rr:fi 3~c se+ 1~~~nle ~nc 3': Set a~oovox -
Complae wi~h atl equipment. W+ts and aecessoria ao. ekrco~ a 6ereaker uncbed w or placed t6er~on b~ che Dcbeor.
Debtor 6ereb~ ackoowledses teceipt. or oee of e6em ii t6ere aa c~o or eote d a_s~ce said loan berebr secYred.
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