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~I ~~I'~V 1(~l'(~ t~~~0`~l~'S~ t hut i/' suicl .1t~~rf~a~c~r, their heirs. le~al
rr/~r~~,~•~~l~rlit•r. ~,r ~~~•ic~u~ sl~ull pnt~ tt~tl~~ tlte said ~~I~~rt~~rnPe, its 1~~,~ul
' r~/,rv••rululirc~~ ~,r us~i~i~t., Iltc cPrtaiu promissorJ ~ro#e , uj rr/ric~li tlre follo~~•ino
, iu r~•urclx u~tcl Jiottres is a true cop Y , to uit:
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NO~ AND EilT~IRE LOMI: AQ~REEMENT . ~
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Acoount Na ~~0"T Dat ' . , ~ ,
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In oonsideration of a loan of this date in the amo~wt ot ~ 61~•5! an~ futnn lwaa to the UndEesi~sed b~
FAMILY CONSUMER FiNANCS SERVICE, ING OF Fl'. PIERCB
termed Lender, t6e Uade,~ai~aed a~ee to pa~ to I.ender at iU o6'iae. the amount o~ all swm ad~ant~ed to t6e Undenisned plas int~reet at t6t rate
oi ten per cent (109r ) per annum. iu equd oeon~ht~ iwt~imrnts antit wch priaci~al and iaterest are fqlly paid. The amount and dne date of sac6
' monthlr iaattLqeo4 eball be as set forth in a Satemeut of Loan farnia6ed to t6e Underaisned br I.ender at the time each loan is rwde. Sacb
monthl~ in~talments include scbedaled inte~est dae and paYment shall be appiied to t6e oombiaed principal and iaterest.
Lender is reqneated to obtain decreasins tam credit life insuraoee ~rit6 dis~hilit~ beue6ur in conjnnaion ~?ith ~he makir~ of each lwn
inanrins t6e tife of the desi~uted Iwured Berrvwa in an amount snB'icient to disc6ar6e the indebtednes~ o[ t6e Uadarsi6ned to Leader on the
dut6 of the Insnred Borrorrer and pmridioa st?m dar rec,+oac~i.e moo~61~ disabiliti bese5~s cy~ul ~o c6~ se6edukd montht~ inatdmaw a~ set .
forth in the 5tatement of Loan (urais6ed to the Undaa' ed at t6e time of the mal~ina of each loan. I.~nder is reqaested to obtain fire, inlsnd
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nurin~ e:tended oorense and thett ia~uranee oa all penonal propert~ auortpged as securitp for this Note and Futnre Loans A~ueemmt. I.ender
is authoriud to deduct from eack loan t6e amount ot identi5able eh~raa for wd+ insuranae writtw in oaajandion ~ eacL 1oan.
Defanlc in ~he Pa~menc ot anr ins~almenc of .n~ loan made 6ereander or breach af the oonditions o[ this TIo1e and Fntnre Loaaa A6rcemwt
or ae~ instrumeat aecurm~ suc6 laeas sball. at tbe option o( t6e Lender, ~rithoat notiae or danand, render the an~wLwce of all ontstand'ma
loans. aod aecrued interest due aad parabk and aouptance oi paTment sftu defanh ahall oot constitute a wai~a
I.ender will tnrni+b to the Undeni~ed. or if more tLan oae. w one ot t6e Undeni6oed. at t6e time of the makiaa ot acb lo~n undu this
Note and Fature Loana Asreemeot, a Statemeat of Loaa settina forth tLe date and amount of loan, the amoant and date of t6e monthlT instalmea4
which will inclnde interest at the rate of ten prr aat (10y6) pa annum on t6e seheduled unpaid priacipsl amount of t6e iwn. the amouat ot ~
each author'a.ed d'nsbursement from t6e lwn. The Uadeiaiancd ~gicoe if ao rnor ia the Statuaent o! Loan is reported to Lea~er rrithin ten (10)
dars of ib date. t6e Sutemeat of Loan s6a11 be eoneluai~e as to the amouab and terms ooatained therein. Eac6 Statement of Loan s6all beoowE
a p~rt of this A~etmm~ ~
The Uodasisned se+reraU~ ~aire prdeutmmt, demand. notice of ooo•pa~ment and protesc aad coaxnt t6e time of paymcnt of an~ ban
made undu ~his Aareement ma~ be ezteaded b~ Leadu an~ number ot tima nithout aotice or prev~us eonsmt, wd bind ourselres, jointl~ and
aereraUy, unoonditionallr, ior the iall pa~ment oi all loans made ander t6is A6reemen~
TLe Undersianed aaree to pa~ t6e aetna) and rnsooable attorne~s' fea and couct caets. inclsdina reasoaabk e~penses oi repoeeeasiua. storina
and acllina ~ar ptope:t~ pledsed as securit~, as detdmwed b~ ~he oourc in which sait .ie 6kd to eaforce collection oE t6e Note and Fnture
Loans Aareemen~ aftu maturit~ or def~nlt.
APPROVED Cn~'~F ~u~L
Iasared Bocrower
FAMILY CONSUMER FINANCE SERVICS, ING
OF FT. PI~R~CE ~tJ
~o~K
B~: s~o.a .
n~-so ~ c~~ Doc stamps in the amount of :~11.70 hav~e been aPfixed to the '
original note. _
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