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-a06-R-Reorder from: Fore line Systems. Box 18527, Tampa 33609 Revised 2-70
~er 55000= Secured w/real estate-aonballoon
PROMISSORY NOTE
ST. LUCIE COUNTY BANK 3, 000. 00
No. FORT PIERCE, FLORIDA ;
Daa~mb~s 14 , i~ ~
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For value received, the undersigned (and if more than one. each of them jointly and severallyl, promise to pay to the order of t
St. Lucie CountY Bank ort Pi~e~rida ~
Tbs~• ~~us ao/100---••---•-•------------•-
tne 5~m ot___ 6II 83 -is~--DOLLARS (TOTAL OF PAYMENTS),
k payable in_____ ~n onthly ins~ alments of S__ ~ each, on the _ , day ot each successive month
~~plllil~ j
i c~mencing on 19_____, together with cosis of collection, including attorneys" fees equal to 10% of the
~ principal sum or such larger amounts as may be reasonable and just if collected by legal proceedings or through an attorney at law.
~ The undersig~ed promises to pay late charges not to exceed 59fo of the amount oi any principal payment or payments in deiault.
~ Atl payme~ts made hereunder shall be credited f~:tdO~t~~t and lawful charges then accrusd and the rQmainder ~o Pr~nc~al. The
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g amount of this note includes the proceeds of S_ recording fee of 5___ intangible tax of S__ ,
? documentary stamp tax of 5___ ~ othetcharg~s ~
; - - - - _ - -
~ ~ ~Oescr~be and State Cost ot Each)
§ - - = _ - - _ - 3, O~II. 00 - _ - - - - _ 8~-
~ of s____.___~resulting in an AMO~~j F1t~ANCED ot S_.-_ p~us a FINANCE CHARGE of S____
9. s~v
~ ~which amount inctudes interest of S______ ~ credit life insurance premium of S~______-___and credit investigation cost of
s iesulting in an ANNUAI PERCENTAGE RATE of_ 8 The undersigned has the right to prepay this
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~ loan in fult and obtain a retund ot the unearned portion of the finance charge computed u~der the "Sum oi the Oigits'" method.
~ CREOIT LIFE AND CREDIT IIFE 6 DISABILITY INSURANCE. ARE VOLUNTARY ANO NOT REQUIRED FOR CREDIT. Such insurance coverase is availaWa st tM
cost designated below (or the term ot the c~edit: (a) s tor Credit Life Insuronce Ib) i (or Crcdit Life d~ Dissbility Insurance
Check ~ Credit Life Insurance is desired on the life of Birthdate
APP~• Credit life E~ Disability Insurance is desired on
~ Box
~ pr~~~j{t~`~~°s~~sey~lwsw~nce ~s na aesi.ed
li •IZ7a i 7 I
Date) (S~gnature)
PROPERTY INSURANCE, if written in connectio~ with this loa~, may be obtained by the undersign~d tn~ough sny p~rson oi hls chokt. If the under-
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signed desires Droperty insurance to De obtained throuqh the crcditor. the cost will Ds i tor a t~rm of months.
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In the event any instalment of principal is not paid when it becomes due, the entire amount of this note, less the amount of any
~ rebates required by law, shall become due and payable at the election of the holder.
~ The holder is hereby authorized to apply, on or after maturity, to the payment of this debt, any funds or properly in possession of hotder
~ belonging to the Maker, surety, endorser, guarantor, or any one oi them, and all endorsers and sureties agree that this note may, in whole or
in part, be extended or renewed irom time to time without notice to them and without release of their liability hereon.
Presentment, notice or dishonor and ~otice of non-payment are hereby waived by each maker, endorser and other party to this
note, and each of them do hereby waive the right to be sued after default in the county of their residence.
;a SECURI~( - This loan is secured by a M a of ev ate on the f Ilowi desc "ber eal rope~ (Rescri4el--
= R~al ~~tat~ mozt~s~• oa ~i~a pu~~c r~eos~a o~~5t. ~.uc~~ G~eun ~ Fiorid~
_ .
- _ _ _ - •
' The Mortgage will secure future or other indebtedness and will cover after acquired property. ~
The undersigned acknowledges receipt of a completed copy of this note on the above date.
i;~
r`-~~ 1613 A~~on~ I~
~ fAddress) Signature: ~s/ Augustus C. .Tac son SEAL
caddress) S~gnature: /sl Julia C Jackson SEAL
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(Address) v ~ K ^ + " _ _ _ _ _ Signature: SEAL
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