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The vndersignec! desires Credit Life tnsurance for a cost of _ for the term of the uedit and warrants ihM
his age is years.
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Date
This loan is eovered by a Security Agreeme~t of even date aovering tFu folbwing cotlateral:
1'he East 60 #eet of tt~e West 120 feoZ of the East 670 feet of Lot 45, Maravilla Gardens,
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Unit ~1, accordiiiq io plat t~ereo~ in F'Iai Boak-T>; ~y: 53; of the-Fubl3a~s o~"5'f.
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C~u~~__Pl~id~~__ PaY~e~
$~hedule: Awaual reduction_
of SS~000. 00 with ffrst
pnyment due Februanr 1, 197d and second psymor~R due Februerl? l, 1975 .
I~te~~st #s--~e-be-ps;?able-qtitart~c~F~--------------------------------------------------------------------
The Security Agreement also covers any funcis of the unclersig~ed's from time to time on deposit with bank and the
Seturity Agreement will secure future or other indebtedness.
The undersigned acknowledges receipt of a copy of this note, and agrees tp all of the ter~s contained her
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