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U~seturod - I~stallment Note ' "
' PROMISSORY NOTE O~iginal t
j Blue to Customer
• , Pdnk to Fd?
i s..._.SS~.Ii `-or± '':^rce, . Flor~da ~'~'nu~ry 11, , 19 ?i.
FpR VALUE RECEIVEe, the urtdersigned (which shall include al! endorsers or g~~arantors, and if more
thzr~ one, each of them ;ointly and severally), promise to pay to the order of:
~1o~i~+a i'ank ~ i ~'.~rt ~i~rce~ "art ~;~rc^, Ftorida, the sum of
Five H:~nc`•~c?d ~ : t ty arcf 1 ?;~1:,Q - - - - - - - - - - - - - - - - - - -
~ Doltars
cansisting of: .
1 Proceeds To 8orrower ; 4
~ ) - • (6) AMOUNT FINANCED (1 thru 5) $__~L_,2~
' (7) Credit Invesiigation Cost
:C2) Documentary Stamps .~'0 _
(8) Interest - •'S
•(3) Other Charges _
~ (9) TOTAL FINANCE CHARGE (7 & 8)
r r.~ 1 i
~4) ~Cr~.;it life Insurance
(:0) TOTAt OF PAYMENTS (d & 9) •
(5) Disabilir~ Ir.surance . ~ 7 The FINANCE CHARGE is expressed as
an ANNUAL PERCENTAGE RATE OF %
Credit tife Insurance and Disabitity Insurance is not The undersigned promises to pay the
; ~equired for credit. Coverage is available at the
70TAL OF PAYMENTS IN 1 f monthly ir.stallments
; above cost. 1 desire:
of E ~'r.~i+ each. commencing on the 1~L_~
; Credit Life insurance . ~
~ ~ _ d8y Of . ehrte<<-x , 19_~ and on the 1~;•
i day of each success+ve month thereafter. together
Joint coverage for . . . . .
with a final payment in the amount of s t~ ~7
~ Disability Inwrance - ?.27 due on the _ 1 Qtbay of ~'~,~~'r;' . 19
~
If this ~ote or any installment thereof shaM be collected through an attorney-at-law, the undersigned
a~rees to pay the cost of collection, including reasonable attorneys' fees equal to 10% of the principal sum
; or suth larger amount as may-be reasonable and just. If this note is prepaid in full, the undersig~ed will re-
` ceive a rebate of the unea?ned portion of the FINANCE CHARGE computed by the "sum of the digits" method. -
~
~
` If any instailment shall not be paid within ten(10)days after the same shall become due, a service charge
- of'~% of the amount of such installment or ~5.00, whichever is less, may be made. All payments made here-
~ under shall be credited first to any lawful charges of collection, then accrued interest, and the remainder to un-
, paid principal.
~f ~nv installment shatl not be paid w~thin fifteen (15) days after the same shall become due, the entire
amount of this note. less tne a~r~~~~~: o!,~ny ?ehates required by law, shall become due and payabte at the
; efectiort of the holder, artd such unpaid amount thereafter shalf bear intr~Cs: s: th~ ca!~ ~f ten oer cent (109(p)
~ per ~nnum until paid.
Presentment. not'rce ot dishonor and notice of non-payment hereby are waived by each maker, endorser,
~ or other pe?ty to this note, and each of them hereby does waive the ~ight to be sued after default in the counry
` ot his residence.
. The undersigned acknowledges receipt of a cofiipleted. copy of this note. on the date first above written.
` 2512 ~~.ve Q ~ ~
. . . . . . . . . . . . . . ' L ~l..L y 7-79, ~-r-~r'' ' .
` AddresS ~ Signature
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: r j~~ , ~us Lev~~,• :~e _
~ 2 • 12 Ave..Q. ~ ~ ~ x ~
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