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~ PROMISSORY NOTE P~nk for F~le
a ~ n , . . . (la. •r. ~y ' : . . 19
For ra;u~ recF~~-~d Ih~ ~~n~_ i~~gn.d (wf.~ch teim ~h~ll mclude ~ny eneiorseis or ~uarantors). ~o~ntly and
severaUy, prom~se to p;,~ to t?~~~ o.:ier of ~ ~ - ~ ~ ~ ' • ' ~ . !he sum
of . . , - , . . • . . . , • - - - - - - - - ~Ol LARS
(TOTAL OF PAY~.IENTS) in ~t~ office in . Flo?icia. consi.ting oi
Proceeds ta Borrower r,'~ ~ " . ~ ' Unpaid (3a1,~~~ce-AMOUNT FINANCED s ~ 1~ •
DocumeMary Stamps ~ ~ • : Cred+t Re{:ort ~ •
Intang~bte Taz Other Co_ t5
Other Cost ~ - Inter~•st T~ T•'~~
- , 1 ~ ~,r
Credit Life Insura~ce • TOTAL FINANCE CHARGE
Disab~lity Insurance ~ ' • ' ANNUAL PERCENTAGE RATE . ~
Credit L~fe InSUrance and Disab~liiy In~i~r3nr.e are not requ~red (or aedit. Such coverage is avaitable 2t
the above cost. •
.~.~c~~ c'~-°~~/~
I desire Credit Lite Insurar~ce
h1AKF~ j, C` C~MANtR
1 desire D?sability Insurance ' Y.~~sl ~
MAKI~~.,,~~~_ KER
The Un~ersigned promises to pay the TOTA! OF PAYh1EN7S in monthly instaHments of 3!~ t.--
each, commencing or. the i~~y of . I9 ard on the z~ ~ day of each
successive month thereafter. to~ether w~th a final.'balloon payment in the amo~~nt of b due
on the day~ of . 19 ' . 11 this note shall be prep~id~ in full, the undersigned
shall rece~ve a refund of a port~on of the FINANCE CHARGE computed by the "Sum of the Digits" method.
if any instaliment shall not be paid witi~m ten (10) days afler the same shatl become d~e, a service
charge ot a5.00 or 5°0 of the amount of suct~ ~nstaltment. whichever is less, may be made. If this ~ote or any
installment thereot, shall he collected through an attorney at law, undersigned shall be liable for ihe cost of
collect~on. ~ncluding reasonable attorney's fees equal to 10~ of the principal sum or such larger amount as
may be reasonabte and just.
If any installment shali not be pa~d when ihe same shall become due. the ent~re amount of this nole. less
the amaunt of any rebates required by law. become due and payabie at the election of the ho!der, and such~
unpa~d amount thereafter shall continue to bear interest at the rate used to comE~ute the FiNANCE CHARGE
until paid.
Presentment. Not~ce ot Dishonor and Notice of Non-Payment hereby are wa~ved by each maker, endorser. -
, or other party to th~; note. and each of them hereby do warve alf exempt+ons. whether homestead or other-
wise. to +nh~ch they or any ~f them now or hereafter be ent~tled to under the laws of the State of Florida. or
ot a?~y other State.
The undersigned hereby grant ta ~ .,~___~,..;,,~,;~i__. ~E.~ - . as security. '
a I~en on that ~eal property in:
,
,
~ ~ . U~ ~ c• . Cou?~ty, Florida. known as No. ~ ~ : ~t re ~ ` _ Street
~ (City) ~ . . ~ , State) . , : : ~ . ,
and warrant ihat~ (a) the undersi~ned are the oHners and the sole owners. of the above described property; (b)
that the unders~gned have disclosed to the ba~~k all Exwr li~;ns on the above described prope~ty: and (c) that the
proceeds of this loan will be used for the improvement, alteration or repair of !he above described premises.
If the ahove described property is iransterred from the undersigned, whether voluntarily or involuntarily, or
~ by operat~on of law. ~f the undersigned or any of tl~em becomes insolvent or a bankrupt: or if the above de-
scribeci prem~ses are destroyed, e~ther by fire or ott~erwise. at any time pr~or to the full payment of th+s note.
then, at the option of the holder hereof. the un~a~d balance of this note shall immed~ately become due and
payabte. without demand or not+ce.
TNE UNDERSfGNED. AND EACH OF THEti1 ACKNC4'Vl_EOGE THAT AT LEAST iHK~c BIiSIVESS
DAYS PRIOR TC? THE EXECUTION OF THIS NOTE. THEY RECEIVED ALL OF THE nISCLUSURES PROVIDED
FOR UI~;f~ER 7HE CONSUAIER PROTECTION ACT. THAT THEY ENTERED INTO AN AGREEMENT CONSUM-
ATING Tri1S TRANSACT~ON. THAT TrIEY NA~ff NOT h'IAILED A NOTICE OF RESCISSION TO THE BANK.
AND ThAT THEY HA~E BEEN FURNtSHED A COPY OF TNIS NOTE. ~
C!ate:! th~ date frr,t abOve +~+ntten.
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~.7 ~j Microf ilm Memo
~aR -'"E,-c~'~^k The qualit of this
copy is unsatisfactorv
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