HomeMy WebLinkAbout1751 , . x~~t~ rl ~;a~..~s .:n ~r
i~inal r~ote •,,,:,rv ro. c.us:vs,~r~
PROMISSORY NOTE Pm~. lo~ F~le
s . ~ ~ . ; i.i. ~ ' , . . . 19
~
For value received. the ~,nciers~~n~d (~vt~~ch s~~i~t tf;a~l incl~~d~~ ~ny cndorse~:. or ~u.ir.~nto!~). ~o~nt y and
severally, promise to pay to the ~:~ier of ' 1 : • i ' . ~ : ` • ~ , the sum
of . ~ ~ . 1 ;t-,.~r: ; , . . . ; . , , i• ~ , _ _ _ _ OOLLARS ~
~;..•f~~.. .1 :ii
(TOTAL OF PAYAIENTS) in its oHice ~n ~'r•` ~ , floncla. con,~stuig ol
Proceeds to Borro~ver ~ n: ~ n , i'•l Unpaid Ralan~~---AMOUNT FIt~ANCED ~ ~ ~ ~ ~ ~
Documentary Stamps ~ ~ Crcdit Report : ~ : _
Intangible Tax Other Co;ts
x
Other Cost - - - intemst : ~ ~ ' . ' ~
. i
Credit life Insurance TOTAI.FINANCECHARGE ?
Disability I~surance 3"; RNNUAI PtRCENTAGE RATE 1°-=. i`'=- % :
:
Credit Lite Insurance and Disab~~ily l~su+ance are rot ~equir~d tor credit. Such coverage is availabte at
the above cost. '
I desire Credit Life Insurance r~~.~~~
. ~t , . 1•4~4~ q I= MAhLR
I desire Disability Insurance , , ~~~~'Y`~/--~- ~
, ~'M(11yF R ~ 1 r• 'r; M~?:ER
The Undersigned promises to pay the TOTAL OF PAYMkNTS +n monthfy in,;tallment~ of 5 -
each, commencing on the tf~y of E'' . 19 ~'and on the day of each
successive month thereaft~~. to~ether with tin~l ~'t~atloon payment m th~~ amouni of ~ 1. aue
on the t': day of !±?:~r . 19- r=~! If this note shall be ~repaid ~n full, the undersigned
shall .eceive a refund of a po~tion of tl~e FIN~INCE CHARGE computc~:i by tlie "Sum of the D~gits" method.
If any installment shall not be paid within ten (10) iiays atte~ the same shall become due. a se~vice ~
charge of ~5.00 or 5°,'0 oi the amount of such installment, whichev~r is less. may be made. If this note or any
installment thereof, shall be collected through an attorney at law. ~~ndersigned shall be liable tor the cost of
collection, including reasonable ~ttorney's fees equal to 10°~( of the p~incipaf sum or such larger amount as
may be reasonable and just.
If any instailment shall nut be paid when thE• same shall beconze due. the ent~re amoum oi this no:e, less
the amount of any rebates required by law, become due and p~+yable at the clection of the holder. and such - r
unpaid 3mount thereaiter shail conhnue to bear interest at the rate u;~d to compute the FINANC:: CHARGE i
untel paid.
P~esentme~t. Not~ce of D~tihoncr and NoUce ot Non-Payment hereby are warved by each moker. endorser.
or other party to this note. and each of then~ hereby do ~v~nrr aN exempt~ons whether homestead or other ,
wise, to wh~ch they or any of them now or hereafter k.~~ enUUe~l tu under ihe lavl> of the S!ate o~ f:onda, or ~
! of any other State_
~ The undersigned hereby grant to j _ ~ _ ` _ _ - _ , as secunty.
~ a lien on that real prope~ty in: ~ ~ , #
~ ` • " . County. Florida, know n as No. t' ~ ~ ~ ' ~ ~ ~ ~ ` ~ Street i
(City) - . State) . " . • .
and warrant tt~at: (a) the undersigned are the owners and the sole ov?ners, of tl~e above described prope?ty: (b) ~
~ that the undersigned have disclosed to the hank all prior liens o:i lhe ahove described propcrty: and (c) that the j
proceeds of this toan witi be use.~i !or the ~mprovement. alteration or ~ep.~~r af tne zbove descr~beci prNmises. ~
If the above desc.?ibed p~operty is transferred trom the undersigne~i. whcther voiuntarily or invol~mtanly. or ~
by operatian of law, if the unders~~nec! or any of them becomes insolvent or a bankrupt: or i? the atwve de-
scnbed premi~ey are destroyed either ~y fire o~ otherwise. at any t~me pnor to the full payrnen: of this r.ote.
then. at the opt~on of the holder hzreof. the un~;a~d balance of ti~is note shalt immed~ately become d:,e and ~
payable. •~+~thout demand os nohce. ~
THE U~;DERSIGNED. AND EACH OF THE~~ ACKNOWLEDGE 1HAT AT LEaST THREE BUSINESS
DAYS PRIOR TO THE EXECUT;ON OF THIS NOT~. THEY RECEIVED Al l OF ~ IiE DISCLUSURES PROVIDED
FOR UNDER THE CONSUMER PROTECTION ACT THAT THEY ENTFRED INTO AN AGREEnAENT CONSUfJI-
~ ATING THIS TRANSACTION. THAT THEY IiA:~E NOT MAIIEL~ A NOTlCE OF RESCISSION TO THE BANK.
AND THAT TNEY HAVE BEEN FURN' ~HED A CUPY OF THIS NOTF.
~
Da'ed tre date tirst above wntten.
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