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Home My WebLink About2124 Form 5163 R~v. 4(7-1•741 RETAIL INSTALLMENT CONTRACT ISECURITY AGREEMENT) Dated 7/ -w 19~ Purchaser (And Co-Purch 1-'' Seller (Oealar Name and Addres~ Name Address (esl. County. State, Zip Code ~3~9 '~7/j 1~~`.-lC1 f S l/~ ~ / ~JIQ~C.~ . , _ a, ~-y,~, ~ , z~ a~. , , Tne Purchasar (which ~s arqilf~w~{ yn~ ed Purchaser and Co-Purchass~ (s) jointly snd sererallyi havinp boen Quoted s Time Sak Price a~d a lesse~ C~sh Sale Price, hereby d rchsq lfan tfw~u SNler on a Time Price Basis, wbject to the terms and oonditans set forth herein, includinp those .~y~pearing on the reverse side areo .'the equipment ( einafter callad the "Property") described below at ths Deterred Paymer?t Price set out below, and Purcnaser hereby acknowl ~ ery a tance oi the Propsrty in pood order. ~Nir~nd ~ IfY~ , p~ ppe~iption of Equipm~nt Mp~~ SKial Numbw C~ (Mak~ aed S~~1 todudi~ T~x Usd Fitst U - Z ~ . - - ~o - l~~.rt ada;tio~l s.wrie,? s..~a ,s ~ us d Dauiption Mak~ Modd Nue~bw 1. Cesh P~ice . . . . . . . . . . . . . . . . . . . . . . . 5 u a - Cash Oown Paymenf. . . . . . . . - Trade-In Allowanc:e . . . . . . . . S ' $ C~ - a 2. ToW! Down Payment . . . . . . . . . . . . . . - Y,~ p~scription ot T~ad?In Equipm~nt N~ 3• Unpaid bala~ce af Cash Prioe (Dif. betweer~ t& 21$ Z us*d D.~r~M~' M'~`• MO~ 4. (a) Optional Phy. Dam. Insurance . S _ Ib) Official Fces . . . . . . . . . . $ n~` ~ _ Sub~Total . . . . . . . . . . . . . . . . . . . 3 7 ~~ade~n vaiue $ 5. Unpaid Balance-Amount Fina~ced lSum of 3& 4) ~ ~es~ o~~e t $ 6. Finance Charge . . . . . . . . . . . . . Yet Trad~ln Allowante a. 7, Optional Credit Life (nsurance . ~ - ~ ~1~~ Purchase~ hereby barga~iu. se~~s and corweys unto Seller the above y iu descnbed Trade-In Equiprt?ent and werrents and ce~tifils it to be free 8. Date Finance Charge begins to accrue . ~ and ciear of encumbre~ce, except to tne extent snown above. - 9, Totat of Payments (Time Balance) (Sum of 5, 6& 7) a OPTIONAL INSURANCE /4(iREEMENT 10. Payment Schedule: For value received Purchaser hereby agrees to pay the Seller or his assignee the Tota of~ay[ne~ts (~tem 9 above) 1_ Purt!?aser,. heving been advised that he maY the person in ~_~ual installments of $ p abl o~ the cr.rou9h which physical dartwge ~nwrance is to be obtained elects to da of autnorize Se11er to obwin such inwranoe on his behalf for tf~e term of same day. of each and ~very month beginning the - Y the contraCt at a cost of S- ~ ,1 ex d ri t months of ~ 2. P u r c h a s e r, h a v i r? g b e e n a d vi s e d that aedit lite inwrance is voluntary _ ~ ~ f O f 8 rt 1 0 u n t , and is not required tw credit, but iF obt~ined th~ough Se~ler is available the final instal lment du~Ofl for che ce.m ot che ooncracc ac a cosc of S_-_ nereby remaining unpaid and/or " ~~`~S ~ ~n ~ equests N arr nge wch inwrance. ~~Jule of peyrtlent5. 'D~ t~ - Dated -~'S r.~9~ iSucF? schedule includes due tes a~i -arnoy~o more larger ~p ~cn3ser S~ypae~re installments if any. Where applicable, this contr is not payable in chalge~hown ~n 7 abo , rner is the Pru~ntial Insurance Compa~y ~n~allments of equal amounts~. ! of Amenta. ~ _ Due Oat~ Amount Due Dats Amount Dua Date Amount Dus Qate Amount ~ t S 4 S 7 S 10 - S ~ 5 s g = 17 S 2 S ~ 3 s 6 s 9 - S 12 f 11. Balloon Paymenu: The payments listed above $ due on - , 19 and S. due on _ be~ng more than twice the amount of any otherwise regularly scheduled equal payment may be refinanced only upo~ wch terms and con- ~itions as the then parties to this contract may agree as of their due dates. 12 Deferred Payment Price (Sum of items 1, 4, 6 and 7) S ~ t;. Delinquency Charges: Purchaser hereby agrees to pay interest on each installment past due more than 10 days at the highest legal contract ~.:te permitted by law but not to exceed the Annual Percentage Rate of 15% per annum. 1~i. Prepayment Rebate_ Purchaser may prepay the unpaid balance of this contract in fu11 at any time prior to final maturity and if he does so, shall receive a rebate of the unearned port~on of the Finance Charge computed on the basis of the "Rule of 78's"_ No rebate will t~e made if the amount thereof is less than $1.00. +5, Security Interest: Purchaser hereby grants to Seller a Security Interest u~der the Uniform Commercia! Ca)e in the Property described ,I~ove (which term includes items, if any, listed as "additional security".) and all parts and accessories now or hereafter incorporated in or on i, Property by way of addition, accession or replacement and in the proceeds thereof to secure the payment in cash of the Total of Payments ,:~~~f all other amounts due or to became due hereunder. ~ 1G lldditional Terms and Conditions: THE ADDITIONAL TERMS AND CONDITIONS SET FORTH ON THE REVERSE SIOE HEREOF ~ :;RF A PaRT OF THIS CONTRACT AIVD ARE INCORPORATED HEREIN BY THIS REFERENCE. ';FLLER MAKES NO REPRESENTATIONS OR WARRANTIES EXPRESS OR IMPUED (INCLUDING THE IMPUED WARRANTlES OF ; '~ERCHANTABILITY AND FITNESSi EXCEPT AS PROVIDED ON THE REVERSE SIDE. 111 the aforesaid Time Balance incluciescost of _ P• ~~~~eriy Insurance Premium such inwrance shal! be for the term of the contract and insure Purchaser and Seller, as their mterest may appear, ; :in;t toss or damage to the equipment covereci hereunder fiom coll~siun (S25 deductihle?, fire, windstorR~ and tneft.) (UABILITY ~ ~ ! IiVSURANCE FOR BODIIY INJURY AND PROPERTY DAMAGE WILL NOT BE PROVIDEDI. NOTICE TO PURCHASER ~ 1. Caution - Do not sign this contract before you thoroughly read both sides of it or if it contains blank spaces, even if o° othervvise advised. - . ; You are entitted to an exact and completely filled in copy of this Contract when you sign it. Keep it to protect your z legal rights. . Under the law regulating installment sales you have the following righ,j~a~ong others: (a) To pay off in advance the full amount due and obtain a partial re~~iritf~d~t~ finance charge. ~ (b) To redeem the property if repossessed for a default within tfle ~as permitt~bY ~dw• ~ '..:s,: t (c) To requi~e under certain conditions a resale of the property if.~ „~7 ~urchaser acknowledges that a fully completed copy of this . ~~`~:b~th Purchaser and Seller has been ~eiivered to him at the time of_signing: ~ , :~x= ' ~ -r1" ~9 ^ he Foregoing Cont?act HerEby is Accepted RETA1~;-1~~ . ~ft('~ . CT Dajed and S~gned ~ ~ ~'J. ~ 1c1r~ ~o.. ~ x.,~..e ' ~ ' ISe11er1 (Purchase~) 8 v ~ d~ - ` S (Putchaser) THIS CONTRACT WAS PREPAREO BY A80 SIGN~O SELLER ~ ~ ' y~~O~Sa! and Dupl~cate i~ tNK O~?i > . `~I K7LL*i=FfS ~1iW „~„T A':`F l' _ - . _ _ . - - . ~~.V..~~.. - .e~<~c~.___T"~~v~~~. - -y . w;.,.,+~ °~~"~~~=~d+ _ v _ _ ~ ~ ~ ~s _ ~ , _ ~ ~ r.