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C~nary for Cust~~mer
PROMISSORY NOTE P~nk for Fde
_ Fert 1'ier: e~ . Fia. anr.i 1 l~ . 19 ~5
For value recPived, the under;igned (which term shall iiulud~ any endorsers or guarantors). ~ointiy and
seve~ally, prom~se to pay to the o:der of :'lorici~~. ~ank a t r'e~rt i'i~rce . the sum
of ~ iv~ tnousarid three huncired ~Lhirt~ tv:~ and 2~/1QU-------- DOLI.ARS _
(TOTAL OF PAYMENTS) in its off+ce in 'r'~rt' Yi.c~rc~ ~ . Florida, cons~~t~ng o(
Proceeds to Borrower ~3 . ~F ? . llnpaid f3alance-AMOUNT FINANCED ~ • ~ ~~5 +
Documentary Stamps Q.~ ~ Credit Report 5• C1 ~
Intangible Tax -0- Other Co:,ts -0-
'Other Cost -Q - Interest 1, ? ;1. K<
Credit Life Insurance ~00 . 4~ TOTAL FINANCE CHARGE 1, 2~~ .>o
Disability Insurance ~n 1. ANNUAL PERCENTAGE RATE ?-n ,~~n %
Credit L~fe Insurance and Disab~lity Insurance are not reyuirecl -tor credit. Such coverage is available at
the above cost. ; •
I desire Credit Life Insurance xxx_n~_~~c ~~!_l~
a 1~.[ Ft~ 7~ G MAKER .
I desire Disability Insurance X~~~!~LsL~ " -
AKER ~ ` O MARCR
i,er~ld 11
The Undersigned prom~ses to pay the TOTAL OF PAYMENI S in ~n monthly instaliments of $ 3~.
each, commencing on the ?n~y of : ia, . 19 and on the t day of each
successive month thereafter, together with a final!balloon payment in the amount of ~ R~.~'~ . due
on the day of A•ri ] , 19 R0. If this note shall be prepaid in full, the undersigned
shall rece~ve a refund of a portion of the fINANCE CHARGE computed by the "Sum of the Digits" method.
If any installment shall not be paid within ten (10) days after the same shall become due, a service
charge of ~5.00 or 5~ of the amount of such installment. whichever is less, may be made. If this note or any
installment thereof, shall be collected through an attorney at law, undersigned shall be liable for the cost of
collection, including reasonable attorney's fees equal to 10~,6 of the principal sum or such larger amount as
may be reasonable and just_
If any installment shall not be paid when the same shall become due. the entire amount of this note, less
the amount of any rebates required by law, become due and payable at the election of the holder, and such
unpaid amount thereafter shall continue to bear interest at the rate used to compute the FINANCE CHARGE
until paid. ~ .
Presentment. Notice of Dishonor and Notice of Non•Payment hereby are waived by each maker. endorser.
' or other party to this note, and each of them nereby do wa~ve all exemptions, whether homestead or othe~-
; wise, to which they or any of them now or hereafter be entitled to under the laws of the State of Florida. or
~ of any othe~ State.
` The undersigned hereby grant to nr ~~a ?ank a: ?nrt__~j~~E_. , as security.
s
~ a lien on that real property in:
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Ll;~Cl° , County, Florida, known as No_ `~4 ''°rt`~ 3ytt-' Street
(City) ~'or ~ Fierce , state) . ~ ].orzca _ ,
and warrant that: (a) the undersigned are the owners and the sole owners. of the above described property: (b)
that the undersigned have disclosed to the bank all prior liens on the above described prope~ty: and (c) that the
proceeds of this loan will be used for the improvement, alteration or repa~r of the above descr~bed premises.
If the above described property is transferred from the undersigned, whether voluntarily or involuntarily, or
by operaiion of law. if the undersigned or any of them becomes insolvent or a bankrupt: or if the above de-
scribed premises are destroyed, either by fire or otherwise._ at any time prior to the full payment ot this note.
then, at the option of the holder hereof. the unpaid balance of this note shall immediately become due and '
~ payable, w~,hout demand or notice_ . =
;
~ THE UNDERSIGNED. AND EACH OF THEM ACKNOWLEDGE THAT AT LEAST THREE BUSINESS
~ DAYS PRIOR TO THE EXECUTION OF THIS NOTE. THEY RECEIVED ALL OF THE DISCLUSURES PROVIDED '
~ FOR UNDER THE CONSUMER PROTECTION ACT. THAT THEY ENTERED INTO AN AGREEMENT CONSUM• r
ATING THIS TRANSACTION, THAT THEY HAVE NOT MAiLED A NOTICE OF RESCISSION TO THE BANK,
- AND THAT THEY HAVE BEEN FURNISHED A COPY OF THIS NOTE.
~ Dated the date first above wr~tten. f.
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~ . . . ~ . . . j.~~.. ,~i_.. • • STt~_I_, ~h'Y FL.A.
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