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. p~- C~~3 U TY AGREEMENT AND NOTE e~
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(Name) ( No and eet) (City) (State)
(Cuswmer). fo~ valuable conside ion eipt of which herebr is acknowledsed, herebr ttants to
F~a?~.iaa..B~.. .ax.~..~~~~cc.e
,(the Secured Party). a Security Interest in d~at property desc~ibed below in Pa~asaph 12 and anr and alt in-
ueases. proceeds. parts, accessories. attachments. special tools, additions. accessions and subsdwtions tAe~- ;
to or therefor (the Collate?al), ~o securo payment of the indebtedness evidanoed py Ihis ~~reemeny anr ~co~m
sions or re~ewals thereof. and any and all liabilities. direct o~ indi~ec4 absolute or condotan~ now enisdnj ar
hereafter arising of Customer to Secured Pany and-the performanae of all the provisio~s of this l~srcamen~
Customer (vrhich term shatl inciude all endo~sers or guara~tors. d if m r than one d~of ~,em joinar ana ~
~ort ~~erce ~+'~orida ,
severallY) promises to pay to die ader of Secured Party at ~~u.~~.~~~~..~~~.~~~~~~~~~~~~~~~i~N~~~~~~~~~N~~~~~~~~~~~~~~~~~~~~• S
t1~e "TOTAL OF PAYMENTS"' in the amount of 5....~.ti~s~2~~'.Qcomputed ss follows:
1. PROCEEDS TO CUSTOMER 5....S.~OOO. 0{. PREPAID FINANCE CHARGE S...S89~~~.
2. OFFICIAI. FEES AND TAXES S. M10UNT FINANCED (1) pius (2) -
L~en Search, S~O.-.. : Satisfaction _ plus (3) minus i.....~~QQ~..00
of E~~t~ng Lsen, S.'~::...; Filing, 6. FINANCE CHARGE
5..........; Incangible Tax Sr.O-....: PrepaidFinanceCharge 5.~0+.?........
Documentary Scamps. S..i~.e.95 Gedit Life Insurance 5........~Qn..
O~her,-~~ 5......-~'' Gedit Life and Disability
TOTAL OFFICIAL FEES b TAXES 5..1~.9~,... Insu~ance 5,~0~
3. INSURANCE: Gedit Report s,~100,,,,,,
Term....60..Months Interest S.ly~'~'f..~'l
~Q~.bllision !0- ..Ueductible Otf~er:...~~.CII ...............~.A~........
~Q~Fire & Theft.~Q~.Comprehensive. TOTAL FINANCE CHARGE 5~,~.~i~f ~
~ ~Q~..Comb~ned additio~al coverage 7. TOTAL OF PAYMENTS t...'~~2'~!'~..~0 s
'~'..Credit Life.~7~~~dit Life 8. THE FINANCE CHARGE EXPRESSED AS
and Disab~lity AN ANNU/?L PERCENTAGE RATE ..1~.9~
TOTAL COST OF INSURANCE S..~T.81~8.. 9. PAYMENT SCHEDULE:
Customtr may choose the ~erson through Customer prdmises to ~y2~~ur~ed~ Pany the ~
whom the insurance is t~ be obwintd. "Ttowl of Paymenu" S. .a.. .~..,.Q~
rable in ,
...!!Q... equal installments of t....Fh~...~c~ch
CREDIT LIFE INSURANCE. AND CREDIT LIFE & commencing on ~QRtr..~....., 19..~5 and on
DISABILITY INSURANCE ARE NOT REQUIREO FOR ~e samt day of each successive month to=et~er
CREDIT. SUCH INSURANCE COVERAGE IS AVAIL- r„~~ a Balloon/Final payment of 5.....~a„Z9 '
ABLE FOR THE TERM OF THIS AGREEMENT AT
payable on NpafQSlle~...~.~9~01f this /~yree-
THE FOLLOW!NG COST. ~ ment shall be prepaid in full. CusLOme? wil) be
~A-..........for Credit Life Insurance entided co a refund of a pation of ~he FINANCE
S••.J78Y9$for Credit Life and Oisability CHARGE. after deducting an acquisition thar:a
i Insurance as provided by law. which shall be tomputed by {
1 des~reOCredit Life lnsurance or L=TCredit che sum of the digits method. i
i Life and Disability Insurance on the life of: ;
; Cradit..~~~'e...~ar..~w~¦t?~Y. ~'~~s.c~./~.+.~!f..' .~r ?
t A dc H..for 5 yenrs. Orily.... ~ 10. The FINANCE CHARGE will betin m accrue on '
E R~Lh~~~'d L. Sp02'Ig ~t~~:iom~~~" qtie dace che Proceeds provided for hereunder are . ~
: ~
~ ......ZtSaie~ ZCustomei3"
' advanced to the Customer. ~
~
g I I. Time is of the essence of this agreeme~t. Customer agrees to pay Secured Party, without offset of any kind. ~
~ a delinquenq c~arge on any installment not paid within 10 days of its due date. in the amount of S% of such in-
~ stallmenc or 55.00 whichever ~s less. In addition, Customer agrees to pay such expenses incurrod bp Secu~ed
~ Party in the even[ of default or in effecting collection hereunder as may be allowed by law, includina attorneps'
~ fees equal co 10 0 of the prinupal sum or such larger amount as may be reasonable and just. The loss. injury o~ ~
~ destruction of che collaceral witl not release burer from any obtigation hereunder. €
~ 12. Customer hereby gives to the Secured Party a security interest in the following described collate~al:
~ Year '4iake Model Serial Number Cash Price
~ ~ !
~ ~ x~$~!~ 1964 AZma Mobile Home .I~X552F 1406 ~
s
~ ~Mortgage on Lat 3 lock 3 Green Acres,Unit II Subdir sion
s ' St. :,ucie Coun~y, Florida _
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~ 13. The sra~++os reQu~red by Q~aDter 201. Flonda Statuoes. Aave been placed on Ne oris~nal prom~ssory ~nstrumeot and w~ll ps pyted oe
§ anr addrt~o..a! an0 s~m~ia? insvument that m.ay be so setured. ~
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; This Agreement is subjecc co the addicional provisions set forth on the reve~se side hereof, the same being
~ incorporated herein by reference.
y Tha D~btor(s) acknowl~~s nc~iPt of
~
~ EXECUTED•TH15.1~k#h day of .....j~p~g~~Yr.... 19...'~!S an •zatt snd bv~ copr.M t~is ~
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~ THESECURED PARTY ebtoR~ChB , SpOC~
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