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F~tST NATIONAL ~ANK ' OF F.ORT PI~RCE
. ~ NOTE
~
Fort Re~ae. Flotida. ~ ~ 18~ 0 ~ S ~
~ ~ ~ ~ No. ~~l~~
.G ~o ~ ;
fur date. the undersigned (jointly and severally, if more than one)
promises to pay to the ordat of the FIRST NATIONAI BANK OF FORT PlERCE (he~eafter 'b.ink"),
~
at its offiae at Fort Pierce. Flaida, the sum oi~-~~- 7- ~'u-~'~-~ ~,,.~~~is~''~.
e-~pollars
with interest after date ofl 7~ pe~ an~um, interest payable esch thrce months.
~
(11 Cash Advanced c~ t
(2? Plus OTHER CHARGES (Not Part of FtNANCE CHARGE) i
~
1a1 Credit Life Insurance S
(b) Credit Life & Disabitity I~surance S
(c1 Official Fees „ S ~
ld1 Other ~ G J/~i'~?t/~~f s #
Total Other Charges - " S /S - `
13) Equals AMOUNT FINANCED s/' T~ °~~cs `
14) Plus a FINANCE CNARGE (Constituti~g ~an
ANNUAL PERCENTAGE RATE OF~%) S ~-s ~
15) Equal: Prinapal Amount (Amount ~o be Repaid
or Total of Payments S/~ ~ y~ s~~
~
~
If this note is not payabie on demand any holder of this note may declare it immediately dus and payable wt?enerer
the holder deems iue~f iruecwe w upon the insolvency, bankruptcy, d'asolution, death a incompetency of any maker,
indorser or guarantor hereof. Aher maturity, this note shall bear interest at the highest legal rate. If the maker
defaults or is late in paying any installmer~t, the holckr shall be entitkd to collect a penalty charge not exceedirg 596
of the delinquent principal payment. 1n no event shall any maker, indorser or guarantor of this note be obligated to
pay any intetest in exoess of the amount permitted by law. The maket sfiall pay alt o~sts of oottecting this note. ~
i
includin9 a reasonable attorney's fae. ~
This note may be p?epaid in full at any time ~d a pro-rata refund di the FINANCE CHARGE will be made, but
the FINANCE CNARGE rotained by the holder s~all not be less than 55.00.
Gedit life snd Disability insurance is not required to obtain this loan. No diarge is made for credit insurance
and no credit insurance a provided ~mless signed for bebw.
The undersigned desires Credit Life -Inwrance for a oost of S for the term of the credit arxf wvarranu '
that his age is yexs. O.O.B.
r"'~-
Date
~
• '~he undersigned does not desire Gedit life and Disability Insurance for the term of the aedit.
~ ~ ~ /i- -
,
~ Date
The maker gives tl~e bank a sccurity interest i~ any funds from time to time on deposit with the ba~k and the ba~k
may at any time set off any sud~ amax~i against the indebtedness evidenced by this note whether this note is due
or not. The ur~dersigned acknowiedges receipt of a copy of this note, and agrea to all the terms contained herein.
/ .
. °C_..~~~ ~~vs~l,~e~l-~~.- iSEAL)
~ 4SEAl)
ADORESS:
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i~t~~t e~~~-u~~~«~
s.~~ rq.e~ ~ s... n..+~. ~.s. q. R.o. w ~ .
DOCUMENTARY STAI~S ATTACHED TO ORIGINAL NOTE .
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