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DUPIICATE NOTE TO BE FItED WITH REAL ESTATE MORTGAGE
NOTE
For V~I~e Reaire/, the undersigeed pintly and sevenl~r promise to p~r !o ihe lende~ named below, at the lender's said office, the Iktual Amount oI lwn shown Delow,
tog~:ther w~lh interes! on unpaid princw~l balmces ot the rate ot interest set torth below, ~II ot which is ps~rable in wcussire monlAly instalmenis md the num0er and
amo~nt ol said instslments are shown below. TAe first oi said inst~lments is pri~ble on the lst Oue Date shown belar md escA subsepuent instalment on the s~me d~r ot
each succeeding month theratter, the fu~al icut~lmeat being due and p~raDle on the Final Due Oate shown below. Exh iiutslmenl shall be i~ 1he artwunt of monthlr u~st~•
rnent showa Delor, if fias note is paid xcwding to contract; otherrriu, the 6na1 inst~lment sh~lt be equ~l to the unp~id pruuip~l plus iaterest accrued md w~pa~d at the
time Siid fMil i1lSlilmMf IS pild.
SECIIRIiY: The setwit~t fw this bsn is chetAtd
bebx. A ckeck oi either bou u~nder tl~e wad
•.Securiry A~reement" indic~tes ~ secuiiq iater-
LENDER: est n~s heen uatea in tne items ~istea slane-
side such bo~..
~
A~rament d~ted
~ ~~1 ~+a~ ~ ~ ~ on CI Auto
' tts/ i~•~~~ Nl~h~~. Yr. 11ske
! on ~ All Aousehold goods. euludu'~g motor
, vehicles but including household furni-
' tu~e, telerision sets. elatrical a~~li-
~ -Account No. ances. stereo planognphs, iwnisttungs.
t carpets. dnperia. chm~wue md other
~ ,1 :::.c househoid aoods of erery kind owned
~ Name b Irlailing Address of Borrowedsl suouse ~~f0~~~ ~°f ~
- tbe Borrowuts7 pl~ce of residence at
; ; .
i ~--`-c`,'rz~ ~~"4~.Y e~~'r.lr~rt - theu address shorn heteon.
~ ~ - Res~dence Add~ess Sueh Seeuritr Agreement secures ~II
~~:i! ~ s~, i <--if not the.same future adweces or lo~ns m~de br
' lender to Borrower(sl, at Lender's
i Daie o( loan Is Due Date finat Oue Oate Monlh.lnstal. Payable in ~~h~y option, within fire Years of its dite.
.~7 I s a ~ -r:.lnstalments O~l
~rmnod 0 R~d~
e
}~wF~N
; ~ ~ INSIIRA!!CE IS fNCLliOED IF COST OR PRE
~ ~~~~~~E~ MIUM IS INSERTED TO TF~ LEFT HEREON.
! R I RAS L A check ot the bo: above, opposite "Ral Estate
~ ClERK CtRCU1T COURT ~t~8ge; indicsta tlus Iwn is saurM bY a
ncr^~[; YfRIi1E0 tartr(s1 whith is'th~e B~orrorwer(s7 plaa
of resi-
j i dence shown hereon unleu otherwise ident~fied
' i - Sf P 30 4 06 1 17 ~~ierhr owr TMa~ wrrewer~7 ~tawaa
~ : ,
~ ~ _ stner ~wd?ess
1
s i"'-'•".: ` ACTUAI AMOUNT OF lOAN c~ry co~ney
.
! S_ 1~~. Disability Ins. Cost ~
: 5 _ 2?h.s~_Lifelns.Cost
S Nshld. Cont. lns. Prem.
~ 9M1il~JfMIi~l~Hti9i1~
The rate oi interest is 2'r4% per month on thatpart of the unpaid principal balance ol loan rat in excess of =500.00, 2X per month on that pa~t oi said unpaid principal
oaia~ce in excess of =500.00 but not exceeding f1,000.00 and 1'h% per month on that part of the unpaid principal balance oi loan in excess ot f1,000.00. li this note is rat
pa;d on the Final Due Date, the unpaid principal balante thertof shall beat interest thereafler at said rate until this note is paid in full.
A default in the payment of the full amount ot any instalment of the printip~! and interest hereon, at the option ot the bolder hereof and witho~t nof~ce or drmand, shali
rerder the entire unpaid balance oi the principal hereot and acuued interest thereon at once due and pa~raMe. PaYment m advance may be made bereon in anY amount a1 any
!~me. All payments made hereon shall he applied first to mte:est to date of papment and the remainder then to prmupal. All parties hereto severallr waive demand and pre-
~en!ment for payment, notice of noo-paYment, notice of protest and protes! of this note and agree that their liab+{ity hereunder shat! not be attected br amr eatension ot the
t T:e oi payment ot atl or a~ryt part of the amount owing hereon ~t ar~r time or timas, and further waire aU rights of ezemptan under the laws ot this or anp other state.
In the event this note is nof paid in full on the final Due Date and suit is brought to enforce collection thereot, the undersigned agree to pay actual and reasonable
attorney fees fixed by the tourt in whith suit is filed and the tourt oosls, including actual a~ reawnable expenses of iepossess~on, storing and sell~ng of am property
pied~ed as securit~r for this note, x fixed b~ said eourt.
~ The Lender is licensed bp the State oi Florida to make bms in the sums of Twenty-Five Nundred Dollars (=2500.00) or less under the florida Consumer Finance Acf,
Chapter 516, Florida Statutes, u ~menAed. ~
The Actual M~ount of Lwn is tF?e actwl xraunt oi mm~ey IeM and D~+d to the undersigned.
In signing this Note the undersigned spetifically gires permission to ihe lender to contact the undersigned's present a tuture employer with respect to the indebtedness
evidenceA hereby.
If one of the undersigned makers is a muried womm, she hereby ce~ti6es tAa! she is oi full lawtul age; thst sbe has contracted (a the loan eridenud herebp md
that said ban is torwenient ard advantageous to her; tNaf, at the time of the signing and saling of this note, she received the praeeds oi said Actual Amount of loan direcllr
(or her own use or ihe use benefit or adrantage ol her m?m separate poperty ~nd estate; tlut she he?eby 6ces not become an accommodation maker, guarantor w surety tor
a~other: and that she heretry is not prom~sing to p~? the debt or msrrer fa the Gctt, detwlt, misdoing or liabilitr of anq other person but that she is a prir~cipal debtor
aod hereby roluntuily subjects her own sepxate properry an0 estate, of xhatever nature, includin~ future wages, salary or other eamings, to li~bilitp for execution i~
sat~sfaction ot the deDt eriClrtced herebr.
IN WITNESS WHEREOF, the undersigned h~ve hereunto set their hsnds m0 sals on the D~te of losn ~bove writtea
Sigr.ed. sesled and ' the presexte ol:
w~tness: ~ . . . . . G~.t.~- .w
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .LL'l:t'~. yLl/. . . . . . _ . . . . . . . . cseso
w;c~s:: 1~~~?c'~.~..1.~. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . - -C . . . . ~`.~~,..F_,,,~z,.,.. . . ~seso
vrr~as:p~R . . ~ ,
. . . . . P~CE . . .
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