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1 Fort Pie~ce~ Flo~ida , Y~-
.Q-r..:C--~~ 19~~ Oue~J .~~~7 ~ t~~ a Q~`
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~s.a2_. after date, the undersig~ed (jointly and severally, if more than one)
~`f' ( -~~--~~s'!'~Y.~'r_
promises to pay tu t1~r o~detr of the FIRST NATIONAI BANK OF FORT PIERCE (hereafte~ "ba~k'~, at its office
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at f~ort Picrce~ Floiid~ . 1he s m of~...~:t...!'~z...~4~._.~~~r-~..~!j"~~'Z~-~-Q.,,,w..~~-,.1~ po~j'ars
with incecat afcer date of .f~..~?~ er annum, interest payable each thcet mont6:
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(1) Cash Advsnced . ~ s,~;;~ c'~G n
(Z) Plua OTHER CHARGES (Not Part of FlNANCE CHARGE) ~
(a) tredit Lifs Insur~nc~
(b) Cr~dit llfs ~ Disability l~suranc~ s_.
. . (c) ORicial Fe~s 7•.,~.__`_!._
(d) Othe~ _ . -
Total Other Cha~s 5,........3 7 S.c7.......
(3) Equals AMOUNT FINANCEp s,!,~~,QCCf;,, ~,d„
(4) Ptus a fINANCE CHARGE (Constitutin~ a~ - p/
ANNUAL PERCENTAG~ RATE Of s y~ r .
9'....
(S) Equals P?incip~l Amoun~ (Annour~t to b~ R~psid or Totat of Payrt~nts) ~~,~2,;3
lf this note is ~ot payable on demand any holder_of this note may decls~e it immediately dua and psyabte whenever
the,holder deems itself insecure or upan the inwlventy, bankruptty, dissolution, death or iruompetency of any maker,
indorser or guarantor hereof. After maturiry, this note shall bear interest at the hiyhes~ legal rate, If the maker defaulh or
is late in paying any installment, the holder shalt •be entitlej to cotlect a penatt~ cha?ge ?wt exceeding 5% ot the ~
delinquent principa) paymen~. In no event shall any .maker, indo?ser or guarantw of this note be obligated to pay any
interest in excess of the amount permitted by law. Tt~e make~ shall pay al) aosts of collecting this note, including a
reasonable attorney's fel.
Th;s rwte may ~e prepaid in full at any time and a pro-rata refund of the FINANCE CHARGE witl be made, b~t tfie
FINANCE CNARGE retained by the holder shall not be less than 55.00.
Credit Life and Disability Inwrance is not required to obtain this loen. No charge is made for credit insuronce ar~d no
credit insurance is provided unless signed for below.
The undersigned desire Credit Life Insurance for a cost of S.-_.---"~- for the term of the credit and warrants that
his age is ar /]:O.B.
-
Date
The undersigned desires Credit life and Disabiliry Insurance for a cost of 3.__~-fo. the te~m of the credit and ~ ;
warrants that his age ' years. D.0.6. _ ' ~
.
~ ~
Date
The maker gives the bank a security interest in any funds from time to time on deposit with the bank and the bank may
at any time .set off any such amount against the indebtedness evidenced by this note whether this note ~s due or not.
The undersigned acknowledges receipt of a copy of this note, and ag~o alt the terrr~s contai herein.
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~GL-S"/'.__._.--- ~----------(SEAI)
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- - ~ --•------------(SFAL)
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ADORESS : °
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Interest 8earing-Unsecured '
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.oeT .,~~ca .w[ss - ~
RE~EtVED `
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MAR 21 ' 1978 ~
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BOOK (.84 PAGE 175 Uu' OFFfCES CF
. 6ROWN, P/V(TOtV b WILLIAM~~
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