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DISCLOSURE NOTE FOR INSTALLMENT LOANS
~~M 1~ IAI Amount Received s • i~a~~e~
(SANK NAME ~ 181 l }!%Disability Ins, s ~ ~ .
1939 CONIIMI»,t3a1 it. ~ ~1MISM1 ~sb. ~'!~r 31~tS7 Icl oocumentary stamp: ~ s •
OFFICE AOD~ESS IDI Other Charges (itemi:el S ~ [
' IE! s 'w0~~
NOTE NO. DATED: ~~Z ~ , 19sL. IFI t QOM
IGI Amount Financed i
Du E: ~1 ` , lg~, IA, 8, C, D, E, F) S
• IHI Interest Z ! •
PLACE: +~M ~ ,FLORIDA 111 Credit Investigation s ~'M
IJI Other S MAC
For value received, the undersigned (hereinafter called "Maker '1 jointly and severally (if
more than one) promise io pay to the order of the Bank, at its office listed above, the Total IKI s ~ c
or Payments (from lNl at right) of ~ Dollsrspayable in ~ IL? S ~ ~
e:tuat monthly install nts of ,the first IMI FINANCE CHARGE 7l~e~ ;
~nstallrr~ent due on `v , 19 ~ ,and su (H, 1, J, K, L) S
6 bsequent installments due on (N) Total of Payments (G ~ M) S ! ~ c
the day of each month thereafter, together with s FINAL BALLOON PAYMENT OF: ANNUAL PERCENTAGE RATE rX
5 ~ OUE ~~~M~~~Mr.~~M~N~t. , 19~M .
The Bank shall impose a delinquency charge against the Maker on any payment which has become due and remains in default for a period in excess of 10
:rays in an amount equal to 91t; of the amount of the principilpert of the payment in default. In the event that the Note is not paid in full at maturity, all pay-
ments, whether principal, interest or otherwise, shall bear interest at the maximum legal rate allowed under the law. All payments made hereunder shall be
credited first to interest aril then to principal, however, in the event of default, the Bank may, in its sole discretion, apply any payment to interest, principal
and!or lavvfulcharges then aarued, It is the intention of the parties hereto that the provisions herein shall not provide directly or indirectly for the payment
of a greater rate of interest or the retention of any other charge than is allowed by law. If, for any reason, interest in excess of wch legal rate or a charge pro-
h~bited by law shall at any time be paid, any such excess shall either constitute and be treated as a payment on the principal or be refunded-directly to the
Maker, The A1aka may prepay the entire unpaid balance of the loan at any time. If the loan is prepaid in full, accelerated or refinanced, the Maker shall receive
a refund of the unearned portion of the interest and inwrance premiums computed by the Ruk of 78's method, except that the Bank shall be entitled to retain
a minimum interest charge of =rj,011,
CREDIT LIFE AND CREDIT LIFE ~ DISABILITY INSURANCE ARE VOLUNTARY AND NOT REQUIRED FOR CREDIT. Such inwrsnce cownge is
available at the cast designated bNow for the tam of the credit: la) S 1•~•~ for Credit Lite Inwrance Ibl S
for Credit rLi~fe dt Disability Inwrance=
CheckCredit life Insurance is desired on the life of Mlt~l1~~Y Birthdate~ 10! 1921
Appl, ? Credit Life dt Disability Insurance is desired on Birthdate
Box L.?~aCrtditALife and/or Disability Insurance is not fdesir`ed. ~ ~ ~ ~ ~
Date: ~+~1 ~f Signature r'/~~~"~ ~~r"P ~Y~Signature
AFTER ACQUIRED PROPERTYMIIII FIESUtlECTTO THESECURITY INTERESTAND OTHER OR FUTUREINOEBTEDNESS ISSECUREO BY ANY SUCH PROPERTY, AS FOLLOIMS:
Makes hereby grants to Bank a security interest in the property, if any, described in the space below and in all other property of Maker now or hereafter in
Bank's pouession, and wch security interest shall also secure all other liabilities of Makes to Bank, whether primary, secondary, direct or contingent, present
or fujylp f ~ r~y~y~r~~~ I~the~ll r ~ ary ~ i er unless said primary residence is described below.
jot 81006. >i~tio~ ZI, as+..essr.a i..asa •ws~a~.
1973 ta~ta !~+?.1 isatl~s! 3t toot! 2.Di. #995
If the Bank requires the Maker to obtain insurance coverage against lass or damage to the collateral securing the Makers indebtedness to the Bank, the Maker
nay obtain such coverage from any agent, broker or inwror acceptable to the Bank.
It is jointly and severally covenanted and agreed with the Bank by each Maker, endorser, surety, guarantor, and other party to this note (all of whom are
!,z•e~nafter for brevity called Obligor or 061igors) that:
Sank shall exercise reasonable care in the custody and preservation of the Collateral and shall be deemed to have exercised reasonable care if it takes such
action for that purpose as Maker shall reasonably request in writing, but no om%ssion to comply with any request of Maker shall of itself be deemed a failure to
exercise reasonable care. Without limiting the generality of the foregoing, the Bank shall have no r
esponsibility for ascertaining any maturities, calls, convey-
s+on, exchanges, offers, tenders or similar mattrjrs relating to any of the Collateral, nor for informing the undersigned with respect to any thereof. Bank shall not ~
cue bound to take any steps necessary to preserve any rights in the Collateral against prior parties,-and Maker shall take all necessary steps for such purposes. Bank Z
j r ~ its nominee need not collect interest on or principal of any Collateral or give any notice witA respect to it. Right is hereby expressly granted to the Bank at its ittt
r~Pt~on to transfer at any time to itself or to its nominee any Collateral and to receive the income thereon and hold same as security herefor, or apply it on the
o-~ncipal or interest due hereon or due on any liability secured hereby.
Upon tote happening'of any of the following events, ear$t of which shall constitute a default hereunder, or if the Bank deems itself insecure, the entire unpaid
b~ianceot thisatote and all other liabilities of each Maker to Bank shall thereupon or thereafter, at the option of Bank, without notice or demand, become imme-
r~~ately due and payable: lal failure of any Obligor to perform any agreement hereunder or to pay in full, when due, any liability whatsoever to Bank or any in-
stalment thereof or interest thereon; Ib1 the death of any Obligor; Icl the filing of any petition under the Bankruptcy Act, or any similar federal or state statute,
;;r or against any Obligor; Idl an application for the appointment of a receiver for, the making of a general assignment for the benefit of creditor by, or the
insolvency of any Obligor; le! the entry of a judgment against any Obligor; Ifl the issuing of any attachments or garnishment, or the tiling of any lien, against I
~anv Property of any Obligor; (gl the taking of possession of any substantial part of the property of any Obligor at the instance of any governmental authority;
I .n! the dissolution, merger, consolidation, or reorganization of any Obligor; li) the determination by Bank that a material adverse change has occurred in the
E !.Handal condition of any Obligor from the conditions set forth, in the most recent financial statement of wch Obligor heretofore furnished to Bank, or from ~
•ne condition of such Obligor as heretofore most recently disclosed to Bank in any manner; or that any warranty, representation, certificate, or statement of any '
O.>t Igor (whether contained in this note or not) pertaining to or in connection with this note or the loan evidenced by this note is not true; Ijl the assignment by 1
a^y Maker of any equity m any of the Collateral without the written consent of Bank; Ik1 failure to do all things necessary to preserve and maintain the value
::mod collectibility of the Collateral, induding, but not limited to, the payment of taxes and premiums on policies of insurance on the due date without benefit of !
i 'he grace period. a i
Unless the Collateral is perishable or threatens to decline speedily in value or is of a type customarily sold on a recognized market, Bank will give Maker ~~es-
:nah!e notice of the time and place of any public sale thereof or of the ume alter which a private sale will be held. The requirement of reasonable notice shall 1
! ~ met if such notice is mailed, postage prepaid, to any Maker at the address given below or at any other address shown on the records of the Bank, at least ten s
+ys before the time of the sale- Upon disposition of any Collateral after the occurrence of any default hereunder, Obligors shall be and remain Liable for any
'ef~ciency; and Bank shall account to Maker for any wrplus, but Bank shall have the right to apply all or any part of such wrplus (or to hold the same as a
•eserve) against any and all other liabilities of each or any Maker to Bank.
i
Bank shall have, but shall not be limited to, the following rights, each of which may be exercised at any time whether or not this note is due: Ia1 to pledge
transfer this note and the Collateral, whereupon Bank shall be relieved of all duties and responsibilities hereunder and relieved from any and all liability with
~ respect to any Collateral so pledged or transferred, and any pledgee or transferee shall for all purposes stand in the place of Bank hereunder and have all the
glitz to Bank hereunder; lbl to transfer the whole or any part of the Collateral into the name of itself or its nominee; Icl to notify the Obligors on any Collat-
~~-at to make payment to Bank of any amounts due or to become due thereon; Idl to demand, we for, collect, or make any compromise or settlement it deems
~!es~rable with reference to the Collateral; artd Ie1 to take possession or control of any proceeds of Collateral.
No delay or omission on the part of Bank in exercising any right hereunder shall operate as a waiver of such right or of any other right under this note. No
::,ever or alteration shall be binding on Bank unless in a writing signed by an authorized Bank officer, and then only to the extent specifically set torch therein.
?•esentment, demand, protest and notice of dishonor, are hereby waived by each and every Obligor. The taking of a renewal note without the signature of any ~
-*~aker or endorser liable on this note shall not be deemed a payment or discharge of this obligation and the liability created hereunder shall continue until this
,re is paid in full. The Obligors, jointly and severally, promise and agree to pay all costs Of collection, including attorneys fees equal to 1?l% of the amount
~..mced, or such larger amounts as may be reasonable and justrf collected by legal proceedings or through an attorney at law, including appellate proceedings.
The undersi ned acknowl
g edge receipt of a completed copy of this note on this date.
100 Ma:s~2 it. •
t •:f:iress = ;~~1l~eeu ISEALI
Qnfrlbo~! Caeada o o~
criress
(SEALI
i ~~k.3U6 r~~r1253
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