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Combined Note and Uisdo~uret Rpuind by Federal and State Law
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CaiEO~~ ;F„-"~I~ a~- SAMEDAVOF F'f/~~`~ ~ FI~WSTAIIO •`7•~ ;SECIiRtTYI~ ST~iIEALEST~TE~
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~ TO7Al OF ?AYMEPf15 DISCOUNT LOAM FEE' AYOUMT FINANCEO CIIEOIT IMSURMICE CNAAGE~E ~ ~EU~NTARY 5T/1w~
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j 76TALA?/pUNT/AYAtIE ADOITION/1LCMARGES OFfIqALFEES ~ . ?ROCEE060FlO~N ~ _
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~ iv INSTALUEM75 : ~~lR'. ~ f9 00 ~ f ~v : 472.43
FINANCE CHAR~iE ANNUAL PERCENTAGE RATE
' 111 CREDIT UFE OR DISABILITY INSURAiVCE I$ NOT REQUIRED TOOBTAIN THIS IOAN_ If Borrowersdesirecredit life (decreasing term) insurance
~ ~ or cred~t li(e idecreasing term) and disability insurence, the chargels) therefor nated above will be a part of the Amount Finanoed and the insurance covers the
~ ~ B:~rrowerls) oamcd in the certrfipte(s) Of insurance dehvered herewith. The term of credit life o. uedit life and disabi6ty insurance is the or~ginally scheduled ,
~ r: ~ m of the loan. No charge ~s rtiade for credit insurence and no credit i~suranoe is provided unless one of the Borrowers desirirx} insurance signs the appropriate
statzment below. We dtsiielo[nt C?tdi? Lijt and `
dt ' er~ e nuance. We desire Joint Credit Lije /nswunce. Sinale Dimbility /nwronce-
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8 rower's S~naturc Date I st Borrow~r's Srgnature Date 1 st Borrowe~'s Sigmture Diate
I esve C~edit Lije Inswance ared Dimbr/ity lnsuiance.
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Gorrowei
s Stanoture Date 2nd Borrowa's Sianature Datt 2nd Borrowcr's Sidnature Dnte
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; 12! fIRE AND EXTENOED COVERAGE PROPERTY INSURANCE IS NOT REQUIRED TO OBTAIN THIS LOAN. IF YOU DESIRE FIRE AND EX-
?rNDED COVERAGE PROPERTY INSURANCE, YOU HAVE THE RIGHT TO PURCHASE SUCH INSURANCE FRQM ANY INSURER OR AGENT OF
' YGUR OWN CHOICE_
I d=~s~re Fue and Extended Coverage Property Insurance tor the origmally scheduled term oi this loan and hereby uuthorize Lender to obtam such insurance, the
of which is stated above. ~
Bonowei
s Sianaturt Aate
I i r vOU ARE NOT SATISFIED FOR ANY REASON WITH THE CREOIT UFE OR CRED~T UFE AND DISABtUTY INSURANCE PURCHASEU, you may
~vithin 15 days from the date shown above, for canozllation, the Certif.~catets) of tnsurance and a refund oi the (u~~ premium paid will be made.
TC~ ~ AL GF PAYMENTS ~s the Amount Finance~i plus the Finance Charge and is the amoum reywred for payment accord~ng to schedule.
~ .'.'.OUNT FINANCED mdudes a~y Oihual Fees, any charges tor Credit L~fe and/or D~seb~hty I~~surance, F~re anJ Extended Coverage Property Insurance; Docu-
-:tary Stamp Tax and Add~uonal Charges.
':?OCEEDS OF LOAN ~s the Amount F~nanced less all chargelsl. ~t any, tor Credit Lrfe or Credrt l~Fe and D~sability tnsurance,FneandExctudedCoverage
r•r•~,~rty Insurance, Oocumentary Stamp Tax, Oifiual Fees and Adci~Uona~ Cha~ges.
~ -'~~FICIA~ FEES are paid to pubhc oific~als for perfectmg secur~ty ~merests in personal and real property.
~ -1~CtTIONAL CHARGES are clos~ng costs ~ncurred v~~th res~~ect to a loan secured by an ~nterest ~n Real Estate and ~~clucle one or more of the tullow~ng ~tems:
;~~.~cr costs or s~mdar charges, and reasonable fees pa~d to any atto~rr~y for the preparat~on ot documents.
= I':ANCE CHARGE - ANNUAL PERCENTAGE RATE. The F~nance Charqe n the sum oi the D~scount and the Loan Fee, ~i any, and is computed tor the full
n ot the note. The A~nual Perce~tage Rate whe~ wmputed by ttw aauanal method (o~ pay~nent accord~ng to schedule would y~eld the F~nancv Charge stated~p
.~LOVV ~ ~ o~
LUAN FEE (not to exceed 2~6 of the Total ot Payments less the Loan Fer.) ~s ~or mvest~gaU~~g the character oi the Bo~rower~sl, the secunty subm~tted and all other ~ f
co.ts ~n connection with the making ot this toan, which Loan Fee may be collectecl at the ume this ~oan ~s rrwde
F R~PAYMENT REFUND. It prepai~i 1n full or upon default and accelerauon, a~wrt~on of the Discount will be refuncled accord~ng to the Rule o1 78. The Loan
F~e ~s fully earned at the hme the loan ~s R~ade and is not sut~ect to prepaymeM retund.
! t_ATE CHARGES. F~ve percent (5%) of any mstellment more than 10 days past due may be cutlecteJ, prov~ded that th~s chaige sha~~ not t~e cumulat~ve. ~
SECURITY. This loan is secured by ihis Note and any CreJit Insurance and by the p.occWCfs of any Property Insurance for wh~ch a charge is made as stated above.
I f"Yes" appears under "Secunty InteresY' above, there ~s a Secunty Agreement on consurrx~r 9oods, I~sted below, t~elong~ng to Borrowers. If "Yes"' appears under ;
"Heal ESlete Mortgage" above, there is a mortgage on the ~eal estate belongmg to Borrowers located at the address stateci above unless a ditferent add~ess ~s stat!~d ~
~ below. ~