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N 0 T E DUPLKATE
110TE j0 BE FlLEO WITH REAL ESTATE MORT(GE
for Value Rettiv~/, the undersigned ~ointlr and severally promise to pay to the order of the lender named below at the Lender's said office, the Amount of Notes below
~h~cn is payable in consecutive monthly lilstalments. The number and amount of instalments are shown bebw. The first of said instalments is payable On the 1st Due Date
shover. below and each subsepuent instalment on the same day of each succeeding month thereafter, the final instalment being due and payable on the Final Due Date shown
ee!ow. It this note is not paid in full on said Fiml Oue Date, the unpaid balance of the Amount of Note shall bear interest thereafter at the rate of 18% per annum until this
note is paid in full.
FN~ R _ SECURITY cnte~ed t?.low
~v....vvvvv ~ ~A~~rv
L 1Y ~ 11:.....x. ~ .i~.v . _.v? ~-wv vv~. w . RQai P/OpQrty .S000rIty
~ It this box is checked the nMe is secured by
one or more mortgages on real property whicA
E - - r r , ~ is boated at the Borrowers Mailing
` i j ^ F . . t; s Address given above which IS the Bor•
rowerlsl principal residence which is
Fart Y;,,; _ ~ . 3:. ~ _ ; more particulary described is a Real
Estate Mortgage dated
AttalMlt between Lender and Borrowerfs), which
._t ~ age hereby is incorporated into
Nettle i MaiGtlg Address ol8orrowerlsl Spouse Isllocatedment by Nis reference.
~ ReY hgert~ Otket 11ae At Nrre~er(s)
MsiliK ANras
'~A~ Residence Address -
t-if not the seine -
St?eet Address
Date of Loan st Date Final Due Oate th.lnstal- Payable in Monthly
= nstalmeats city co+.nry
and is more particulary desuibed in
a Real Estate Mortgage dated
twee~n le~nde~al
d Borrower(s~ ich
~ ~ ~ e ller IS incur
Mortgag eby ' porated into
this Statement by this reference, which
property p is p 'ts not the principal
residence of the rowerts)_
ff~l~ SECURIIY continued
Personal Property Security
A tdleck of one or more boxes btbw indicates
a severity interest under the Unibtm Com-
_ mercial Cade has been created in the items
of personal property listed abogside such
. : _ CASH ADVANCE checked boxes pursuant to a Security Agree-
Disability fns. Cost S - _ iscount Inept dated
cov frig:
5 life ha. Cost =-qq- ~~~mestigation Fee Auto Yr. Make
~ ?J~~iF Hshld. Cont. Ins. Prem. ! Iwmpkte with all parts, sttachments, (11
_ _ UNT OF NOTE accessories, equipmalt, Rare particular-
ty described in such Security Agreement.
f] All household goods, excluding motor
vehicles but including household fur-
_ niture, television sets, electrial appli- I
antes, stereo phonographs, furnishings,
carpets, draperies, chinaware and other
household goods of every kind owned
~ by Borrowerfs7 and located in or about
the Borrower(s9 place of residence at
_ s..~. their address shown hereon, a complete
~1M!i~,,h411~~ gi - ~i'~ ascription of such collateral being set
t ~F ~ forth in said Severity Agreement and
j which heleby is incorporated into this
ff~~ Statement of Disc{osure by this reference
p Other Personal Property
descriNe +
Such Security Agreement secures all future
advances and loans made by lender to 8or-
rower(sl, at lender's option, within eight years
~_--,x, of its date.
Proceeds of the above described collateral
also are covered. ,
Other Security
? Auommodation Maker
The torte is severed by a waiver of the home-
stead exemption, but only ~ to the extent it
applies to pr rty covered by the Security
. Agreement atd the real lxoperty covered by i
the mortgage.
//c~~ Insurance Coverages described below.
~x~ PAGE ~V ? LI}!-Purchastd Throusb Lender
u 1~] Llft?-Assigned To Lender By Borrower