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DISCLOSU ~T~ FOR INSTALLMENT LOANS a/
• IAl Amount Received Z .
, •„r SANK NAME 181 Premium for Credit ~
• ,Lilt/pisebilrty Ins. S ~ d~
0. -1 :.r lCl Oocum.nury Stamps S LS:1
• Ofr t •.,r..r;• _ l01 Qtlttr Charges htemize) S ` ~a
t NOTE NO, OATEO: 17 . 19.~. IFI ~ " ;
• IGI Amount Financed
21 ,.19~a~. IA, B, C, O, E, FI =
DUE:
. - • ~ (Hl Interest S ~~~tu
PLACE: .FLORIDA (11 Loan Fee S "ems'
'I IJI Other S • is~n
For value received, tht undersigned (hertinafter rolled "Maker"1 jointly and severally (if IKI S ~
more than one) promist to pay to the Order of the Bank, at Sri olfice listed above, the Total
of Payments (lrom INl et righN ot~~3Y.~4 - Dollals payable in 'ILL S ja '
equal monthly instauments of S ~.s~ a ,the first (MI FINANCE CHARGE
installment due on , 19~, and subsequent instatlmen[s due on INI Total of Payments fG + M) S;
tt>~~day of each month thereafter, together with a FINAL BALLOON PAYMENT OF: ANNUAL PERCENTAGE RATE ~ ~
S ~o 'OI~E
" TM Bank shelf ~ ~ adelrliqurncy q+erye ~inst tfie ~ n~ny dut and remai ~a• ~fwlt 10: appp~~~ridd'in exgis of 10'?~
days in sn amount ea to 6lli of the p~rmenytin defwlt. In t •not pfd in ill at meturityja~pay ts,•yfiet~prirtcip~t, interest or ~'~1
ocherwist, shall bear inttirett'at the maximum [gal rate allowed u ~ ~ meets made hereunder shall'be credited rna f mterest and then to -j
p.intipel, however, in the event of default, the Bank may, in its sole dlscrttion, apply any payment to interest, principal and/or lawful charge; then accrued.• ~ 3j
It is the intention of the parties hereto that the provisions herein shall not provide directly or irdir4ctly for {Iw.ptlKnent of a greater raft of interest Or the
retention of any other charge than Is allowed by law. If, for any reason, interp>a- in excess of such legal rate or a charge prohibited by law shall at any time be t
paid, any wch excess shall either constitute and he treated as a payment on the principal or p4 refunded directly to the Maker. The Maker may prepay 'the en- '
t fire unpaid balance of the loan at any time. If the loan is prepaid in full, accelerated or refinanced, the Maker shalkr+~~ve,w ftfurd of tfrQ unea?~iedp)s[~o n of , -
the interest and insurance premiums computed by the Rule of 78's method, except that the Bank shall be entitltd to ttt'tsih ti`litinjrrtum interest i~ti~ fs15.0~. ~ . • 1
CREDIT LIFE ANO CREDIj LIFE k QISA91LITaf,1NSUAANCE ARE VOLUNTARY AND N¢T=RI~i?UIREO-FOR CREDIT. Such inwraric6 coverage k i
aval~la at'f>,t cost desiynattd belbtni for tfte ttrm of tht txedt: lsl S = ~ for Credit Life Inwrance Ibl S
?a Qpldk'Life ~ Ogability Insurance:
Check ~ ? Credit Life Insuranp is desired on the life of ~ Birthdete * -
Appl. QGtdtt Liit 8 fJisability Intatttttct is¢esiied oq .Blrthdata~
: BOS' dj~tc~-Ifl. r Oi:a~ltit~ 1.Oiuranct ni•tto~t - ~ -
{ r' = •
J Dater ~ Signeturt = Signature ' ` ~ -
AFTERACBUIRED?R0IERTYNIILLfIESUlJECTTOTHE RITYIIIITEREfT OTNERORFUtURE1N0EBTEDNESSISSECUREDf1Y•~YSUCN?R RTY,ASFOLIOWS=
Maker hereby grants to Bank a security interest in tbt property, if any, desuibed in the space below and in all other property of Make. now or hereafter in
i3ank's possession, and such security interest shall also stwrc all other liabilities of Maker to Bank, whether primary, secondary, direct or contingent, present
o~ furore. The aforesaid security interest excludes the Makers prrmary residence unless said primary residence is described below.
3t~t X00 Dot ~ Lrir >Riirtt, ~ ~y~ !1, ~ lurlltttlwli is Nil
. ~
If t11e Bank rtW4ires the'Aakgr to rlbtam nsurar~e coverage i to tfle col tgr~l r t r i t n to the,~ank, the Maker.,,; i.
' -may ob[ain such rnJprayti from ark/ agent, 4T ker or rnsuror cep ab tot n . t ~ ~
It is jointly and ally cbvertonted and agreed with th~Bank fiy each aker, endorser, surety, guarantor, and other par ~ fo "this note (alt of whom are'
hereinafter for brevi called Obligor or Obligors) that. ~ ,
f Bank shall exercise reasorlible 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 pu as er shall reasonably request in writing, but no omission to comply with any request of Maker shall of itself be deemed a failure to
exercise reasonable car Witfi t limiting the generality of the foregoing, the Bank shall have no responsibility fro ascertaining any maturities, calls, conver-
Sion, exchanges, often, t,(tders a similar mattirs relating to any of the Collateral, nor for informing the undersigned with respect to any thereof. Bank shall not
be bound to take any stepi pecessary to preserve any rights in the Collateral against prior parties, and Maker shall take all necessary steps for wch purposes. Bank
or its nominee need not collect interest on or principal of any Collateral or give any notice with respect to it. Right is hereby expressly granted to the Bank at its
option to transfer at any tiara 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
principal or interest due hereon ordue.on any liability secured hereby.
Upon the happening of any of the folbwjr?g events, each of which shall constitute a default hereunder, or if the Bank deems ~tseff insecure, the entire unpaid
balance of this note and all other liabilities of each Maker to Bagk shall thereupon or thereafter, at the option of Bank, without notice or demand, become imme-
diately due and payable= Ia1 failure of arty Obligor to ptHotwt arty e(lrpernlMt hertunder or to pay in full, when due, any liability whatsoever to Bank or cry in-
stalment thereof or interest thereon; Ibl the death of any Obligor; Icl the filing of any pttition under the Bankruptcy Act, Or any similar federal or state statute,
by or against any Obligor; Idl an application for the appointment o(a receiver for, the making of a general assignment for tfle blMfi~ Of Creditors by, or the
insolvtncy of any Obligor; let the entry of a judgment against any Obligor; If? the issuing of any attachments or garnishment, or the filing of any lien, against
any property of any Obligor; lgl the taking of possession of any substantial part of the property of any Obligor at the instance of any governmental authority;
Ih1 the dissolution, merger, consolidation, or reorganization of any Obligor; (il the determination by Bank that a material adverse change has occurred in the
financial condition of any Obligor from the conditions set forth in the most recent financial statement of such Obligor heretofore furnished to Bank, or from
the condition of such Obligor as heretofore most recently disclosed to Bank in any manner; or that any warranty, representation, certificate, or statement of any
Obligor (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; GI the assignment by
any Maker of any equity in any of the Collateral without the written consent of Bank; Ik1 failure to do all things necessary to preserve and maintain the value
and collectibility of the Collateral, including, but not limited to, the payment of taxes and premiums on policies of insurance on the due date without benefit of
the grace period.
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 rea-
sonable notice of the time and place of any public sale thereof or of the time after which a private sale will be held. The requirement of reasonable notice shall
be met if such notice is mailed, postage prepaid, to any Maker at the address given below or at any other address shorvrrow the records of the Bank, at least ten -
days 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
deficiency; and Bank shall account to Maker for any wrplus, but Bank shall have the right to apply all or any part of wch wrplus (or to hold the same as a
reserve) against any and alt other liabilities of each or any Maker to Bank.
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: la) to pledge
or transfer this note a the Collate I, whereupon Bank shall be relievFd of all duties and resporuibilities hereunder and rr~~litved from arty and all liability with.
respect to any'Collate _so pledged transferred, and any pledgee or transfrredSNatf`1or71t1 Stand in th~placSdf Bank h 'under and have all the -
rights to Bank hereu ; (D) tot of the (hole or any pert of theCollateret ins;the name of it If or its nominal; Icl ~to notify th~Obligors on any Collat-
eral to make payment to Bank of any amounts due or to become due thereon; (d) to demand, we for, collect, or make any compromise or settlement it deems
desirable with reference to the Collateral; and lel to take possession or control of any proceeds of Collateral.
fVo delay or omission on the part of Bank m exercising any right hereunder shall operate as a waiver of such right or of any other right under this note. No
waiver 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 forth therein.
Presentment, demand, protest and notice of dishonor, are hereby waived by each and every Obligor. The taking of a rentwal note without the signatwe of any
maker or endorser liable on thrs note shall not be deemed a payment or discharge of this obligation and the liability ueated hereunder shall continue until this
note is paid in full. The Obligors, jointly and severally, promise and agree to pay all costs of collection, including attorneys' fees equal to 10'Xi of the amount
financed, or such larger amounts as may be reasonable and just if collected by legal proceediftgs or through an attorney at law, including appellate proceedings.
' The under ackno e r ipt of a completed copy of this note on this date.
Address ~ p~~t~Ze
- ISEALI
Address
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