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' ' HOME IMPROVEMENT INSTALMENT CONTRACT i NONE 4 • ~"n • ~o""r covv•
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( PRINT) (Name of agar a ol!lMr pCo•Bupyar) ~ (calved 9uyer or Owiwr hanin)
~H.owr.11/ jwQ~n 7~7 ~i~0i1 RGA$
..`V F~?i~r=ia State Rl Ari ~A
(celled COrltraCtor haMn) No.
. radon's License No.)
Contrstta's Business ~b stab k,lO~ri+d~p
Sabsnrarr's Nanra Lkense No. ~ On^1,30~2,L.N.~Oa~Gl,~1
The contractor asr~s to seM and tM Buyer (both jointy and severaty) ashes to buy. pursuant to the TERNS STATED ON THE FACE
AND RACK OF THIS CONTRACT. fire foNowins soods and services. or services (property improvements) fa the modernization. n•
hatHNtation, npN?, alteration. or improvement of premise (oiled the ..property improved" herein) desuibed and identified as:
NumbK and Street City my $~.._jr~p_ State
The record owner(s) of said real astab is (aro) SASL..1'dePa~~ BTid.. T
~.-$.~MCP~s~ t his ~i~e
vllork on the Property Improvement wiQ basin on or about and vrill he completed on or about
(ap{rroxirnately)
DESCRIPTION OF PROPERTY IMPRO'VENENTS - (List below work performed an~~or foods and material tumishsd or installed -"refer
to and attich work order and/or spetiHcation. if any) '
PROMI Y NOTE ~ COMPUTATION OF "fOTAI OF PAYMENTS
FOR VALUE RECEIVED, the undersisned Buyer promises to pay AND DEFERRED PAYMENT PRICE
Holder (meanies Contractor a any assisnee of this contract) the (1) CASH PRICE j~p,~,p~p
TOTAL OF PAYMENTS of _ in oon-
secutive mouthy instilknents = each, Oesinning (2) DOWNPAYMENT
1 month from the date of completion of the property improve- Cash Downpayment j_
meat unbss a different first payment day is specified hen Trade•In (Net) j N~
~~K / Rn ~ area pays, ~ date ~ TOTAL oowNPAYMENT j KTa
each weeeadins,month thereafter. toEethsr with afoul/balkron (3) UNPAID BALANCE OF CASH PRICE j
payment in the amount of due I+j (4) OTHER CHARGES
H,~A . PaynuMs to be made at place desisnaTted by Hokter.
Buyer may choose through whom in-
The FINANCE CHARGE basins b accrue from tM dab of the surance is to be obtained.
compbtbn.ot tM property. improvement unbss a difhnM date Credit Life Insurance j N~
inserted hen If arry Credit Disability
instaNrrrent payment herein is not made within 10 days Insurance j xr e
after its dw dab. Buyer ashes to pay Iate charse of 5~ of Documentary Stamps j
such instiNmurt or j5.00 whichever is bss. in addition to the Other ;
3 sib.
regubr instillment. Buyer ah~o asses b pay any court costs Other j
and attorney's fees of 10~ or the amount due and payable TOTAL OTHER CHARGES
under this oontrad or such Larsen amount ss may be nssonsble (5) AMOUNT ADVANCED FOR DEBT `
and just if this oontrad is referred to an attorney. If any instill- CONSOLIDATION j
meet on this Note is not paid when due. the entireamount un•
paid bench shsN become due and payabb forthwith st the (5) FINANICEDALANCE'/AMOUNT j ~
election of the Holder of this Note. ff~ ~ -^L
The makers and endorsers of this Note hereby severely waive x~g?1L1TNti ~~~~~9~~ ~8'Y~~
presentment. demand. protest and notice of dishonor. Interest (Home
- Improvement) j Cam'
' -r
Shook! balance be prepaid in full prior to maturity date, a refund Interest (Debt
of the unearned'portion of the FINANCE CHARGE wiu be cal- Consolidation) j i
culated by the "Rub of 78'S "method. after first deducting an Other j
r acquisition charge of ;25.00. Other j
~ As secwity for the peyrrreM and perfoananoe of Buyers oblige- (7) FINANCE CHARGE j c ~ ~ 1 r
bons under this contract -Buyer shall execute and dNiver b
Contractor a Real Estate Mor~ase on the Property Improved. (8) TOTAL OF PAYMENTS
TIME IS,OF THE ESSENCE IN THIS CONTRACT. pay. Sum of (6) b (7) j~,~4,,,pQ
meet of this Note is subject to the terms of this HOME (9) DEFERRED PAYMENT PRICE
IMPROVEMENT CONTRACT of even date between maker Sum of (1). (4), (5) & (7) j
and payee or mortgagor and mortgagee. (10) ~ ANNUAL PERCENTAGE RATE ~ ~ r st g(
CREDIT LIFE INSURANCE IS NOT REQUIRED FOR CREDIT. -
COVERAGE IS AVAILABLE FOR THE TERM OF THIS AGREEMENT AT THE FOLLOWING COST:
Credit LNe i
I desire credit life insurence
Date ~ Co- er Date
" Buyer acknowledges receipt of an executed copy of this
HOME IMPROVEMENT CONTRACT and two completed
copies of the notice of Buyer's Right of .Rescission under
SELLER REPRESENTS THAT HIS NOTES AND/OR the Consumer Credit Protection Act.
MORTGAGES ARE ROUTINELY SOLD TO FINANCIAL - NOTICE TO OWNER
INSTITUTIONS. (A) DO NOT SIGN THIS HOME IMPROVEMENT CON.
~ TRACT IN BLANK. (B) YOU ARE ENTITLED TO A COPY
THl:~CONTRACT AT THE TI Y~Q KEEP ff
The~nT--;~'s~~~~~~r~ ~ ~ PROTECT` S MER- C R ~ i~~~SUBJECT {
Worknm1an's Compensation Yes No ~ MS ANO DEFEN$E$ WHICH THE DEBTOR
I CO LO A SERT AGAIN.
ST THE ~S~LLER OF GOODS OR
F~ubl~~~~~fiPa71~ zsonsq ~es~_~~/' SERVICES OBT/UNED' PURSUANT HERETO OR WITH
~ _ THE PROCEEDS~IEREOF: RECbWERY HEREUNDER 8Y
. Or that the Contractor is qualified THE DEBTOR SHALL-NOT EXCEED AMOUNTS PAID BY
~s a self-insurer. ~ Yes~_ No THE DEBT R HEREUNDER.
f
L.S. X f
! l,s.
~ ~ ' ~ (Signature of Buyer) ~j
oy L.S.
~1 ~ " ~ ~ j~. Vice-Pres ider ',(Tabs (Signature of Co-Buyer)
X336 ~~15~4
8ANK Fllt COPY
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