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rJU?LICATE NOTE NOTE TO BE FliED WITH REAL ESTATE '1.ORTG.kGE
IDENTIfiCATION In this Note, tM words 1, rm, mine and my mean each and all of those who signed it ss a Borrower. The words you, ywr and
OF PARTIES: yours mean the Lender named below.
L
A BREAKDOWN OF THE SECURITY checked below
. l 141 ~lC~~L TERMS OF MY LOAN A d~k'~~ittvt
~
biVy/indt~ie 1
R0~4 ~tCRaJ!<o ~S APPEARS BELOW WITH haw you • security totanst under
AMOUNTS AND DATES the Uniform Commercial Code in the
'r~ ~l•N~ items of personal Property Itsbdsiy
id~tl~e
IDENTIFIED BY HEADINGS such chccked box when I
- Sewnry ~ ~
Account No. dabd ,19 on:
t~~ I~~I~~~~I~llll ? Auto
My Name & Mailing Address compleb with all parts, at menu
additions snd equipment wd described
. ~~N _ more completely in the Security
. ~Tpg 111C~Y ~ ~ ~ Residence Address Agreement. 1 gnre you a sewnq
a arteret in tM proceeds of a physical
~ ~---d not the same damage inwrana policy cohering tM
Oate of Lwn 1st Oue Oate Final Oue Oate Month Instal Payable in described Auto and on which
Monthly you an lisbd at a loss payee.
f _ s _ _ ~ttalment [7rA11 househdd conwmer goods indud-
ing furniture, bkvision sets, e~ectrial
~DERIyAT10NOFN fiAIANCE-PRIORACCWNT~PRESENT LOAN DATA-~ appliances, music reproduction sys-
%uro„e sarsworlnwwceorw• ~rw. rr... ar a,own iNtl bms, fumalrings, argots, dnpene
_ ~A70~1Aetual Net Proceeds chinarran snd other srmisr goods of
S ~ Oisability Ins. Cost awry kind now owned by me and now
_ _ Unpaid Elalarca~Prior Aaant S ~2tiife Ins. Cost loafed in or shout my plea of rei-
dena st my. Mailing Address. A
IA1 Finance Chsrge• S 67~_~fousehoid Conts. Ins. Premium compNb desctnyption of wch Droperty
- Iel Service Charge S -~.9~ersonal Prop Fws O Oder
Pas
ort~ Pry
~L
ICI Monthly Service Chxges S gN~aieal Prop Foes
(01Time Price Oifferentisl 5--~~~~1CTUAL AMOUNT OF LOAN The Security Agreement sewres all loam
IEI Disability Ins. Cost S scheduled Interest . You haw made snd may continue to make
(F? Lifa fns, Cost S OTAL OF PAYMENTS to ~r~e in the future, at your option, with-
-T in 15 jrars of tr:t dste ! s~sed it.
(GI HsNd Cant Inc Phtmian _.jt~~G Aaiwal Peraatsp Rate Monies obtained from the sale of this I
(H) Dwelling Imo. Premium security ("Proaeds'1 induding monies
obtained from the payment off a daim
j -Net Bslsna-Prior Account sgainst the inwnd property also an
IE cowed by the Security Agreement. l also
o an ounau~thonnd M
ofrthe
prop~~
Other Security
This Note is secured by a watwr of home-
stesd exemption that cepplies to property s
I ~ covered by the Security Agreement and to }
any rat property covered by a Mortgage, <
to the extent permitted by law. You watw
any otMr security interest or liens which
amiso
rs
~ur~ed by~%chec~~l w. This loan
O Acwmmodstion Maker
IrUrrrsna Cowrsge described bslow
O L'rfe-Obtained Throuy~ You
( ?Lifa-Ownsd By Ak and Assigned
a To You
p i p~ O Disabili ?'Hwsehdd Contents
1~11~1i~1'1~~~7~~~1~1'1~`I~l~ uritycontinusd
Real Property Security /merest
~ 1'' ' d' If this box rs chaked this Note a
sscund by one ar more Mortgage
E _ C5 rlsallasued ~ myhMailing Address
t ;~~~~'y~l'p~ which a my pnnapal residence
` which a decribbeed in detail in a
it MortgMe dated 19 be- ;
f~ '3 f~ swoon you and me.
? Is not n my Mailing Address but
1 ll II ~ is located st.
?~~~'Ii ' t;~ aeet nss
p~~~p~ and a described in dotal at a
Mortgage dated
19 be-
l . . _ _ _ _ O ~O ii ~ of my pnnc p~ repsi
dmm
~Y. 4'~Y.1Y.
1 also give you a secunty interest in the
pproceeds of inwrma >~aenst fire or other
B~ p~ hszsKd which tfie M ors s c