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HOME IMPROVEMENT INSTALLMENT CONTRACT b NOTE
5 B~ue Customer Copy
O~t~d _ 19~.._ ~~.,'~ between: F ~ .. ~- - `- u G _
(called 8uyer or Owner hercin)
~ PIEASE PRINT) (Name of 8uyer or other Co•8uyer)
Nome Address -;';{~ . a '' ~
I VO. ...
Gty ~ ai't ~. ? . .~ti~~ ~ ~1 State .: ; :}~ ~ t~.~ Z~P - ' .~...~--~--
_ ., ., - - ~ (called Cor~trsctw herein) No. ~ -'~' ~, ~ ~ -'$t'
' (Contractor's Licensa No.)
Contractors Business Address r t 1' )1 .,~~ ~-,r r r; ~ ~,yx;~i: City _ - ' _ -_ State_' ~ ~~• ' r+ ~ ~ Z~p i%h^^
Salesmsn's Name _ ~ ~ Q - ~ = z ' ' - ~' license No.
~ r~e cont~actor ag~ees to seU and the 8uyer (bot~ ~omty and sevetaty) agrees to ouy, pursuant to tne ~cKM~ s~wi~u tin in~ rwc~
AND BAp( OF THIS CONTRACT, the following goods and serv~ces, or serv~ ces (property :mprovernents) tor the moclern~tat~on. re
habilitation, repair, alteration, or ~mprovement ot prem~se (called the "property ~rnS~rovCd" here~n) descnbed and ident~hed as
y ~mbe~ and Stroet --~~~:..i-~-.~.- .}.,'-::~-.--~--- C'tY ~~~-::- ...,. _ ~ ~: ~fio~ntY -.~ ~ ~ - ---«.:;-~w- State .--t-:~=T..~. --
~he record owne-(s) ot said reai estate ~s (are) , _
Wo-k on the Property Improvement w~ll beg~n on or about ~.- r; -;; '• and w~ll be completed on or about '~ _ t:~ ~+
( approximately). ------- --- - ---_--
OESCRIPTION OF PROPERTY IMPROVEMENTS -(list betow work pertorm ed and or goe~s and matenal furn~sY;ed or ~nstalied -- refe~
if any)
t~~ and s~tach work order and/or specification
~
,
__
_. _--
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~ ~ ~ ~ ~+w ~ ~ ~ 1, f ~ '~! b ! !'L-^°~ ~. •
-~~s2'^r- 4 21 h Y~
PROMISSORY NOTE COMPUTATION OF fOTA! OP PAYMENTS
~OR VAIUE RECE1~'ED, the undtrsi&ned Buyer promises to pay AND DEFERRED PAYMENT PRICE
No~der (meaning Contractor or any ass~gnee oi this contract) the ~ 1) CASN PRICE ~ '
TOTAI OF PAYMENTS of j~„~.;~~_ ~n __~.~__ con
_~~ each, begmnmg ~2)
secutive monthy instaumenls of ~" ~OWNPAYMENT
_
1 month from the date of complet~on of the property ~mprove~ ~~"' `~'~"'N~r"'~~'~ -0 ~
ment unless a d~iferent hrst payment day ~s spec~t~ed here Tracie-In (Net) b~_
~
_-~-' i' -;;' , and p~yaGle on even date oi TOTAL [?OWNPAYMENT ',,~
=
~
~ach succeeding month lhereatter, together nnth a t~na1'Dauoon (3) UNPAID BAIAf~CE OF CASN PRICE ~_' ~___ _
cayment in the amount of s •'~ due -' _.
~4 )
'
OTHER CHARGES
~•. Payments to be made at place des~gnated by Holder.
~
• Buyer may choose through whom in-
Tne FINANCE CHARGE begms to accrue irom the aate ot the surance ~s to be obtained.
cornpletion of the property improvement unless a d~Herent date Credit Life Insurance b~_ '~
s ~nserted here _ _ . If any Cred~t Disab~lity
nstallment payment provided herein is not made vr~thm 10 days Insurance ~ ~-
atter its due date. Buyer ag~ees to pay late charge of 5~p of DOCUmentary StampS ~~,r„~ ~''
s:,~h installrtyent orES.~ whichever is less. ~n addiLon to the ~ Other - - ~ ~_
_ .~-T-
~egular instatlment. Buyer a1w agrees to pay any court costs , Other $ '~
-r-rs--
and attorney's tees of 10% ot the amaunt due and payabie TOTAL OTHER CHARGES ~ -
under this contract or such iarger amount as may be reaso~able ~5) AMOUNr ADVANCED FOR DEBT
a~d just ii this contract ~s -eferred to an attorney. It any ~nstall CONSOLIDATION $ '
~~ent on this Note is not paid when due, the ent~re amount un
;a~d hereon shau Gecome due and payaDle torthwdh at the ~6) UNPAID BAIANCE/AMOUNT
eiect~on ot the Holder ot this Note. FiNANCE n S ___._
The maksrs and endorsers ~i th~s Note hereby severaly wa~ve
:,resentment. demand, orotest and not~ce of d~shonor. In!erC~st ( Ho'nt
Sr,uuid balance be prepa~d in tull pr~or to matunty date, a refund
~! the unearned portion of the fINANCE CHARGE w~ll be cai
~i?•ed by the "Rute of 7$'S " method after fnst deducting an
3cqws~6on charge of ~25.~Q. ' • ~
~s security tor the payment and performance of Buyer's obliga-
tions unde- this contract Buyer shall eaecute a~d deliver to
iantnctor a Real Estate Mortgsge on the Property Improved.
"iME IS OF THE ESSENCE IN TNIS CONTRACT Pay
~-~ent of this Note is sub~ect to the terms of this HOME
t;' PROVEMENT CONTRACT of even date between maker
,-~d payee or mortgagor and mortgagee.
Improvement ) b
IrtE~reSt ( DEbt
C:onsoiiddtion J $ ~
Other $ '
Ot h e r $ _~~_
( 7 ) FINANCE ~HARGE $
(fi) TOTAL O~ PAYDAFNTS
S~;m of !6) & (7) ~ '
!9) OEFERRfn PAY!t~ENT PRICE
Sum rf /1 ). (4). (~il & i 7) ~_ .
----~T--
(10) ANNUAL PERCENTAGE RATE 9 ~= %
CREDIT I.IFE INSURANCE IS NOT REQUIRED FOR CREDIT.
COVERAGE IS AVAILABLE FOR THE TERM OF THIS AGREEMENT AT THE FOI.LOWING COST:
Credit life S ~
'• I desi~e credit life ~nsurance --- -- -- - ---- ---- ------- _ _ ~ .`..~._ _ _ _ --- ----
, date Buyer Co Buyer Date
., . - -. P _ - - - ' . " '
~ , --~ ~ _ • ~
SELLER REPRESENTS THAT HIS NOTES AND!OR
'~10RTGAGES ARE ROUTINELY SOLD TO FINANEIAL
+'~STITUTIONS.
~ he C~~tractor states tha~ the above work ~s covered by:
.'+orkman's Comper~sation Yes _ ~__ No
~ ,blic L~abii~ty Insurance Yes_~ No_-
Ur that the Contractor ~s qualihed
es a self-insurer: Yes__.~ No__
_ ~_~~~_~ ,__ __._ _____~ _ L S
Contractor ~
hY------ - --- --- ~---
( T~t1e )
Buye- acknowlec!ges rece~pt of an executed copy of this
HOME IMPROVEMENT CONTRACT and two compfeted
cop~es of the not~ce of Buyer's R~ght of Resuss~on under
the Consumer Credit Protect~on P.ct.
NOTICE TO OWNER
(A) DO NOT SIGN THIS HOME IMPROVEMENT CON-
TRACT IN BLANK. (t6~•XA~.1~` ENTITLED TO A COPY
OF TNE CONTRACT A'1'q~'TIM~ YOU SlGN. KEEP IT
TO PROTECT YOUR LEGAI RtGHTS. (C) ANY HOLDER
OF THlS CONSUMER CREDIT CONTRACI~ IS SUBJECT
TO ALL CLAIMS AND DEFENSES WHICH THE DEBTOR
COULD ASSERT AGAINST THE SELLER Of GOODS OR
SERVICES OBTAINED PURSUANT HERf_TO OR WITH
THE PROCEEDS HEREOF. RECOVERY HEREUNDER BY
THE DEBTOR SHALL NOT EXCEED AMOUNTS PAID BY
THE DEBTOR HEREUNDER.
X - ------- - ------ --- l.s.
(Signature ot Buyer)
.a.,, •- ,~, L.S
X-- - ` __ _ - - - -- --
(Sign~ur~ N Co:BuyPrj ~Q ?~ I QQ S~i // /~
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