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~ CONSUMER CREDIT 018~LOSURE FORM, ~
AtStD 8ECURITY AtiREEMENT A A 5 7 4 0 3 9
~ . .
Credl Unqn CreGit insurante PoIkyR ,
Credit llniW~ Address Member's Ace~wjiM ~ I
NoteM ' ~
Name oi IlAember ~ ~ Rate ot Inte~est Us~d _ I
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C~NT MItIMANCE 6~U~E ~
Y?iti~l Amount Prem~um Chu~s Amount of Term ot Inwr~nce EHect~ve Date Date ol Birth '
ot Ir~uupnce MontAly Benelits in Months UAo. Day 1fr. A1o. pay Yr. ~ i
Ctedit O~sabitity .
CD t CO i ~ i CD i
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~w NIa M 11oMi Y~rrM ~ Y~t IM lor the coveaQe sdected wiM respoct to aN ban p~ceeeds ~dv~nceA to you by the Credit lkuon. You undersl~sd U~st
- be~Nit= an proviA~d oNy on co ap~s la wtuch zn Ir~suranc~ Chuqe is slqwn.llou resenre the riqht to taminate by ~ivinp the Creait Union adv~r?p
_ wrw~n no0a• You understand that tUction to become iraured is voluntary and not a hcbr in t1w approval ot any loan by tM Cred~l Uiwon. V by,
ropr~nt Mit you ue ~cdvNy ~t work and repulxly perfaminp ~II the uwal Outies a iuW-Ume qaintW awpat~on. You may sebd any inwt of our '
CAoic~. '
I~YE~E ~CTE~ Ge~~ a~ai~y r~s- r~._ r
s~. «w~e. ~ a ~w..e
~r.wr~ ~wr~w csu.K-aey-s~u.-z~ coaa ar
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Pleas~ rea0 thh ~p~e~m~nt ~nd tM Truth-In-Lu~dG?p Oisclosuns carefully. ln thia epreement the wo~ds rw ~nd ~ mun any p~r=on slQnlnQ thla i.~
ayrMmeM. lf inen tMn ons pKSOn tbns bebw as Dorroww, ach uid all ol those who ai~n will be rsaponsiDle for rspiyinp the foan in !uU (this ~n~ant ~
eaCh p~rtOn ilqnNq ii jolMty and sweralty Ii~D1~1. -
~ T~IITMM-t.E11dN6 IIIIE ~ ~ ~ ~
~ Faw~ow t~w ~ r• ~ ~ • i
r~ aa «y+~r a1x r.MSr 1~ uiw w.r~rn onar Tb..n.~ a aN+p~~ tb.war~1~w~ .W..n rw .M. , , . .
N/ aq - 11 rir or r1 ywr MfWI. Irq ~ ~ll ~qr~ aa ~ '
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Yax ~MM 5dadrM wi11 ' r •
11 A~1,~t M?1rM~M ~N~~ Ar~ OiM , ~M i~rrM~oR ~ou ,tqry? o41a+a PropKh? insqt~r+q fr0io , I
~ a~isro+?e you w~t cns~ a~socept~bN lo tM u~o~t w}oa. N kou pt , i
~ - ' ~ ~ ~ ttw iiua~not frOm aN C~MiMi ~f'7~iM wjt `t " - i ~
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~ 1fo~. ~ivip a~„~tM~ 11?1Y1O~11f~~C andAf 4p~i~S. !~4 ~ p~! un+on: ~ F~ fr11
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~M ~ s ~ ~ ~~'1/fM11r It ~y oM , ~
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See Yar tor any sl0alooi~ ~ ~el~lt. rpu~re0 rep~ymertt jntWl • Me ~d~~~.lp
Dt~Ml11N~p~''~ipd OM1itfls• t :#n " . ~ .
ITEMZATIOM YF TIIE A~UiR fNA1iC~
, M A~wtl F~at~M M A~t Y~ Oir~ A~wM hY M ~ ~ h~ ii~~p CMtrM • :
~ t t ~ Q i
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~ ~ S For Inwra~ce L`? ~ ~ ~ To ~Q'L ~ To '~(j
f MOTE AMO SECIJWITY AQREEMEIIT
p~ ~,~M' Ypu ptomise to pay to the order o! the ued~t unqn 1tl money loanea lo you under th~s Aqreemenl pl~s mterest on ti~e unpa~0 balana at
~L~' ~s ~ inter~st r~e pe? year. ?
P~ys~ul E~it You promise to rep~y IM money bukd ?o you atsadnp to the paymenl scheduie shown in the Trutl~lrt-Lendinq Disdosure aDove. You may.
however. make lu9er pi~rmenl5 w~Aout penaMy ~f you waM to reduce tt?e finance ch~rfle on your IOan. If you do not m~lee p~yments as sCMduled. your last
~ paymeM rtay be larq~r th~r? the amouni disc106ed.
~ C~M~ OWt Ack~al coris o1 coMrction indudinp court costs arb rasona0l~ attorney Iees
~ i~x~ OMa~
f GOItATEftAI MoDet rEM ~ o No r~E vKUE
F
? l~ seturiry u?terest as a ple0qe io your share atcoum numDer Ior ~~Y ~ P~:53 ~
~ ~ You may wdhdraw the mpMy from that aCCOUnI oniy to tha eztent yau have repad th~s ban.
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`~U~~ ROGER F~: ~ ~ ~
~ a~,~ - ~ ~~~,_r;-
~ 11~ ~ EEE NEVEREE SIOE fOR IMrWITAMT IMf0i1MATqM ~
~ T he terms of the aqresmeni a~ ihe ravKa side sre psrt o1 the entire ~preement and you ue bound by them as it they w~rs printed on the front It you have ~
receivsd a completed copy ot thi~ TrutMr?~Lendinp Disclowre Note artE Security Apreemant and aqree to tulf ill its te~ms, plwse sipn bNow. H you ue not ~
a borrowK but an owr~ of tM propa'ty belnp oftw~0 as collatsral to secure this lo~n, leaae s~y n below and check the box br "Owner o1Collstera!". 8Y
doing so you ~es atly to tM t~rms of tM Sspit~ty Aq.?eement. CAUTI01~ IT 181 ANT TNAT YOU IHOROilBbi.Y AEAO TYIi CONT~ACT dEFO~E
~ U Sl6N !T.
ower Oata Wi at
~ua~ ~xK~
C ~ktr Owr~ ol Coll~tual Date itntss D te
~ ,~u~ ~~x~
CaAl~ker Owr~ 01 Coll~teral Qate Wilnes5 ate
X X BOOK ~U5 P~GE ~
4 CU01S Inwrance Souety. Int . 1981 Thank you ?or bor?owmg ar yo~r Cred~t Un~on ~ A-150 SPN FL (2/82)
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