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Home My WebLink About0064 ~iscl~sure Statement, Note and Security Agreement Borrower s) (Name and mailin address) Lender (Name _addres cit and state). Account No. • ~ F`,~ _ _ 9 _ ~_~T ~ • ~ ~r~~ - ' DateotLoan f - - ~ ~ r. ~ ' ~ ,:,~.~r~~~' -'QF.` rS_ : ~ I_I:~ ~ . s_ ~~`I!~_ 1 ` ' ' i.H:'j!Cf;i~h~t ' ~ ,:•1_ . _ . _ _ i ANNUAL PERCENTAGE RATE FINANCE CHARGE Amount Financed Total of Payments t 7he cost of Borrowers credit as The dollar amount the credit wilt The amount of credit provided to The amou~t Borrower will have ' a yearly rate. cost Borrower. Borrower or o~ Borrowers behalf. paid after Borrower has made all _ _ _ ~ _ payments as sch~dulgd. _ _ J ~ ` ~ i _ , -1 % i ' ~ a _ , . _ $ • _ . , ~ L $ ' - : I Payment chedule: Secu~rity. li checked, Borrower is giv~~g a security i Numberof Amount of When Payments interestin: + Payments Payments Are Due , ~ y f ' _ _:M' ~ ; h:":. t+;, :`,L _ _ a-; ?MotorVehicle ? Mobile Home i - - - : . _ _ _ - - - - ~t ooenv ? eal Pr Other. F Late Charge: If a payment is late. BoROwer will be charged: ' ~ g ni a / °b of the amount in default. $ o i Prepayment: If Borrower pays off earfy. 6orrower- ~will not ? may have to PaY a PenattY Seethecontractdocumentsforanyadditionalinformationaboutrionpayment,defauit, 8.s~~~~ot ?may beentitledtoarefundofpart anyrequiredrepaymentinfullbeforethescheduleddate,andpcepaymentrefundsand DemandFeature ofthefinancecharge. penalties. ~lotApplicable ?Thisobligationhasademand teature. ~.dditionallnformation: - y D~1E CN~AGES BEGti ~5- ~ ~ _ ~ ~ ~ -1 - - _ ~ 1~~ _ ~ ~ Insurance Oisclosure: Credit Life, Credit Disability and Involuntary Unemployment insurance are not required to obtain credit, and your decision N ith regard to this insurance will not affect Lender's decision on any aspect of this loan application. This insurance wilt not be provided unless Bo~rower signs and agrees to pay the additional cost. The coverage is for the initial term of the loan unless othervvise noted below. I , ~ ~surance for loss or damage to property may be required to obta~n credit. Barrower may obtain property ~nsurance from anyone 8orrowe~ wants !^at ~s acceptable to Lender. Coverage may be prov~ded through an exist~ng policy or a pol~cy independently obta~ned and pa~d (or by Borrower !~n~s loan is secured by personal property other than motor vehicle or mobile home. insurance for loss or damage to the property ~s not ~equ~red ~ ~c~ ob~am cred~t. If Borrower obtalns such insurance from Lender. Borrower will pay the total premium noted below. the coverage ~s for the term ol ~ t^e ~oan un!ess a different term is noted below. n s loan is secured by a motor vehicle or mobite home, collis;on and comprehensive insurance naming Lender as loss payee may be required.If ~orrower obta+ns sing~e-interest insurance from Lender, protecting only Lender's interest in the motor vehicle or mobile home. Borrower will ~ay a ~ H~~al premium noted below: the coverage is for the term of the loan unless a different term is noted below. ~ ?he monthly payments wlthout +nsurance: ~ 4 ~ u..i 5 ~ : 4'~e request the tollowing insurance ~ Cost/Premium: _ Type. Term Un Mos 1 ~ Cred~t l_~te ~ Credit Disability First Borrower'S Signature Date ~ Property insurance c Automob~le Single Interest Second Borrower's S~gnature Date " (~f applicablel ` ~~ncellat~on of Insurance - Borrower may cancel any ot the msurance descnbed above at any tlme and obta~n a refund cf the unearned prem~um ~ c: eptabte subst~tute ~nsurance is ~equ~red whe~ canceiling motor vehicle or mobile home insurance ?erms: !n this Disclosure Statement, Note and Security Agreement, the word "Borrower" refers to the persans signing below as Borrower, whether e or more. If more than one borrower signs, each will be responsible, individually and together, for a!I promises made and for repaying the loan in !;;it The word °LendeT' refers to the lender, whose name and address are shown above. k P; omise To Pay: !n return br a loan that Borrower has received, Borrower promises to pay to the order of Lender the Principal amount shown above, ~!us interest on the unpaid Principai balance fr~m the date charges begin shown above until futly paid at the following Rate of Interest: ~ r;ppl~cable Box Must be Checked) ~ R C~]~ ~ ~ ~ ~~,+~o per annum on the ent~re unpa~~ Pnnc~pal balance SOQ~ V ~ ~ ,_j Qn per annum on the first 5 of the unpald Prfncipal balance: '~o per annum on the next S of the ~ unpa~d Pnncipal balance: and °u per annum on the remaining unpaid Principal balance. ~~~nc~pal and interest shall be payable in the substantially equal monthly installments shown above, except that any appropriate adjustments will be ~ ~ ade to the (irst and final payments, beginning on the first payment date shown above and continuing on the same day in each following month until ~ : a~d in fu~l unless this loan is subject to a call provision as indicated. in which event the final payment date may be accelerated. Upon the final ;;ayment date or the acceleration thereof, the entire outstanding balance of Principal and interest evidsnced bythis Disciosure Statement. Note and Security Agreement shall be due and payable. Any payment(s) which Lender accepts after the final payment date or ihe acceleration thereof do not ~onstitute a renewal or extension of this loan unless Le 9n determ~n Each payment will be applied first to irterest computed to;~le o6pAj~rr~i~, ~hth~~emainder applied to Principal. Lender may collect interest 'rom and after mat~~rity upon the unpaid Principal ba{ance at the maximum rate permitfed by tt~e then applicable law or the raie ot interest prevailing ` ,ndzr this Disclosure Statement, Note and Security Agreement. - . ~ - - _ - _ _ . ,~y:~~,~, ~ w - ~a..~'F ~h .3 _ ~uK'