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8/22/2019 28A-05 Note
1/4
PROMISSORY NOTE
$Date
___________________________________________City, State
FOR VALUE RECEIVED,
,
hereinafter Maker promie to pay to
,
hereinafter !o"#er or or#er at
,
or other $%h p"a%e a may &e #ei'nate# &y the !o"#er from time to time, the prin%ipa" $m of
Do""ar ()__________________*, +ith interet thereon from _______ #ay of _____________________________
on the $npai# prin%ipa" at the rate of
per%ent (__________* per ann$m a fo""o+-
1. INSTALLMENT PAYMENTS: Maker ha"" pay, (%he%k one*
a. ( ) NO INSTALLMENTS. .o inta""ment payment are re/$ire#0
b. ( ) PRINCIPAL and INTEREST INSTALLMENTS of
________________________________________________________ Do""ar () *0
c. ( ) INTEREST ONLY PAYMENTS on the o$ttan#in' prin%ipa" &a"an%e0
(The follown! "#% be co"&le%ed f 'b o 'c chec*ed)
1he inta""ment payment ha"" &e'in on the _________ #ay of _____________________________________,
an# ha"" %ontin$e on the ____________________ #ay of ea%h $%%ee#in'- (%he%k one*
( * %a"en#ar month ( * thir# %a"en#ar month ( * i2th %a"en#ar month ( * t+e"fth %a"en#ar month
( * Other-_______________________________________________________________________________
L34 56A7893a'e : of ;
8/22/2019 28A-05 Note
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+. ,-E ,ATE: 1he entire &a"an%e of thi .ote to'ether +ith any an# a"" interet a%%r$e# thereon ha"" &e #$e an#paya&"e in f$"" on _______ #ay of __________________________0
. ,E/A-LT INTEREST: After mat$rity, or fai"$re to make any payment, any $npai# prin%ipa" ha"" a%%r$einteret at the rate of ____________ per%ent (_______* per ann$m (:6 if not fi""e# in* OR the ma2im$m
rate a""o+e# &y "a+, +hi%he
8/22/2019 28A-05 Note
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1. SE=ERA>ILITY: If any %"a$e or any other portion of thi .ote ha"" &e #etermine# to &e of ;
8/22/2019 28A-05 Note
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,O NOT ,ESTROY T4IS NOTE
!E. 3AID thi ori'ina" .ote to'ether +ith the Dee# of 1r$t e%$rin' the ame, m$t &e $rren#ere# to the1r$tee for %an%e""ation an# retention &efore any re%on