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  1.  
  2.  
  3. "
  4. "
  5. "
  6. "
  7. "For value received, \a promises to pay to the order of \b, at
  8. "
  9. "
  10. "\c
  11. "\d
  12. "\e
  13. "\f
  14. "
  15. "or at such other place as \b shall designate in writing via certified
  16. "mail, the sum of $\g with interest from the date of this Note on the
  17. "unpaid principal at the rate of \h percent per annum.
  18. "
  19. "PAYMENT:  The unpaid principal and accrued interest shall be payable
  20. "in \i monthly installments of $\j, beginning on the \k day of \l, \m, and
  21. "continuing until the \n day of \o, \p, hereinafter referred to as 'Due
  22. "Date', at which time the remaining unpaid principal and interest shall
  23. "be due and payable in full.  All payments on this Note shall be
  24. "applied first in payment of accrued interest and any remainder in
  25. "payment of principal.  Any check, draft, or other instrument given in
  26. "payment for any portion of this Note may be accepted by \b, but such
  27. "acceptance shall not constitute payment or diminish the rights of \b
  28. "except to the extent that actual cash proceeds from such instruments
  29. "of payment are unconditionally received by \b.
  30. "
  31. "SECURITY: Payment of this note shall be additionally secured by a
  32. "security interest created and granted in a Security Agreement executed
  33. "concurently with this Promissory Note, executed by \a in favor of \b.
  34. "
  35. "PREPAYMENT: \a has the right to prepay this Note in full or in part
  36. "prior to Due Date without prepayment penalty.
  37. "
  38. "DEFAULT: If any installment under this Note is not paid when due, \b
  39. "shall have the option, without notice to \a, of declaring the
  40. "remaining unpaid balance and accrued interest due and payable
  41. "immediately, with interest continuing to accrue at the maximum rate
  42. "allowed by law until such time as all monies owed to \b are collected.
  43. "Failure of \b to exercise this option shall not constitute a waiver of
  44. "\b's right to do so in the event of any subsequent default.
  45. "Furthermore, if any installment is not paid when due, \a agrees to pay
  46. "all costs of collection, including reasonable attorney fees, whether
  47. "or not a lawsuit is commenced as part of the collection process. 
  48. "
  49. "ASSIGNMENT:  This Note may be transferred and assigned by \b at such
  50. "time and on such terms as \b may deem advisable, with the assignee
  51. "succeeding to all the rights of \b under this Note.
  52. "
  53. "ASSUMPTION:  This Note May not be assumed without prior written
  54. "consent of \b.
  55. "
  56. "SEVERABILITY:  If any provision of this Note is determined to be
  57. "unenforceable, in whole or in part, for any reason, the invalidity of
  58. "that specific provision shall not be held to invalidate the remaining
  59. "provisions, which shall remain fully operative.
  60. "
  61. "Signed on this {CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@} day of {CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}, {CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}.
  62. "
  63. "
  64. "
  65. "{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}
  66. "(\a)
  67. "
  68. "
  69. "{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}
  70. "(\b)
  71. "
  72. "
  73. "
  74. "STATE/COMMONWEALTH OF {CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}
  75. "COUNTY/BOROUGH/PARISH OF {CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}
  76. "
  77. "BEFORE ME, the undersigned authority, on this day personally appeared
  78. "{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@} [name(s)], known to me
  79. "to be the person(s) whose name(s) is(are) subscribed to the foregoing
  80. "instrument, and acknowledged to me that he(she)(they) executed said
  81. "instrument for the purposes and consideration therein expressed. 
  82. "
  83. "GIVEN under my hand and seal of office on this {CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@} day of
  84. "{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}, {CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}.
  85. "
  86. "
  87. "
  88. "{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}
  89. "Notary Public's Signature
  90. "
  91. "(seal/stamp)
  92. "
  93. "
  94. "