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PAGE 2 OF 4 FOR USE IN 7HE STATE OF NEBRASKA . INSTALLMENT SALES CONTRACT AN� MORTGAGE CONTRACTNO. 130471 . .� You (Seller/Mortgagee)have quoted me(Buyer[s]/Mortgagor[s]) a Cash Price and a Total Sale Price for the Products described on page 1 of this contract.The Total Sale Price is the total cost of the Products and services if I buy on credit, subject to approval of my credit. I(Buyer)now choose to buy and you agree to sell,for the Total Sale Price set forth below, the Products and services described on page 1. I agree to pay you the Amount Financed�rn accordance with the payment schedule set foRh below. ;' Q Q.�, '1�� �Q� V V SUMMARY OF SALE: ase cash price $ /� + tax �� _ $ - �,��1�O Total cashE"pri¢e� - Cash [total] down payment $ � • o'V = Unpaid balance of$ ITEMI ATION OF THE AMOUNT FINANCED OF $ ��a''��4"� . $ ��'O Amount credited to this contract (Same amount as the "Unpaid Balance.") $ ��Q'O Amount paid on net balance from prior contract with you. �@� Amount(s) paid to others on my behalf: $ L?b�Cs� to insurance company for Credit Life insurance $ �� to public officials for filing/recording fees�@� $ c!9�� to insurance company for Accident and Health insurance $ �' � to (Specify) ��`Y� ANNUAL FINANCE Amount Financed Total of Payments Total Sale Price PERCENTAGE CHARGE The amount of credit The amount I will have The total cost of my purchase RATE The dollar amount the provided to me or on paid after I have made all on credit, including my down The cost of my credit as a credit will cost me. my behalf. payments as scheduled. payment of$ ��• � . yearly rate�1 1� a/o $ ��S 1 , {p 0 $ �� Q'O $ ��J�� o v $ o7`It d 1 . �v y� My payment schedule will be: Security: I am giving you: I. a secunty interest m the goods, services and property Number of Paymen[s Amount of Payments When Payments are Due being purchased, and ... 2. a mortgage on my real estate at my"ADDRESS"below lst Payment $ 57, rp� 2 First payment due and legally descnbed on page 3 hereof. � Filing/Recording fees $ Qb� �� � $ �/t�� All subsequent installments on the same day of Late Charge: If a payment is more than flft22fl (15) days each consecutive month until paid in full. o INSURANCE late, I will be charged 5/o of the installment payment or Credit life insurance and credit disability insurance are NOT required to obtain credit,and �25.00 whichever is lesser. will not be provided unless I sign and agree to pay the additional cost. Returned Check Char�will be charged$15.00 for any check I give you which is returned unpaid by the bank or �,pe Premiam Tepm signacure other financial mstitution. Credit Life I want credit life PreQayment: If I pay off early, I may have to pay a insurance. mimmum finance charge of$10.00 (which is defined as a C� Signature—Buyer "penalty" under federal law). �� --► I will review other portions of this contract ' ture—Co-Buyer for additional information about non-payment, default, any Credit Accident I want credit accident required repayment in full befoce the scheduled date, and & Health $�� and health insurance. prepayment refunds and penalties. namre—Buyer e means an estimate. MORTGAGE: I hereby convey and mortgage to you,as Mortgagee, my real estate at my`Address"below and as more particularly described on page 3(reverse side) of this contract as security for all amounts due to you un is Installmen Sales Contract and Mortgage. I hereby grant to you a power of attorney to insert the legal description of my real estate hereon at a later time. Buyer Co-Buyer SELLER WILL NQT INITIATE A FORECLOSURE OR SIMILAR AC ION WHICH COULD CAUSE BUYER TO LOSE BUYER'S HOME, EVEN IN THE EVENT OF DEFAULT. SELLER MAY RETAIN A LIEN AGAINST THE HOME UNTIL BUYER'S CONTRACT OBLIGATIONS HAVE BEEN MET. CONSOLIDATION: If I now have a balance due you from a previous purchase,I understand I must continue to make my payments on that obligation until payments begin under this Contract. ` ''�`��`�}�0 TIlCE TO BUYER 1. DO NOT SI6N THIS CONTRACT BEFORE'� IT."��1��TAINS BLANK SPACES. 2. I AM ENTITLED TO A COPY OF THE CONTRACT I SIGNED. 3. I MAY PAY OFF THE FULL �ALAflCE E NDER` NT T AT ANY TIME, AND IN SO DOIN6 I MAY BE ENTITLED TO A REBATE OF TNE UNEARNED FINANCE AND INSURANCE CHARGES (IF ANY). 4. i UNDERSTAND THAT THIS INSTRUMENT IS BASED UPON A HOME SOLICITATION SALE AND THAT THIS INSTRUMENT IS NOT NE60TIABLE. BUYER'S RIGHT TO CANCEL I HAVE BEEN ORALLY ADVISED THAT I MAY CANCEL THIS A6REEMENT AT ANY TIME PRIOR TO MIDNI6HT OF THE THIRD BUSINESS DAY AFTER THE DATE OF THIS TRANSACTION. (I HAVE READ THE ACCOMPANYING NOTICE OF RI6HT TO CANCEL FORM FOR AN EXPLANATION OF THIS R16HT.) COPY RECEIVED: I acknowledge receipt of a completely filled in copy of this contract along with o (2) copies of the Notice of Right to Cancel Form. IN WITNESS WHEREOF, this Installment Sales Contract and Mortgage has been signed on this_�C��day of � , 19 J12— BUYER'S `ADDRESS"(OnIO W�-�'-�'� /'*"�+� City ��n'wD `=�'triJy County �"� Telephone No. ��o^ ��`� �s�� State N� Zip D�'3 THE PACESETT CORPORATION (SELLER—MORTGAGEE) R— O G GOR ,�. �Vt�ev� C. �� By� UTHOR CER BUYER-MORTGAGOR—PRINTED NAME By� - (FACC Y REP ATI ) CO-BUYER—MORTGAGOR CO-BUYER-MORTGAGOR—PRINTED NAME 7039 SM-]Ol- G PAGE 2 ORIGINAL FINANCIAL INSTITUTION