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<br /> F011 IJ51 IPJ iH� STAii QI NEIRA�KA �" -
<br /> ' INSTALLMENT SALES CONTRACT ANO MORT6A6E C(INTkACT NQ. 12 7 3 6 7 � :� .
<br /> You(SeltcriMortgagee)havc quotcd mr (Buye��+�/A1o�lgaguf�sU a Cash Priec and u Tirial Sntc Pricc for t he Pm Juc t.J e sc n h c A o n p�g c I o(lliis ri�nv,i�-t.lhc T�da1 ;7
<br /> y Sale Price is thc total cost of the Pn�due u��d�d serv ces dcsrnbed an�pageblc 1 agrecPo�y y uiP�e Am unt�Finan td io scconlu n ceywith hc�sr�ent nched�11��+�Ct ,
<br /> '� •- 'Ibtnl Si+lc Price ut fotth below.the Prod e nte disclosed belo�v. ��� -����"'L� :`1.
<br /> .. .,y,- , fonh Netow,togethcr with intercst themnn u �he oneual percentag ,, � ��
<br /> C" ' SUMMARY OF SALB: Basc cash price S��+ �sx-�— ° S'���—� �2 OC?Gp C�' ., :� ',
<br /> •- 'Rital cash pricc S �d`d - Cash�tomlJ dnwn paymcnt S ���'� - = Unpaid balancc of S ' ; �
<br /> ITEA'IIZATION OF'THE AMOUNT FIINANCED OF S �-.^��'�� -� ^� `� �" - '� . °
<br /> ' ..`T 4.�
<br /> ._ . S_�N�DL�Amount creditcd to rhis contract(Sumo amount u the"Unpaid Balancc.") �d�V��•� � , ,�4�n? . ''
<br /> • s O d Amount p;ud on net balance fmm prior contr.�d with you.(0� I�; 'i�e?��=
<br /> � Amount(s) aid to others on my bchalL• $—��_ P �' '�:�.
<br /> to ublic officials for filing/rtcordins fccs (E)
<br /> ., 5 B tn insurance comp3ny for Crcdit Life insurrnce � j.
<br /> �(�l to(S cif ) ; ..��{i";���"'°"'
<br /> � S�._to insuranee cumpmy for Accident und Heulth insur�nce S P� y . ;:,.,,
<br /> 3 i .�,t.:._^-
<br /> � ANN!�1l, FINANCE AmouM Fnanced Totat of Payments Total Sate Price I y,_ —
<br /> PERCENTAGE CHARGE The runount ut eredit il�e nmcunt I will havc 7t�c rotal cost of my pureliasc , —
<br /> provided to mc or on paid after 1 have made all on crcdit. �ncluding my dua v 4 ':;.
<br /> . RATE 'Ihe dollar nmount the my yehalf. paymems as scheduled. P�yment of S�'-� — -
<br /> 71te wst of my credit as n �dii will cost me. $ � _--
<br /> � y��y�t�. $ $ $ g 3 S�B6 fr�' � �-Y_--
<br /> . .;,�.: . �g ��a 3 8' �Z o o� r1 �' - r ; �:�':�-'Y�P-
<br /> ;l � SecRrity:[am giving pou: ' ' - -
<br /> MY Payme�t schedule will be: 1. a security inttrest ia the g�ds.sen'ices md propextY
<br /> '��'.:- . Number of P�y�menn Amount of Payments When hymenn mc We being pw�haseA.and .'i �
<br /> � 2. a mortgage on my real estate at my "ADDRESS"tie'toa i; ;';•�: -
<br /> �g1:� Ist Paymeot 5 _� 8 First payment due � and legally descnbed an�ga henroL .�;f� ;,
<br /> FilinglRecordtng[as S ' '' ; .
<br /> '�' � Ixte Chargt:If a payment is mo�e chan flftCEll �15)�tsys .
<br /> $ All subsequent installments on the sume day of .
<br /> ' ,;_ ��` �3 �.. each consecuU�e mon�h unal paid in fu1L �a�z, 1 wiU be charged 5% of the instalhnem p�ym:r•t or ��, •' , T.
<br /> INStJRANCE �2�:00 whichever is lesser. y ';i�., � ,.T, •_
<br /> �--- ';;:-;,4: Credit If[e msarance�nd ceedii aixuu;fj S.-�:tt�_L^T r;�.tnrt tn obmio cret7]C.sind ^.�. !'���.�-'1 will he charced SI5.00 tor nn , : -
<br /> '�+ wi11 eot be proy{ded untas I slgn md�ce to pqy the additlona�cosc- g� u which is returned unpvd by the banY,or j ��,. �i
<br /> � . � � I-_" • • Prert6um ra,n siAn,�ure other financi 'tution ' !� _
<br /> Prepny�rtee� I I pay off carly. 1 may hu•e t pxp a � �,�
<br /> want credit life nanoe c6arg:of S10.00(which i�defined iu a :,�:" .�:
<br /> Cred�t L�fc � minunum fi
<br /> ; � insurnnce. 5,�_ �>Y, enalty••ander errl law). o `S `.
<br /> • � i[I Rview other portions of�his conmret r �
<br /> � Q � „�_ a„>��r for t+ddiuonal informnaann about non•paymen�,default,nny �t.� �,�
<br /> . � � Credit Accicknt I want cmdit accident cequircd rcpayment in f.uIl ixfore the scheduled date,znA ; r!;;:,
<br /> :1 &Health S �/� and health iasu:ance. pcepayment refunds and penultics. �
<br /> �L,;� �8�–d°1T+ 8 mla118 Yn lStl�Ltt. �f .,�'•,
<br /> MO,�4�4�E:I hereby gr.irt.bargai�,sell.conveY and mottgage to you.as Mo�tgaget.mY�ea1 estot.c at my Address'belaw and�as�more pa.�1��aouou�a � •
<br /> oa pag� 3 (mverse sidel o!this rnntrkt as secunry for all amounls due to you undcr thu lnstallment Sales Condact and Mort a e. I hete �* Y �;!a�.
<br /> " er CaBuyer
<br /> power of attomey to insert the legal des�ripdon of my real estate hcreon at a later time. � ments on thzt obligation until ps��rt�ent3 ���=�
<br /> ;j�•• CONSOL[DA7'[ON:[f 1 now have n 6ilu�ce due you from a pmvious put�hnse.I urtdcrs� 1 must con6nue to make my p y -
<br /> ' b!oin urt.i�.t this Contrnct, --_�
<br /> '�' �D MORT6AC RAE A Pl�18�T THlS IIIST�A�I!lENT S�1FS COM�iR�ACT A D�MOR1&A6EEAND THAT ISA9� 60UM0 B7 T EH MIS IN011C�PR�YSIS O�S PRi�TED :,,f;�_ -
<br /> . �` OM PA6ES 1.3 AlID A�06ii1MTE 116WFi0MA�YERI�lIA�IIN6 SELLER'S M1IRRANT7 OBU611TIOM. �4�T�n°.
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<br /> �• � NOTICE T6 BUVER `-='`�"`
<br /> �:� 1. 00 MOT S16M iHIS'CONTtACJ�EFDii��A41N� li� �F IT COMTAiNS BUINK SPACES. 2. I Pal ENTITLED TO � GOP� OF THE COlIf1ACT I SlS�I&D. -•- --_
<br /> ' 3. 1 MAY PA9 OFf �NE Fl�t3.�dNlANCE-�++s UNDER DlIS SOKTRACT AT AM� TIME AMO IN SO DOIM6 I MIIY BE ENTITLED i0 A REBATE OF TlIE it��'��!:��`�!
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<br /> UNEARN�D fiMANEE p1iD INSIIRAIICE CHAR6ES pF Al1�l. 4. 1 UNDERSTAUD TNAT THIS IIiSTRUMEMT IS BASEO UPUM A HOME SOUC�TI110N SALk, 11�ID ?!?�.�t?;:����
<br /> TlIAT TIIIS IMSTRUMfNT IS ROT NEi0TiA6lE. 5. IT SilALL MOT BE lE6AL FOR YOU TU EMTfR NIY PREMISES UNIAWFUU.Y OR Cl]1�MIT Rl� BREACII OF i�,;j,y�.•;_: ---
<br /> " '% � iHE PEACE TO R�PGSSESS COOOS PURCHASED UNDER iHIS SOMTRIICi. � ��
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<br /> � �? BUYER'S RIGHT TO CAN�EL t�.�==°— --.
<br /> 's�. :,.:;,,, I HAYE BEEN �RALIr ROYISED TH�T 1 MIIY CANCEL THlS A6REE1iiENT AT AMY TIME PRIOR TO MlDNIfiHT OF THE THIRD BUSIMESS DI1Y AFQER TNE y: '�`���--a__
<br /> DATE Oi THIS TRAM5ACfl6M.p NA11E READ 1HE ACCO�1PIUiYIK6 NOTICE OF R16HT TO CANCEL FORM FOR AN EItPIANIQION OF THIS AI6NfJ ��.,,.n,___�.- _
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<br /> 1 COPY RECEIVED: I neknowlcdge rcoeipt of a campletely filled in cropy of lhis rnntract along with two(2) caPies of the flotice uf Ri�hi to Cancel Fnrm. 1I' . A
<br /> �• , 19 r �7`•
<br /> i``. IN 4�VITNESS WHEREOF, this Installment Sales Contra�Y and Mortgage has bren signtd on this �-J day of�li�- � •-w-;�•�
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<br /> 'i�' ,>V f ,�lL.1'Lt____IITI� � _ City n- l �Ceunly Q. _ �..... �.. ..
<br /> ' ti, BUYER'S'ADDI2ESS" �p�� '.'��� �";r'a'~.
<br /> ;::at� P ��� � Stnm�Z�Rb(l�-� •�.: . ,:.
<br /> '�' ��� no�x rvo. �'f+'�3J`�� ; • ��;.:,., .
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<br /> ' THE PIICESEiTER CORPORATION csFUEa-r�to�c�� �' :' ''.
<br /> ���' ` �..� ER --[�t0�a�v',oR c �
<br /> , �:�>. //�� � y►1 -- J�C/4.n..10�t .?j • -
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<br /> . � By: -`� �� BUYER•MORR1A�"111:UNAMk �r.i� .
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<br /> QY• � .car-mav FcFNT�TVF� ('PBl'YtR-MORTG.4WR .-}
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<br /> � ivm•rtR��+oemncon- E�+i�tti�•n+u ,
<br /> .. ` 70}v S�1d01•NEB�IF FACE 2 ,
<br /> I ORIGINAI FINANCIAL INSTITUTION - � ..
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