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<br /> ` fp��USe fN TH� !tA?! O� NEdIIASKA /��1 L���(� PAGB a OF 1 �
<br /> i ` INSTALLMENT SALES CONTRACTAND MORT6A6E � inKr�rrNO. 12�1666
<br /> ► .
<br /> ' Y�u(tie11eNM�xtgagee! hare�uMCd nx fBuyet�el/MorlB+�gor(5U u Cu�h Prire and n7Utul Sule Price fur the Pnxlucts Ae�sot�d nn p�gc I uf thle cnntmct.'fhe'llita __
<br /> j- SYIC RICC IS lhC IOlil l'�1s1 Of IIIC 1'nxlucts and scrvicc9 ft 1 buy un crcdit.suhJttl ta npproval nf my cndi�.I IHuycr)nuw clun�c to buy und ynu agre9 io+cll,far�hc —.
<br /> i 71�tu1 Snle Price net f�+nh below.�he i'nxlucts und servicex descntKd nn�uge 1.I ugrce«i pay you ihe Amount fmunc.d �n�{y�:��e W�`t��4e hcdule act �
<br /> [nnh bclow•. togcther with Incercst Ihcrcon m the annwl percenaRe nl�Jiulused hcl��w. �y�� I ll —
<br /> �.•�_.: S--------
<br /> � ` SUMMARY flF S�ALF•�H�y�c carh picc S ll��� + tax ._ _
<br /> b '[1N�1 c� q'icotiS _�.-=tr'!� — Cash►tatal)down paynKOj,�� '��---- " Unpafd baluncc nF S�?���• �
<br /> _ 1'PEM ZA�OR�OF T!i'�AMOUNT FINANCED OF S --1f� �-- _
<br /> s �� _.Anwunt crcdited to ihis�ontruct(Snmc anx�unt u+thc"Unpa�d kiulrncr."� �"
<br /> - . � s D"fl•�'IJ Amount paid nn net halancc fmm prior contrsut with ynu. (�)
<br /> pnw • paid lo otAct�on my bchulf: ��
<br /> .,_�� � .t'D to puhlic ufficiah�►r �bint";41��te�
<br /> s to insurnncc cumpany for Crcdit Lifc insumncc S � � �,r
<br /> s ta insu�nce company for Accident and Heulth insutance S �� �to(Specify)
<br /> kt.. - �
<br /> Amount Financed Total of Payments Total Sale Price rc����
<br /> PERCENTAGE CHARGIE . �rne�mount of crcdit The amuunt 1 wlll huve The total cost of my pu
<br /> �� The doUur amount the P��ided to mc or on paid after 1 have made+ll on crcdit.fncludin�my down
<br /> RATE my behult: p•rynxnta as�cheduled. PAyment of S ���
<br /> 11x cost of my credit as u crcdtt will mst mt.
<br /> , Y���y � a �'7'7 3s' s �'�3G.G..s� $ /����� $ /G,. � .�
<br />_ l�°�� ��a
<br /> MY WYment sehoduk wiil be: See�kY:!�m Bivug youu:
<br /> 't�. I. +� ucurity inteceu an ihe goods,services und property
<br />-Y�•.. -
<br /> � - Numbe�ef Riymentw Amoum o(PaY�n�� W�n Paymems ure Due -- be't0g purchUSt'd,8Qd
<br /> 7.. n murtgage on ny�'a�estatc at my ADDRHSS"bt�ow
<br /> � , lst Payment S �,C'� @ First payment due — und legully dexnt►ed on a c 3 hercof.
<br /> Fiu�rne�au� t�. s__�
<br /> // � � All subscqumt instaliments on the snme dvy ut �te Clui�e:l ap�yment is morc than flftEBl1 (15)duys
<br /> _,; '�-S eacl�consecutive month untii p�id in full. I�te, I wfll be char6ed 5Ka of the instnUment payment or
<br /> -" ..' �� nKSt1RAPtCE 25.00 wnlchevoc b leren
<br /> Credit tife Insunnce�nd ere�it disaWtity lasurmce�rc�required to abhtn credit,�nd �ur�C� ��_�wili be charged S1S.00 for any
<br /> ��:,,; ' - wlll not pe {ded uote�1 r{�n and a�ree to WY���c�. check 1 give you .Mich is rcturtKd unpeid by the buik a
<br /> 'Rmi si na�u,c other fimnci�l Insdetion.
<br />-- ' �yp� Premlum o, s p��r�uentt If I qty off tuly. I mry havt topa y t
<br /> ::���'r ' Gedit Life I want c�edit 1[fe t imum finmce cptr�e of S10.00(whkh ia defined as i
<br /> ,:,-:� • insucance. _ �m "�xn�lry"under federaf I¢w).
<br />- ;i:��•: ' �j 1� --►I will�eview dher poRioro of thls contr�ct
<br /> "�}y,y�,r '' '�"�� - �+ yn fa addidond Infaewtion about non•WYment defwlt, aay
<br /> ��.,,�•,. 1 want c[edit�tccident ttqulrcd nepryrt►od fn PoII before the scheduted d�ce. �td
<br /> ,.':x��- � CKdit Aaident „ . v �Dl� � prcpaYment mtunds�nd penalties.
<br /> md!�lsh i�suaact.
<br /> _.-r'`>;►�� I I s Neaith I'�d'�/•�Y I�� �- � •aKw�n . 1
<br /> _.�sE�..•>ri4;.
<br /> 'pj,',�g'�" MORTGAGEs 1 heieby grant,bargdn.sell•mnveY and moctgage to you,as Martgagee.my rcaI aute�t my Addicu below ud as morc puticu�ariY d�s��°�°
<br /> �'�""�' on p�ge 3 (roverse side)of this conuxt as secumY for all amounts due to you under thie s I nt S�les Cont�1 and MortB�B�• �he�ebY B�<1O Y°Y r
<br />-=;�=;'t!''�•.!��-. X Bu er Co-Buyer
<br /> --� power of attaney to inurt the legat description of my rcal esute heieon at i later time. Y
<br /> --4`�'°�'� CONSOLIDATIONs If 1 now have a balmce due you fmm a pevfous puccliase.1 undetswid 1 must continue to m�ke rn7 psymenta on tlut obligadon undl p�ymenp
<br /> —=-=-� begin under ihis Contract.
<br /> __;� REYERSE SIDE: I UNDEASTAND ifIAT TIIE AODiTIOMAI TERMS ANO PROYISIONS PRIMTED ON P�ES 1 3 AND 41F 1NIS INST CONt�ACT
<br />--— AND MORTG�E�Mp A P OF THIS INSIALLMENT SAL�S COlITRICT ANO MORT6AQE AND iN�T I AA� SOUMD 1�TMEM. NG CF� �MI�
<br /> �^°�� OM PII�ES 1,3 �PRfif�A�OKION�TE#MS kIM�TIN4 SELIER'S WAItAANTY 0lLIRATION.
<br /> �--_�� pu,�:ttoNj.e•?P�:_!1wi,!:� NOTICE�p BUYER
<br />- -- - 1 00 NOT SI�N TH C����REA0�1 �� IF IT COMTAINS lIAMKT SIACES. T. I AM ENT riE0 Ti A CO�� OF TNE COMTRACT I SIfNE/.
<br /> � t3. I MAr PAY OFF �y��� "��4.j�p�p RS?AND�THA7�TH�S INSTRUMENT IS�BABE�UPON A NOME SOUCITA IOM SN�,E�n
<br /> UNEARNED FIMliIICE AN� �•
<br /> � THAT iNIS IMSTRUMENf IS NOT N 60TI11dLE. 5. IT SHALL NOT BE LEaI. FCA �OU 10 ENTER Mr PREMISES IIIAINFOLLr OR COMMIT ANY 11EACN dF
<br /> __= TNE PFACE 10 REPOSSESS o00DS PURCHASED UNDER TM�BUYER'S�RIGHT TO CANCEL
<br /> I NAYE TMli��Y�ON�sfl HAYETAEAD THE ACCEOM AN�YIN6RMO110E OFTAIQNT TO CANCE�I.FOl�IIAMFOR AN E]{MAlIATIOM�OF 1�IIIS R iI�NTµY ��
<br /> OA1E OF
<br /> _ _�_v COPY RECEIVED: 1�cl•nowledge cticetpt of a compktety fiiled In copy of this conaact elong with��(2)copia o�N of Right w Ctnoel Cnrm•
<br /> IN WffNESS WHERTOF.this InstQllment Sdes C�uact and Mortg+ge has becn signed ` �f '19�
<br /> �� BUYPR�S 11DDRESS"���� `r J��� Ciry Caunty
<br /> Telephone No. 3oF ��� Stnk � �P��Df
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<br /> � THE PIICESERER CORPORATION(SHIIPR—MORTOA68H) _ I � .
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<br /> ---��-'� BY�� UIH OFPICEII) B'YER•M AdOR-PRINI7'ANAME
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<br /> _ --^_�� iiNLTORY REP ENTi►i1VE1 CO�BUYFR-MORfOA60R
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<br /> '•'wYl'"'k',��:.': CO•BUYF.It•MOR'f0A60R-PRIMED N�WB
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<br /> �o3s SMdOi•NE-8lIF PA6B 2 ORIGINAL FINANCIAL INSTITUTION
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