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FOR USE IN THE STATE OF NEBRASKA / > U/i /, c`� PAGE 2 OF 4 <br />SAL> F. 135892 <br />INSTALLMENT SALES CONTRACT ANIY MORTGAGE CONTItAdrN0. <br />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 <br />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 <br />Total Sale Price set forth below, the Products and services described on page 1. I agree to pay you the Amount Financed and the Finance Charge in accordance with <br />the payment schedule below. f >. 2 0 0 0 0 3 5 2; <br />SUMMARY OF SALE: Base cash price $ %YO, + tax n o s o a = $ 1% o - G d <br />Total cash price $ 'i�� �V v - Cash [total] down payment,$ O e.) , o O = Unpaid balance of $ �% <br />ITEMIZATION OF THE AMOUNT FINANCED OF $yam p <br />$ % d- 0 Amount credited to this contract (Same amount as the "Unpaid Balance. ") <br />$ n e) - c9 1�) Amount paid on net balance from prior contract with you. (e) <br />Amount(s) paid to others on my behalf: <br />$ 04 -013 to insurance company for Credit Life insurance $ to public officials for filing /recording fees (e) <br />$ 06- c^A to insurance company for Accident and Health insurance $ fD • o a to (Specify) . t /P 15e .-c 4 <br />ANNUAL <br />FINANCE <br />Amount Financed <br />Total of Payments <br />Total Sale Price <br />PERCENTAGE <br />CHARGE <br />The amount of credit <br />The amount I will have <br />The total cost of my purchase <br />RATE <br />The dollar amount the <br />provided to me or on <br />paid after I have made all <br />on credit, including my down <br />The cost of my credit as a <br />credit will cost me. <br />my behalf. <br />payments as scheduled. <br />payment of $ 00 v <br />yearly rate. <br />$ <br />and health insurance. <br />iG. s3 % <br />$ �. /o <br />1 $ yy <br />$ <br />$ �� 3.�. yo <br />My payment schedule will be: <br />Number of Payments I Amount of Payments I When Payments are Due <br />1 st Payment Is e First Payment Due 4 - /a - en <br />All subsequent installments on the same day of <br />each consecutive month until paid in full. <br />Credit life insurance and credit disability insurance are NOT required to obtain credit, <br />and will not be provided unless I sign and agree to pay the additional cost. <br />Type <br />Premium <br />T nn <br />Signature <br />Credit Life <br />I want credit life <br />$ <br />insurance. <br />Signature - Buyer <br />00 Od <br />QO <br />Signature - Co -Buyer <br />Credit Accident <br />I want credit accident. <br />& Health <br />$ <br />and health insurance. <br />&,) <br />j <br />�gnature -Buyer <br />Security: I am giving you: <br />1. a security interest in the goods, services and property <br />being purchased, and <br />2. a mortgage on my real estate at my "ADDRESS" below <br />and legally described on page 3 hereof. <br />Filing/Recording fees $ 30 , o a <br />Late Charge: If a payment is more than fifteen (15) days <br />late, I will be charged 5% of the installment payment or <br />$25.00 whichever is lesser. <br />Returned Check Charge: I will be charged $15.00 for <br />any check I give you which is returned unpaid by the bank <br />or other financial institution. <br />Prepayment: If I pay off early, I will not have to pay <br />• minimum finance charge of $10.00 (which is defined as <br />• "penalty" under federal law). <br />- -► I will review other portions of this contract for <br />additional information about non - payment, default, any <br />required repayment in full before the scheduled date, and <br />repayment refunds and penalties. <br />e means an estimate. <br />MORTGAGE: I hereby convey and mortgage to you, as Mortgagee, my real estate at my "Address" below and more particularly described on page 3 (reverse <br />side) of this contract as security for all amounts due to o der his Installment Sales Cjo ract and Mortgage. I give you authority to obtain and insert the legal <br />description of my real estate hereon at a later time. Buyer ® A� ` Co -Buyer <br />SELLER WILL NOT INITIATE A FORECLOSURE OR IMILAR ACTION WHICH COULD CAUSE BUYER TO LOSE BUYER'S HOME, EVEN IN THE <br />EVENT OF DEFAULT. SELLER MAY RETAIN A LIEN AGAINST THE HOME UNTIL BUYER'S CONTRACT OBLIGATIONS HAVE BEEN MET. <br />CONSOLIDATION: If I nQw have a balante due yowffom.a previous purchase, I understand I must continue to make my payments on that obligation until payments <br />begin under this Contract. <br />z NOTICE TO THE BUYER <br />1. DO NOT SIGN THIS C00 CT BEFiE READING IT OR IF IT CONTAINS BLANK SPACES. 2. YOU ARE ENTITLED TO A COPY OF THE CONTRACT YOU SIGNED. <br />3. YOU MAY PAY OFF THE FULL BALANCE DUE UNDER THIS CONTRACT AT ANY TIME, AND IN SO DOING YOU MAY BE ENTITLED TO A REBATE OF THE UNEARNED <br />FINANCE AND INSURANCE CHARGES (IF ANY). 4. THIS INSTRUMENT IS BASED UPON A HOME SOLICITATION SALE AND IS NOT NEGOTIABLE. <br />BUYER'S RIGHT TO CANCEL <br />I HAVE BEEN ORALLY ADVISED THAT I MAY CANCEL THIS AGREEMENT AT ANY TIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAY AFTER <br />THE DATE OF THIS TRANSACTION. (I HAVE READ THE ACCOMPANYING NOTICE OF RIGHT TO CANCEL FORM FOR AN EXPLANATION OF THIS RIGHT.) <br />COPY RECEIVED: I acknowledge receipt of a completely filled in copy of this contract along with two (2) copies of the Notice of Right to Cancel Form. <br />IN WITNESS WHEREOF, this Installment Sales Contr ct and Mortgagee has been signed on this /2 rte/ day of �, y'� /,� <br />BUYER'S "ADDRESS" _ 3 r �7 5/— City 6-4, r/ ��y �� County fps, <br />Telephone No. ?" k- ?12 <br />THE PACESETTER CORPORATION (SELLER- MORTGAGEE) <br />By: <br />(AUTHORI OFFICER) <br />By: 0,2L (FACTORY REPRESENTATIVE) <br />State ///_ Zip 4 � 3 <br />BUY - RTGAGOR <br />B(JYER-MORTGAGOR-PRINTED NAME <br />CO-BI k � 1 <br />CO ->�B' YE_R- R�N�IiaJJ ggl '�1 —yyff AGOR' _ <br />CO- UY� -MO GAGOR- PRINTED NAME <br />7039 SM- 101- NE -F /IH PAGE 2 ORIGINAL FINANCIAL INSTITUTION <br />