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FOR USE IN THE STATE OF NEBRASKA r .r{ �[/1'�1 PAGE 2 OF 4 <br />INSTALLMENT SALES CONTRACT AND MORTGAGE SALES 132495 <br />CONTRACT NO. <br />You (S,elleriM rtgagee) have quoted me (Buyer[s] /Mortgagor[s]) a Cash Price and a Total Sale Price for the Products described on page I 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. <br />SUMMARY OF SALE: Base cash price $ D �'0J + tax $ 10,990 <br />Total cash price $ ,D 790' 0t) - Cash [total] down payment $ ,,0th' 00 = Unpaid balance of $ Anima- ' OQ <br />ITEMIZATION OF THE AMOUNT FINANCED OF $ /6, SD C' 0 0 <br />$ Joi 3g& C.O Amount credited to this contract (Same amount as the "Unpaid Balance. ") 200103033 <br />$ 00 00 Amount paid on net balance from prior contract with you. (e) <br />Amount(s) paid to others on my behalf: <br />$ dc 4 -� to insurance company for Credit Life insurance $ �Jd O to public officials for filing /recording fees (e) <br />$ 00- G-10 to insurance company for Accident and Health insurance $ 90 to (Specify) Z11 LE SF-AIV -14 <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 />credit will me. <br />provided to me or on <br />my behalf. <br />paid after I have made all <br />payments as scheduled. <br />on credit, including my down <br />sa oo <br />The cost of my credit as a <br />cost <br />payment of $ <br />yearly rate. <br />$ <br />I want credit accident <br />& Health <br />My payment schedule will be: <br />Number of Payments Amount of Payments When Payments are Due <br />I st Payment $ 39' 3 ` e First payment due Os- 61- C / <br />S $ - 3 All subsequent installments on the same day of <br />each consecutive month until paid in full. <br />INSURANCE <br />Credit life insurance and credit disability insurance are NOT required to obtain credit, and <br />will not be provided unless I sign and agree to pay the additional cost. <br />Type <br />Premium <br />Term <br />0.­,.) <br />Signature <br />Credit Life <br />I want credit life <br />$ <br />_w <br />insurance. <br />Onature — Buyer <br />00, D 4 <br />Jl•�� <br />X <br />Signature — Co- er <br />Credit Accident <br />I want credit accident <br />& Health <br />$ O _ 0 <br />,� <br />and health insurance. 0 <br />Signature — 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 $ 3 0 - 0;.,> <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 Charms will be charged $15.00 for any <br />check I give you which is returned unpaid by the bank or <br />other financial institution. <br />Prepayment: If I pay off early, I may have to pay a <br />minimum finance charge of $10.00 (which is defined as a <br />"penalty" under federal law). <br />0 I will review other portions of this contract <br />for additional information about non - payment, default, any <br />required repayment in full before the scheduled date, and <br />prepayment 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 side) <br />of this contract as security for all amounts due to you under tthis I stal(ment Sales�Co�ntrackand Mortgage. I give you authority to obtain and insert the legal <br />description of my real estate hereon at a later time. �1i.4_� t —s Buyer `2°�� — Co -Buyer <br />SELLER WILL NOT INITIATE A FORECLOSURE OR SIMILAR 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 now have a balance due you from a previous purchase, I understand I must continue to make my payments on that obligation until payments <br />begin under this Contract. <br />NOTICE TO BUYER <br />1. DO NOT SIGN THIS CONTRACT BEFORE 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 THE DATE OF <br />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 Contract and Mortgage has been signed on this �I:/ day of Alitc -4 <br />BUYER'S `ADDRESS" 19 C Lf D ob o �S7 City Lo p om Rik'/5-0- County FAt L <br />Telephone No. 3 tDe`-' sea _ 1Z 01A, State NI- Zip v d� <br />THE PACESETTER CORPORATION (SELLER - MORTGAGEE) 1 1 ��J�A�J( \11,VN QAC1=4 <br />BUYER — MORTG OR <br />By: (AU HRI }Qc� 2� <br />(AUTH RI OFFICER) UYER -M R C AGO`— PRINTED—NAM ' <br />CTORY RE SENTATIVE) CO -BUYER — MO GAGOR <br />CO -B YER -M RTGAGOR — PRINTED NAME <br />7039 SM- 101- NE -H/IG PAGE 2 ORIGINAL FINANCIAL INSTITUTION <br />