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FOR USE IN THE STATE OF NEBRASKA 1 -- I I r, I C PAGE 2 OF 4 INSTALLMENT SALES CONTRACT AND MORTGAGE `C CONTRACT NO. 138033 You - S:IIeu rtgagee) 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 approvat 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 and the Finance Charge in accordance with the payment schedule below. ,s SUMMARY OF SALE: Base cash price $ fQO �" _ $, + tax Total cash price $ -Cash [total] down payment $ /�'j, Q (� = Unpaid balance of &S F50 C)o , 0 ITEMIZATION OF THE AMOUNT FINANCED OF $ % (eq tom— ; $ Amount credited to this Contract (Same amount as the "Unpaid Balance. ") $� Amount paid on net balance from prior contract with you. (e) Amount(��s,,)��p�aid others on my behalf: $ 7CA to insurance company for Credit Life insurance $ "0' OC�' to public officials for fili /recording fees (e $ q to insurance company for Accident and Health insurance $ �b , 0c) to (Specify) _ �t-� P CPQ Yc ANNUAL PERCENTAGE FINANCE CHARGE Amount Financed The Total of Payments Total Sale Price RATE The dollar amount the amount of credit provided to me or on The amount I will have paid after I have made all The total cost of my purchase on credit, including my down The cost of my credit as a yearly rate. credit will cost me. my behalf. payments as scheduled. payment of $ /40a 60 % I M., ...t.eA 1....:n t__ $ 3 $ $ //, v7v, oo $ 70, 4_0 Number of Payments Amount of Payments When Payments are Due I st Payment $ 1%0,50 a First Payment Due U — 0o2 S -1 $ 184 , SO All subsequent installments on the same day of each consecutive month until paid in full. INSURANCE Credit life insurance and credit disability insurance are NOT required to obtain credit, and will not be provided unless I sign and agree to pay the additional cost Type Premium T rm Signature Credit Life I want credit life insurance. $ 4 3 0 � STEM —Owyer ® W S C. B Credit Accident & Health $r `, , j Q�( /,(l I want credit accident y and health insurance. 4( �(p�j , 1 T tl�� Signature — r Security: I am giving you: (a) a security interest in the goods, (Products) being purchased and if, and only if 'nitialed here Buyer Co -Buyer a Mortgage on my real estate at my "ADDRESS" below. Filing/Recording fees $ s� cao Late Charge: If a payment is more than fifteen (15) days late, I will be charged 5% of the installment payment or $25.00 whichever is lesser. Prepayment: If I pay off early, I will not have to pay a minimum finance charge of $10.00 (which is defined as a "penalty" under federal law). -- I will review other portions of this contract for additional information about non - payment, default, any required repayment in full before the scheduled date, and prepayment refunds and penalties. e means an estimate. MORTGAGE: If and only if I initialed the Security section above, I convey and mortgage to you, as Mortgagee, my real estate at my "Address" below and more particularly described on page 3 (reverse side) of this Contract as security for all amounts due to you under this Installment Sales Contract and Mortgage. I give you authority to obtain and insert the legal description of my real estate hereon at a later time SELLER WILL NOT INITIATE A FORECLOSURE OR SIMILAR ACTION 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 Contract, I understand I must continue to make my payments on that obligation until payments begin under this Contract. NOTICE TO THE BUYER 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. 3. YOU MAY PAY OFF THE FULL BALANCE DUE 11100 #ft TRACT AT ANY TIME, AND IN SO DOING YOU MAY BE ENTITLED TO A REBATE OF THE UNEARNED FINANCE AND INSURANCE CHARG964iF ANII:J 4NIS INSTENT IS BASED UPON A HOME SOLICITATION SALE AND IS NOT NEGOTIABLE. 'SWER'S RIGHT TO CANCEL I HAVE BEEN ORALLY ADVISI'6 THAT ( MAY CANft THE AGREEMENT AT ANYTIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAY AFTER THE DATE OF THIS TRANSACTION. (I HAVE READ THE ACCOMPANYING NOTICE OF RIGHT TO CANCEL FORM FOR AN EXPLANATION OF THIS RIGHT.) 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. IN WITNESS WHEREOF, this Installment Sales Contract and Mortgage has been signed on this —6� day of � L-P d2CJC>d BUYER'S "ADDREESSS" ",.� 09 /fit' 1 V �� /P 0 t City Y 11� County Telephone No. , �b r T �� State /�E Zip —GS FT123 THE PACESETTER CORPORATION (SELLER - MORTGAGEE) By: L �IJTHORI OFFICER) By: (FACTORY REPRESENTATIVE) 7039 SM- I01 -NE -Ml PAGE 2 ORIGINAL FINANCIAL INSTITUTION