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<br /> FOR USE IN THE STATE OF t�FBRASK.��a ��S a.��y, PA�`2�•
<br /> - I�S�ALLA4ENT�S�.FS �Ot�RACT ANQ MORTfiAGE SA1� :t 3 214 3
<br /> , , corrr�u►cr r�fl.
<br /> itou(Sei1n/Mortgagce)hxvc qaaed me(Buyer(sJ/Mect�gos(sji s Cash Price a;d a Tda!Sak Rioe for thc Producu descrihed on page ! of this contran.'17ic 7'aaf
<br /> Sale I4i�e is the taa?cost o!�hc Qtod�xv.,md xrvices if 1 buy en credit,mbjec4 to apprcrval of my c�die.1(Buyerl now rhoau to buy�nd y�w agtee ro x1l,for the .
<br /> Total Sak Pricc sct fath bebw;the Pn,du_ts antl servioes dcscribed an pzge i.T agtee to paY You tlx Amo�[F�aanced ar.d the Finance Cl�arge in aecardanc,:1�with
<br /> the paymen:scbeduk bebw C�yl
<br /> SU1NM.+lRX OF SALE:,H �n�;�s � I ' + ux�'�2 = S�!�G3,� / C'.`�
<br /> Ta¢il:as}:pricc S- �''f_ Cnh(sKn!j da�.n �► �-�--� U balance of S `� �"�.�� ¢I�
<br /> Tl'F:M� ,ATIO,'Y OF TH�:AMjJVNT F1Nn1`CFD 0 S /� �•�� : a � �
<br /> S r Y v• .�.nt c eCit�w this contraci(Same amamt at c h:"l i r.�u!B a l v�c e.'l ' •. �'•�
<br /> S—�'�"� Amon:nt�ticf r...xt�alux irom pti;r co�ur_t w ith yc+''. ;B� �
<br /> Amo�qs)�xid to othcs a-mv b'�al{: ' ` �
<br /> S �y�_to insuran_e romysny fur Cnxiit L,ir in.r�ance S�/�, �to public offidal�.ter ^ing fe 0�
<br /> 5—�to insw.n:e::�npacry f�r iceiCent nr:C Hea}!n irtuusruti S���•�__to(Spetify) '�
<br /> ANNUAL �tt�ANCE Amount Flnanced �7c�t��� oi Pay��nents Total Sale Price
<br /> PERC�M'AG,� C�iARGE 7he artwunt of credit �The amauot 1 wiJl Fu�e The toW cost oE my purchau
<br /> �ATE Thc doltu arnount thc P�vickd to me or on p���i a;'ter I ha�e maCe alJ on cYedit. inctuding my down
<br /> ard:t u•ili cm¢me. my�ehaIf. pspm�ts u sc6eduled. ,e,��
<br /> Tlte eost ut my crcdit at 2 p�yment ot SI�Y ��_
<br /> y�`'7�`% .cc � � �77�,�'� � G��v o� a ��fs7�.S�$ ��,.s��, � .
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<br /> �ty payrxnt uheduk will bc: Serrority: 1 un giving ycw:
<br /> I Num�er c�f P,��,auc �mo�u�d A�mea. w�o.P,�mers.�e Due I. a see�uity intereu in the ga�as. services and prt+peny
<br /> � being purthasrd. anC
<br /> � lst�ymrnt $ ,.��✓ �j I@ F���� 2. a mortgege on m7 teal estate at m��ADDRfS6"bciow
<br /> /'"� •�la uxi kg�!iy dexnbcd on��e��3,�irrmf.
<br /> ���S �?'S•� �A!1 suh�cq�xex iactallments on thc vme day of �'�II��dl�fea S •_.:t�'_'�!
<br /> each cemecutirc month ur.til�+aid in full. Vte Chsrqt: If a payment is morc rhan fifteCn (15)dayc
<br /> INSURANCE _ ; lue. ! will be chuged $� of the insullment psyment or
<br /> Credil tift lnwrance aod cre�il dFsat+illtg Insnrance trY�QT rcqt�lred to d.f�.'n cndii,and s�r�.�0 whichever is I�crer.
<br /> will aot be prv�idrd unl�ss I si�n�od aRrxe to p�y tbe eddltiasa!cnst. RNnntcd Cbeck Charge-1 w•ili fx chargcd SIS.UO ior any
<br /> T�M ��� T�m, �j�ti --� che:k 1 give ycw which �s trtumal unpaid ty the Sank or
<br /> �' . _��— r othtr firtuzial inctituticm.
<br /> Crcdit Li._ (i N:uu crrdit 'i.r ., Pre;Payment: If 1 pay ot! earlv, 1 may have to pey a
<br /> msurancY. --'""� rt�in;m�m finance charRe of SIQ.00(which is d�fined as a
<br /> I S�.Z'�(y f'9 ! � ' �P�l�a�4'��nSer feden�Inw).
<br /> --► 1 will RV1tN' O(il�( portirns o( this cont�act
<br /> ' for ndditiaial infomution obout ran•payment,dtfault,any
<br /> Crrdit Accide7t S want cYrdit acciekra rcqu.ircd rcpayrtxn� in full befvre the scheciuled date. an6
<br /> R Heaith S �,L`v 0'� and heslth insurarce. prepayment rcfunds and penblties.
<br /> - C mt�aa an esilmate.
<br /> hlORTGACE: !hercby convey and mortgage:o ynu.u hlort�sger.my real estntc r.e mi AcS�weu"b:low and c:art particularly described nn pa¢e 3(RVeru sidey
<br /> of this cantrsct u secvriry kr �;1 amounts duc to you u i�lmtalmern Saks Contr9et and Mongage. I give you autlxxiry �o pbtain and inaert the legal
<br /> ��' ��
<br /> description o(my rcal es:atc hcrmn at a!ater time. _ �_ $v��r �� _Co-Bu�•n
<br /> SELLEA WILL�INfTiATE A FQqECLOSURE OR SI&UTAR ACTION WHICFi�Oi11D CAUSE SUYEA TO LOS�BUYER'S HOFdE,EYEN fN TNE
<br /> EYFNT OF nEFAUiZ��LLER F4AY RETAIN A UEN AGA:t�TTHE kOME UNTiL 8LiYER'S COHTRACT 08UGATIONS HAVE BEEN ME�
<br /> CON�OLID.#Tf01:1f 1 rsow have a baJancx dx you lrom a prev�s purchue,�undtntatxl 1 mvst continue to make my ptymenb oo Uiat obligation until payr7enls
<br /> begin u�xfer this Cu�uact.
<br /> �10TlCF TO BUYER
<br /> 1. DO k0T SI6q 1FIf5 COp?RACT BEFORE READiN6 11 OR IF IT CONTRINS BUNK SPACES.2.1'OU ARE EMIITLEO TQ R COP1' OF THE COMTRA�T YOU SiGNED.
<br /> 3.YOU k9A1'PAY QFF THE,Fl1LL 8AL1910E OUE ttNDER TNIS CONTRACT AT AKIf TlA��Ak0 IN SO OOIM6 TOU AIAY BE ENTITLEQ SO A REBATE OF THE UWF.ARNEO
<br /> FN9ANCE AMD 1!lSUAAkCE.Ct41lQ6ES pF Alll�. `. TNtS IMSTRtlhlElfT IS BAiEO UP�iI A HOME SOUC(TATiON Sa1lE AND IS NOT NE&0�'UIBLE. '
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<br /> � BUYER'S RtGHT TO CANCEL � -
<br /> I HAYt 9EEP1 ORfill`f ADYISEQ THAT I AlAY GkMC�1HIS A6REF1dEllT RT ANY TIME PRIOR TO fdlONi&Hl'OF TNE ifI1P.0 OUSINESS DAkAFTER THE DRTE Of
<br /> , IHIS TRrUlSACTION. U HAYE RFAD INE ACCO�iPANI'iN6 110TlCE QF Rl6HT TQ CAlICEI FQRM F�R AN EXPIAlUTION OF THlS RI6HT.} _
<br /> C4Pl' fiECE1VEQ: 1 acknow4tdge teceiFx of r compiwly filkd in cc�sy o(this coettact along wSth two (2) copia of the Notict of Right �, Cancel Form.
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<br /> 1N WITNESS WHEREOF this lnst:tllrtxr.t S Irs C and 1.longage hu bttn sisned on th' ��n �"�• , 19�`L_
<br /> BL'YE•R'S':ADDRFSS"_L�.1 � �`^� CitY / - ,/ �ounty_ —
<br /> TeleQhone No. a_tr/� ��/ e� � � Stste�Y� _ iP .j'�
<br /> 7FiE ?ACESETTE�i C�RPORAFlQH :s�x-h�oRrcfc�� �Y1 � i'Y`'�-�`7/�--�
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<br /> / �} ,� BUYFR— ",����„ .
<br /> BV'_ AV. �� l, 1�ruF.Ss'
<br /> � �'� Y� BL'YER'�fOR1��.�GON—Plc1NTFD NAME '
<br /> By: _ �� � � r:?,
<br /> �F�r�Y�xum�� ccievYFx-Moxrcwcac —
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<br /> CJflU7FJI�AlOHTY,K�,GP.—PRI.'17F1J 4AME — —'--
<br /> . 70}9 SM-101-IvF.-N.'!G FJ1GE:
<br /> ORIGtPdAL FlNANCIAL INSTITUI'ION
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