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99103660
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Last modified
3/13/2012 5:08:54 PM
Creation date
10/20/2005 10:57:15 PM
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99103660
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� '---- '-�%CGE 2 OF 4 <br /> FOR USE IN THE,STATE OF NEBRA <br /> INSTALLMENT SALES CONTRACT AND MORTGA �A��F�s � 132220 <br /> . ; a _ !S _� i 1 O cc�N�rKncT 1vo. <br /> You (Seller/Mort�*agec) have yuoted me (Buyer�s]/Mortgagor�s]) a Cash Price und ❑Total Sale Price for the Products described on page 1 of this contract.The Total <br /> Sale Price iti the total cost of the Products and services if I buy on eredit, 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 sercices described on page 1. I a�ree to pay you the Amount Financed and the Pinance Charge in accordance with <br /> the payment schedule below. � <br /> SUMMARY OF SALE: Rase cash price ��38�`�+ tax � G'�-� — �s��f�s� <br /> Total cash pricc $ ���.�''v._ - Cush �totul] down pa}�ment 5 ������ _ = Unpaid balancc of$ ���`� <br /> ITEMIZATION OF THE AMOUNT FINANCED OF $ �_�_l� . <br /> S a�.i.cx'� <br /> $ � -_ .— Amount credited to this contract (Same amount as the "��npaid Balance.") <br /> $ ��,L� Amount paid on net balance fi�om pri��r con�ract with you. �@� <br /> Amuunt(s) paid to others on rny behalf: <br /> $ .3q�i�S to insurance company for Credit Life insurance $ /�Q`Q� to public official���ng/r,ecc�ording�es �@� <br /> $ S�%�• �-� to insurance coi7ipany for Acciden[ and Health insurance $ 7d��U to (Specify) '� J�4'r� ___ <br /> ANNUAL FINANCE Amount Financed Total of Payments Total Sale Price <br /> PERCENTACiE C�"�ARGiE The amount of credit The amount I will have The total cost of my purchase <br /> RATE The dollar amount the provided to me or on paid after I havc made all on credit, including my down <br /> credit will cos[ me. my behalf. payments as scheduled. �GU <br /> The cost of my credit as a payment of$ �� . <br /> ycarly ra[e. <br /> 1.5�r� �io $ 3�isl, 3� $ ���C� . 7U $ lo �5/S, o� $ /U, 3��',��v <br /> �1�� ���n�inent ,nc�dulc will b�: Security: ] am giving you: <br /> � - l. a security interest in thc goods, scrviccs und property <br /> Nunlbe�'ot�Paymenls Amnunt of Payments When Payments are Due bClilg pUfCh3S0d, 30d <br /> __.._ _._- ' . .__— _ <br /> ���� � +C�C?C� 2. a mortgage on my real estate at my "ADDR�.SS"below <br /> Ist Payment $ e First payment due _ � <br /> % . ��) ,, • ' Late�a�a]]y descnbed on age 3 hereof. <br /> �„��,O and le �U' � <br /> �3' �, � All subsequent installments on thc samz day of cording fees $ - <br /> � �,�, � rge: If a payment is nu>re thun fifteen (15) duys <br /> _ — --- --�each cons�cuU�°e munth until p�id in full. o <br /> INSURANCE � _ late, I will be charged 5/o of the instaliment payment or <br /> Credit life insurance and credit disability insurance are NO'T required to obtain credit,and �25.0� whichever is lesser. <br /> will not be provided unless I sign and agree to pay the additional cost. Returned Chcck Char� will bc charged�I5.00 for any <br /> --- - check 1 give you which is returned unpaid by the bank or <br /> Ty�,z p��,n;,,,,, � Tcrm Si�naiurc other financial institution. <br /> -- _ <br /> _ �,.., , <br /> Crcdit Life I want credit life � Prepayment: If I pay off carly, I may havc to pay a <br /> insuranee. minimum finance charge of$]0.00 (which is defined as a <br /> $ s"=°°'°`° B°"` "penalty° under federal law). <br /> ��c.� �; � �'' —► I will review other portions of this contract <br /> s�Foa«�r��-c��-a����� for additional information about non-payment, default, any <br /> Credit Acci�ient �1 want credit accident " required repayment in full before the scheduled date, and <br /> & Health $ and health insurance. prepaymcnt rcfunds aind penalties. <br /> � s���������e- ��y� <br /> _ _��r�l _ __ @ means an estimate. <br /> MORTGAGE: I h�r�hv cuna�y an�i mort�a�e to you, as Mortaagee, my real estate at my 'Address" bclow and more particularly described on page 3 (reverse side) <br /> of this con�rt�ct us security� f�r all amounts due to you under this [nstallment Sales Contract and Mortgage. I give you authority to obtain and insert the legal <br /> J �Ji <br /> description of my real estate hemon at a latcr time. � Buyer `� Co-Ruyer <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 /> CONSOI,IllATION: lf[ now huve a balance due yuu tr<�m a prcvious purchase, 1 understand I must continue to make my payments on that obligation until payments <br /> begin �mder this �bR•��. ���-- - . <br /> '�k°��° � ` ` " NOTICE TO BUYER <br /> 1. DO NOT SIGN' HIS lFfIITRA�T�B�P�tE RE ING IT OR IF IT CONTAINS BLANK SPACES. 2. YOU ARE ENTITLED TO A COPY OF THE CONTRACT YOU SIGNED. <br /> 3. YOU MAY PAY�Fly'�lIBFU�L"BAtANC'f`�U�UNDER THIS CONTRACT AT ANY TIME, AND IN SO DOING YOU MAY BE ENTITLED TO A REBATE OF THE UNEARNEO <br /> FINANCE AND IN$URANCf 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 RFCEIVEll: I acknowled�e receipt of a completely tilled in copy of this contract along with two (2) copies of the Notice of Right to Canccl Form. <br /> IN WITNESS WHGREOF, this Installment Sales Contract anJ MoRgage has been signed on this�day of _�ai�lc�-��61= , 19 �� <br /> �/�? J� ) Q .,� /J .� • <br /> BUYER'S "AUDR�:SS" �Ou� "�` / � S' ` City _ /YAC3� -�..S��n� County�`I <br /> Telephone No. __���� �JJ � - ��Q State /�/� Zip U� <br /> THE PACESETTER CORPORATION �sE:i.ia:k — titc�krc„ac�r:r: 0 � <br /> � <br /> RI:YFR — MORTGAGOR <br /> By; �� �- �a� .�� �lty�C/�-v� <br /> ( UTH Of�F'YCERI Bll'FR-MORTCAGOR—PRIN�I'I?U NAMl�. <br /> By: _ <br /> �/ <br /> (FACT PRESENTATIVE) CO-BI�YF�R—.n1URTGAGUR <br /> CO-BCYER-MORT(3AGOR —PRI.'J"f1iU NAME ----- <br /> 70��� sM-ioi-NE-H!ic NA��` ORIGINAL FINANCIAL INSTITUTION <br />
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