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FOR USE IN THE STATE OF NEBRASKA �Q�� "'p�� PAGE 2 OF 4 � INSTALLMENT SALES CONTRACT AND MORTGAGE �oNTRA�T No. 13 2 3 3 5 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 Sale Price is the total cost of the Products and services if I buy on credit, subject to approva�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�y you the Amount Financed and the Finance Charge in accordance with the payment schedule below. SUMMARY OF SALE: Base cash price $ � �� + tax ��pp = $��'��,� Total cash price $ �oU - Cash [total] down payment �•�� = Unpaid balance of$ ��'�p � ITEMIZATION OF THE AMOUNT FINANCED OF $ •O : ^^-��.�� $ �� Amount credited to this contract (Same amount as the "Unpaid Balance.") �� $ �� Amount paid on net balance from prior contract with you. (@� �� Amount(s) paid to others on my behalf: ��.� $�� ,� to insurance company for Credit Life insurance $ �''`�� to public officials fo/r�f�i�lif�recording fees E� $ " � " '� to insurance company for Accident and Health insurance $ g�•pU to (Specify)____-Z��7r -�e�R�. ANNUAL FINANCE Amount Financed Total of Payments Total Sale Price PERCENTAGE CHARGE The amount of credit The amount I will have The total cost of my purchase RATE The dollar amount the provided to me or on paid after I have made all on credi[, including my down credit will cost me. my behalf. payments as scheduled. a ment of$a�� The cost of my credit as a P Y • yearly rate. is,os ��o $ 37�� ' $ �,��o ,o.z $ l2,3 ��. a $ i.�s�</, �o My payment schedule will be: Security: I am giving you: 1. a security interest m the goods, services and property Number of Payments Amount of Payments When Payments are Due being purchased, and Ist Pa ment $ 8 First a ment due 2• a mortgage on my real estate at my`ADDRESS"below Y ��,?� P Y � and legally descnbed on page 3 hereof. f—G' $ � ) 2./ Filing/Recording fees $ �U•O b � ��, , �� All subsequent installments on the same day of Late Charge: If a payment is more cnan fifteen (15) aays each consecutive month until paid in full. o INSURANCE late, I will be charged 5/o of the installment payment or Credit life insurance and credit disability insurance are NOT required to obtain credit,and �25.�� whichever is lesser. will not be provided unless I sign and agree to pay the additional cost. Returned Check Charge�will be charged$15.00 for any Term g; check I give you which is returned unpaid by the bank or Type Premium „��,o,� gnamre o[her financial mstitu[ion. Credit Life I want credit life � Prepayment: If I pay off early, I may have to pay a insurance. � min�mum finance charge of$10.00 (which is defined as a Si nawre—Buyer g "penalty" under federal law). 3�3� �� —� I will review other portions of this contract � s�g�am�e—co-e�y�� for additional information about non-payment, default, any Credit Accident I want credit accident required repayme�t in full before the scheduled date, and & Health $ and health insurance. � • prepayment refunds and penalties. ��,� �0 S — yer @ means an estimate. 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) of this contract as security for all amounts due to you under [his Installment Sales Contract and Mortgage. I give you authority to obtain and inseR the legal description of my real estate hereon at a later time. � Buyer � Co-Buyer SELLER WILL N(�T 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 purchase, I understand I must continue to make my payments on that obligation untii payments begin under this Cont�a6t.�..-..,�....,.� .�' � �� NOTICE TO BUYER 1. DO NOT SIGN THIS CONAii��B�Et1Y�ADING R IT CONTAINS BLANK SPACES. Z. YOU ARE ENTITLED TO A COPY OF THE CONTRACT YOU SIGNED. 3. YOU MAY PAY OFF Tk!'fUtl°BA�A#1 ONTRACT AT ANY TIME, AND IN SO DOING YOU MAY BE ENTITLED TO A REBATE OF THE UNEARNEO FINANCE AND INSURANCE CHARGES (FF sNY:-4:� RUMENT IS BASED UPON A HOME SOLICITATION SALE AND IS NOT NEGOTIABLE. BUYER'S RIGHT TO CANCEL I HAVE BEEN ORALLY ADVISED THAT I MAY CANCEL THIS AGREEMENT AT ANY TIME PRIOR TO MIDNIGNT OF THE THIRD BUSINESS DAY AFTER THE DATE OF THIS TRANSACTION:{k�4V�READ:.IHE ACCOMPANYIN6 NOTICE Of RIGHT TO CANCEL FORM FOR AN EXPLANATION OF THIS RIGHT.) COPY RECEIV�D: I �cknqavledge receipt of a completely filled in copy of this contract along wit�two (2) copies of th Notice f Right to Cancel Form. l IN WITNESS WHEREOF,�this Installment Sales Contract and Mortgage has been signed on is � � f `� , 19 � �-- BUYER'S ADDRESS" ��/ �' J�� City "�''��C� � � County l� �` Telephone No. /�� State � Zip �+%'�( THE PACESETTER CORPORATION csEL�Ett - MoaTCncEE> 0 BUYER—MOR A OR �, ��'r/�'- �l••'�/r By� (pUTHOR BUYER-MORTGAGOR—PRINTED NAM - By: O (FACTORY REPRESE � ) CO-BUYER—MORTGAGOR CO-BUYER-MORTGAGOR—PRWTED NAME �039 SM-101-NE-H/IG Pnce z ORIGINAL FINANCIAL INSTITUTION