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_ - FOR USE IN THE STATE OF NEBRASKA . r I�'�I�� PAGE 2 OF 4 INSTALLMENT SALES CONTRACT-AND MORTGAGE �� A''�S• - 13 3 7 7 9 CONTRACT NO. You (Seller/Mortgagee) 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 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 Total Sale Price set forth below, the Products and services described on page L I agree to pay you the Amount Financed and the Finance Charge in accordance with [he payment schedule below. SUMMARY OF SALE: Base cash price $��c1��+ tax �� - $ ��g0 O0' � CC� - 6a � Total cash price $ '�`�A��6D - Cash [total] down payment $��3C�-� = Unpaid balance of$ y'ZJ`—�• ITEMIZATION OF THE AMOUNT FINANCED OF $ _4<<3S��`�0 , $ 7Z�d•� Amount credited to this contract (Same amount as the "Unpaid Balance.") � $ � Amount paid on net balance from prior contract with you. (e� � Amount( paid to others on my behalf: � •� $ to insurance company for Credit Life i�surance $�to public officials for filing/recording fees�@� � $�to insurance company for Accident and Health insurance $ ga` to (Specify) Tj-�-�c� ��`C h___�� 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 credit, including my down The cost of my credit as a credit will cost me. my behalf. payments as scheduled. p y o0 a ment of$ c�3C7. yearly rate. $ g $ $ � �� °% � ° y��°° �9� $� �/�3: � My payment schedule will be: Security: I am giving you: l. a security interest m the goods, services and property Number of Payments Amount of Payments When Paymen[s are Due being purchased, and lst Payment $ 'J3 @ First payment due!'� '�� nd legally described on��ajge 3 her oDDRESS"below Filing/Recording fees $ p{v� $ '7 3 All subsequent installments on the same day of Late Charge: If a payment is more than flfteell (15) days • 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.�0 whichever is lesser. wili not be provided unless I sign and agree to pay the additional wst. Returned Check Char�will be charged$I5.00 for any Term S; check I give you which is returned unpaid by the bank or Type Premium ��m��n� gnature OC}l0t �1I18I1C18� IIlSC1tllC10I1. Credit Life I want credit life 0�__ Prepayment: If I pay off early, I may have to pay a insurance. mimmum finance charge of$10.00 (which is defined as a Signa[ure—Buyer $ � � "penalty" under federal law). � " —� I will review other portions of this contract Signature—Co-Buyer for additional information about non-payment, default, any Credit Accident I want credit accident required repayment in full before the scheduled date, and & Health $ � � and health insurance. � � prepayment refunds and penalties. Signature—Buyer g 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 thi�.,Installment Sales Co t d Mortgage. I give you authority to obtain and insert the legal description of my real estate hereon at a later time. � �t'� Buyer � Co-Buyer SELLER WILL NQT 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 until payments begin under this Contract. NOTICE TO 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 UNDER THIS CONTRACT AT ANY TIME, AND IN SO DOING YOU MAY BE ENTITLED TO A REBATE OF THE UNEARNED FINANCE AND INSURANCE CHARGES (IF ANY). 4. THIS INSTRUMENT IS BASED UPON A HOME SOLICITATION SALE AND IS NOT NEGOTIABLE. BUY€R'S RIGHT TO CANCEL I HAVE BEEN ORALLY ADVISED THAT I MAY CANCEL THIS A6REEMENT AT ANY TIME PRIOR TO MIDNIGHT Of THE THIRD BUSINESS DAY AFTER TNE 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�day of�e�"Wl�°r , 19 1�_ BUYER'S ADDRESS" ��7 �� L�1 Ia �C�'MG� City �(�GcI�C� �5'�nU County �"tGlt I Telephone No. ._xl.�j '3�� '�R�oG State � Zip� THE PACESETTER CORPORATION csE�LER — MoaTCncEe� 0 BUYE MORTGAGOR By: �� L� I (AUTHORI CE BUYER-M GA R—PRWTED N E � O BY: (F TORY RE ESENT IVE) CO-BUY —MOR a � __ l.�e�--�-c� L� Sn-� i� CO-BUYER-MORTGAG —PRWTED NAME �o3y SM-101-NE-H/IG Pa,ce z ORIGINAL FINANCIAL INSTITUTION