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I My paymenl schedule~':.,1I be: 69 , IO.'d3 $ JlO. ~3 When 1''')rn~~~~'l~~~~t0019<1'I: E~til1l(~~1 10 be-' - O-J~~~:-;~f~~~-I~d~i}l"--~I';I~-l~ - - -- -'"i of the CompletIon Cerlificate.' ; All :-iub~cqucn( inslallmcnh on Ihe ~a,~~lay ~ eadl conseclItive month until paid in full. I --.J Credit Aecidenl & Health I $tX)dJb D I want credit accident and health insurance, uycr Sl'l'U..it~.: I alll gi\'ing a ~cnlt"ll)' IIltl'rc~t Ill. I the goods, sc,,'iccs and property being porchased. aod :-!. my real estate ami improvements. including my house, all at my "Address" designated above, Filing/Recording fees $ O{), 00 Lale Charge: If a paymenl is more than ten (10) days late, I will be charged $5,00 or 5% of Ihe laic pay- ments. whichever is less. Prepaymenl: If I payoff early. I will not have 10 pay a penalty, and I may be entitled 10 a refund of part of the finance charge, Number of Payments , Anloiiil, of 'PU} mcnl!o. I sl Paymenl $ I" Insurance Credit life insurance and credit disability inSUra!lce are not required to obtain credit. and will not be provided unless I sign and agree to pay the additional cost. Ternl Type Credit Life Premium Signature I want credil life insurance. $00,00 ~ o. u}'er . I will review other portions of this contract for additional infomlalion about non-payment. default. any required repayment in full before the scheduled date. and prepayment refunds and penalties, Ignature e means an estimate_ Properly Insurance is required, and I may oblain sueb insurance from anyone I wanl who is acceplable 10 you or I may p"wide iI Ihrnullh an existing polley. If I oblaln Ihis insurance Ibrougb you, I will pay $ Od, 00 for ~ monlbs of coverage. COMMENCEMENT OF THE FINANCE CHARGE: The tioance charge (interesl) is estimaled to start on -----1- - 2- (insert the date) except in the event that you complete the installation of the goods and services on another date. (hen the finance charge (intcresO \\'ill begin to nm on the date Ihat I shall sisn a Completion Cerlificate, The amoulll of finance charge (interest) may be more or less than Ihe amoulll disdosed depending on the amounts I pay you and my timeliness 111 making payments, PREPA YMENT: I may voluntarily prepay the amount i owe you, in full or in part, at any lime, If I make a partial prepaymenl, I muS! continue to make my regular payments ulllill have paid all amounts owed, Z REQUEST FOR FULL PAYMENT: If I do not pay when due, you can declarc all that I owe under this COlllraCI payable at once, I agree to pay you intereSt on that amoulll 0 at the maximum contractual rate allowed by law until the amount I oWl' you is paid. I also kmw. that you can foreclose the Mortgage I have given to you_ ~ COLLECTION COSTS: If I am in default of this contract and you demand full paymelll. I undersland thai you may send il III an allomey for collecrion and enforcement. I- If you do ~O. I agree to pay your reasonable attorneys' fees plus any court costs and expenses incurred by you. that is. if you arc allowed to collecl such amounts by law. ....... MO~TGAGE: I hereby gralll. bargain. sell. convey and mortgage to you. as Mortgagee. my real eslate and house localed at my .. Address" designated on Ihe lap porllon :2 of thIS conlracl as security for all amounts due 10 you under this Installment Sales Contract. >- REVERSE SIDE: I UNDERSTAND THAT THE ADDITIONAL TERMS AND PROVISIONS PRINTED ON THE REVERSE SIDE OF THIS INSTALLMENT SALES CONTRACT ARE A -' z PART OF THIS INSTALLMENT SALES CONTRACT AND THAT I AM BOUND BY THEM IN THE SAME MANNER AS IF THEY WERE PRINTED ON THE FRONT OF THIS VERY <{ o INSTALLMENT SALES CONTRACT. NOTICE: PROVISIONS PRINTED ON REVERSE SIDE COMPRISE ADDiTIONAL TERMS LIMITING SELlER'S WARRANTY OBLIGATION. ~ ~ NOTICE TO BUYER <{ ~ I. I do not bave to sign this contract before I read it or if any of Ihe spaces inlended for Ibe agreed lerms 10 Ib~ exlenl of tben available information ~ I- are left blank. 2. I am entitled to a COdY of Ibis conlracl at Ibe time I sign it. 3. I ma)' pa)' 01T Ibe full balance due under Ibis conlrael at an)' {5 lime, and in so doing I may be entitle 10 a rebale of Ihe unearned finance and insurance cbarges (if an)'). 4. I understand Ibal Ibis instrumenl -' o is based .upon a bome solicitation sale and Ibal tbis inslrumenl is nol negotiable. 5. II sball nol be legal for you 10 enler my premises unlawfully <{ u: or commit any breaeb of Ibe peace 10 repossess goods pure based under Ibis conlract. Z Z BUYER'S RIGHT TO CANCEL Q 8 I MAY CANCEL THIS AGREEMENT AT ANY TIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAY AFTER THE DATE OF THIS TRANSACTION. (I HAVE 0 READ THE ACCOMPANYING NOTICE OF RIGHT TO CANCEL FORM FOR AN EXPLANATION OF TillS RIGHT,) County of By: By: Cl J: 7- z State of Nebraska H>>/ ::: My commission expires: ~otary Puhlic @'~.~ a t:L4~ ;;k on ....-- ~ I L L --.J 1 ,j h