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ANNUAL FINANCE Amount Total of Total Sale Price PERCENTAGE CHARGE Financed Payments The knalcostofmypurchase RATE The dollar amount the The amount ofcredo The amount Iwill on credit, including my The cost of my credit as credit will cost me, provided ut me or on have paid after) downpayment of avearlyrate. my behalf. have made all payments iu ei:h.dui.d. T �t� —_ / / and health insurance. t My payment schedule will be: Nember of Payments Amount of PeymenWhen Payments are Due —� Ist Pays _ Estimated to be days after the date Y $ of the Completion Certificate. All subsequent installments on the same day of each consecutive month until paid in full. Insurance $�— Credit fife insurance and credit disability. insurance are not required to obtain credit, and will not be provided unless 1 sign and agree to pay the additional cost. Type Premium Tenn Signature ' Credit Life 1 want credit life insurance. i7a uYeuycr al� <�U gnatare _ Credit, Accident I want credit accide & Health / / and health insurance. Security: I am giving a security interest in: 1. the goods, services and property being purchased, and 2. my real estate and improvements, including Illy house, all at my "Address" designated above. Flling/Recording fees $ 4"' UU Late Charge: If a payment is more than ten (10) days late, I will be charged $5.00 or 5% of the late pay- ments, whichever is less. Prepayment: If I pay off early, 1 will not have to pay 4.pcnalty, and 1 may be entitled to a refund of part of the finance charge. 1 will review other portions of this contract for additional information about non - payment, default, required repayment in full before the scheduled date, d prepayment refunds and penalties, e means an estimate Property insurance is required, and I may obtain such insurance from anyone 1 want who is acceptable to you or I may provide it through an existing policy. If I obtain this insurance through you, I will pay $ �• OG for Qn months of coverage. COMMENCEMENT OF THE FINANCE CHARGE: The finance charge (interest) is estimated to stall on '.TlJ/1E � 19 (insert the date) except in the event that ou complete the installation of the goods and services on another date, then the finance charge (interest) will begin to run on the date that 1 shall sign a Completion Certificate. The amount of finance charge (interest) may be more or less than the amount disclosed depending on the amounts 1 pay you and my timeliness In making payments. PREPAYMENT: 1 may voluntarily prepay the amount 1 owe you, in full or in pan, at any time. If I make a partial prepayment. I must continue to make my regular payments until I have paid all amounts owed. z REQUEST FOR FULL PAYMENT: If I do not pay, when due, you can declare all that I owe under this contract payable at once. I agree to pay you interest on that amount Q at the maximum contractual rate allowed oy law until the amount I owe you is paid. I also know that you can foreclose the Mortgage I have given to you. (— COLLECTION COSTS: If I am m ?�iault of this contract and you demand full payment. 1 understand that you may send it to an attorney for collection and enforcement. F If you do so, I agree to pay your reasonable attorneys' fees plus any court costs and expenses incurred by you, that is, if you are allowed to collect such amounts by law. t - MORTGAGE: 1 hereby grant, bargain, sell, convey and mort gage to you, as Mortgagee, my real estate and house located at my "Address" designated on the top portion Z of this contract as security for all amounts due to you under this'nstallment 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 1 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. z NOTICE TO BUYER Q Q 1. I do not have to sign this contract before I read it or if any of the spaces intended for the agreed terms to the extent of then available information ? �- are left bhmk. 2. I am entitled to a coy of this contract at the time I sign it. 3. 1 may pay off the full balance due under this contract at any ti w tithe, and in so doing I may be entitle to a rebate of the unearned finance and insurance charges (if any). 4. I understand that this instrument p is based upon a home solicitation sale and that this instrument is not negotiable. 5. It shall not be legal for you to enter my premises unlawfully Z or commit any breach of the peace to repossess goods purchased under this contract. z BUYER'S RIGHT TO CANCEL LD v 1 MAY CANCEL THIS AGREEMENT AT ANY TIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAY AFTER THE DATE OF THIS TRANSACTION. (I HAVE O 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 9 copies of the Not'ycC,�of Right to Cancel �Form. IN WITNESS /"EREOF. this Installment Sales Contract and Mortgage has been signed on this day of — 19 v AL . at (city) - XAM -��l%A�D State of Nebraska. PACESETTER PRODUCTS, INC. (SFLI -Elf - MORTGAUFF.) l r " -- gy. x �U I 17_ED OFFICER( - -V. - f0 ' GA(iOR � fZ i �. , ^- gy_ A ` NTATIVEI CO -BUYEk NOk T(iAGUR _] State of Nebraska 1 z ss The foregoing instrument was acknowledged before me on this ./CL day of County of 19 �` !, by the above designated °- � � Buyer(s) - � ti lrigagor" 'J � My commission expires:. -- :Notary Public IN