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'" toittstttatteecompanyforAceidentandHealthinsutance $ - -'• to (Specify) ~~ ,~~~,y„~,t <br />.ANNUAL-.:..: F1NAN6E: Amount Total of TotatSaie Prtce <br />PERCENTAGE CHARGE Financed Payments The tow-'cost of my purcliasc <br />RATE The dollar amount the The amount of credit The amount 1 wilt on credit„including;my <br />" <br />„Thrcas[,of my.credit ~ : credifwilt,cost.mt., prowded.to me or on have paid after I downpaytnent of <br />^ <br />ayearly rate. <br />- my behatf. have made all payments <br />as scheduled. ~G~~ -, <br />, -.:_ <br />$ --mot <br /> <br /> <br />1-have reseived~ at this tirr~ an iremizau'on of the Amount Financed. <br />My payment,.ttcheduk witf lib: <br />Number of Naymenti' Amstar of:Paymrnta ~'hen.2:ynxnls ale thre <br />Ist'~Paymegt Estimated to be ~ - days after the date. <br />_ .$ ~ of the Completion Certificate. <br />• All subsequent installments vn the same day of <br />~ ~ s'-4' -each consecutive month until paid in full. <br />~_ <br />.aintvmtce,.. - <br />C4edit.life-insurance and credit disability insurance are not required to obtain credit, and will <br />not ht nmvidrd unless 1 sien and scree to oav the additional cost. <br />type 1'rennu,n Signature <br />CiediiLife ` - 1 want credit life <br />- - iitsurontt. - _ <br />,g~umre <br /> <br /> ,gnaturc - uyu <br />Credit Accident ~ ~ T wool credit accident - l <br />~ <br />& Health ' and health insurance. <br />gowarc _ "y ~ <br /> <br />Secnrityrt"am giving-a security~inteiest id: `~ -- ~ --- <br />I. the goods,stroll:esandpropertybeingpurcfiased,and~ <br />• 2. my real- estate- and- improvements; --including my <br />house, all at my ``Address" designated-about. - - <br />~s~ `` <br />FdittgBecording fees $~ u - -~- - <br />Lttte Charge: Ff a payment is more than..-t811.:(1~)-days:-- <br />late, I will be charged $5.00 or 5`Yo of the payment, - <br />whichever is less, or in lieu of. [fie preceding-oliarge, in- <br />terest may be collected .on each~delingtunF.insullmeaF>- <br />until paid, not exceeding the contract. rate of,16%"per . <br />annum. ~ ~ • .. - <br />Prepayment: If T pay off early;-i--wily-not have to pay <br />a penalty, and f may be entitled td a•refund of part of <br />the fmance charge. - <br />--> I will-review other portiotis-of this contract <br />for additional information about non-payment, default, <br />any required repayment in full before the scheduled date; .- <br />and-prepayment refunds and penalties. - <br />Property insurance is required, but 1 may obtain this ~ro rtv tnsuratrce from anyone a mesas an estimate. <br />want. If I obtain-this insutattce through you, I wilt pay $ ~'-CL~- . <br />COMMENCEMENT OF TAE FINANCE-CHARGE: The finance charge linterest) is estimated to star on i " / ~"' a <br />(irtsM the date) extent in the event that you compplete the installation of the goods and services on another date, then the finartcercharge (interesq will be~¢in <br />to run on'the dateahef 1 shall sign a Completion Certificatt. The amnum of finance charge.tinteresd may be more or less than the .amount disclosed dependrag <br />on-the atraun4sfpay^you and-my timehttess in making payments.. - .. <br />PRL1aAYIHF.NTt h may voluntarily prepay tht amount I owe you, in fart or in pan, at~any time. If 1 make a partial prepayment, [must continue to make <br />my regular payments soul i halve paid all amounts owed. <br />REQUFS'f FOR FULL PAYMENT: If I de not pay when due, you can declare, without giving notice to me, all that 1 owe under this conned payable <br />at otttx. I -agrx to pay.yott-inteiest on that amount nut to excced the highest lawful contract tart of 164E umil either the amount t owe you is brought <br />currant or until you sell my douse if I have given you a Deed of Trust. 1 understand the definitions both of what a "default" is and what your power <br />is to sell my house under a bctd of Trust. <br />COLLECTION COSTS: if 1 am in default of this contract oral you demand full payment, I understand that you may send it to an attorney for collection <br />ard-cnforcerrtmt: d€ you do'so, I agree to pay your reasonable attorneys' fees plus any roan coste and expenses mcuried by you, that is, if you are allowed <br />m coklec! such amounts by law. <br />DEED OF TRUST: As security fur this contract. !grant, bargain, sett, convey and confirm to Thomas P. Egsn, Jr., of Omaha, Nebraska and as a member <br />of-the Nebraska State Bar, aS ~-rustee; iti trust with the ~owrr m sell, a deed [o my real estate and improvemenu on it, including my house, all of which <br />is rnmtnordy referred to and is located at my "Address' designated on the tap pomvn of this contract. This Deed of Trust protects you if I do not pay <br />this contract as promised a if 1 break any other premise made vn either sde of [hts contract. <br />REVERSE SIDE: I understand that.tht additional Itmts std provtsiorts Panted on [ttt reverse side-ot this Installment Sales Contract xre a pan of this Install- <br />ment:Sales Contract and that I am bound by then[ in the same manner as d they were printed on the [root of thts very Installment Sales Contract. <br />NOTICE TO BUYER <br />i. I do [tot Rave to sign Chit contract before I read it or if any of itte spaces intewled for the agrad terms to the extent of then available informatioo <br />are, left bhiok. 2. 'I am catiaed to,-a twpy of this contract at the time Isign- it 3. I may pay oft' tM full. balance due under t6iS contraG at an <br />time„aad•!at ito I shauld.hesdhkd:to a taU rebate at the-attearued finance and insurance a ltt an ). 4, I MAY CANCEL THIS AGREEMENT <br />AT.>*NT TIME PR t0 MIONIiNT OF THE TNIRD BI~INESS OAY AFTER THE OA1E OF TNIS TRAi1SACTI~N. (1 NAME READ THE ACCOMPANTIN6 <br />t18TM.E OF RICIIT TO CANCEL FORM FOR: AN EXPLANATNHI OF THIS R16HT.) s. t unaerrswnd that this instrument is based upon a blame trolicitation <br />sob-and that this iastrratent is trot negoW6le. 6- It shag not be ie'BV for you to enter my premises ttttlawfully or mtttmit any htxach of the peace <br />fu tepaseas coeds parehaaed trader thb contract. <br />Ct)PY RECEfYED;,t ackaowle¢ge; receipt of a completely final in copy of this arn[ract along with two (2) copies of the Notice of Right ro Cancel Form. <br />IN WITNESS WHEREOF, this Deed of Trust and Installment Sales Contract has been signed on thts . day of .19 _ . <br />w (city) '- ~.. ,State of Nrlnaska. t/,F _ ~ ,~n // <br />PACESETTER PRT CTS, INC. isEt.tEFi- a ettaran A-~"~"rl~C r~.~~e.Ift.••~ __ <br />By iU agent,, ~ ~1- ),n Jv.~If~Q \ '~o~. l <br />s~ nr Nta i . <br />County of ~~ i1 ~~ '~i~ <br />~~~1~~~ <br />My commission ,,yy''~~pt •- <br />S-iOt-NE-A'HBi1.,~' j-~0~-3~~`rJ.Ot-f~ <br />CONl:lDENTIALL ONLY FiNANCir~l <br />ins _ ~- _-=~ ~ti.t-, t - <br />The foregoing instrument was acknowledged befnm me on this _ _ <br />day of __ . 14 _. , by the above <br />designated BuyroAs) - ). <br />- Nutary Public - - <br />1NS7ITUTION ~CrPY - <br />- -, U <br /> <br /> <br />