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<br />,."",....., .....,.....,. "',' 'a....."..,.... ." "..",.............'....... t".,..".... "." ...... . ........'......., .. '"/''''''''''''' .,'.. ",,'.. '1"'''''''' .,'.. " 'U,'" ",'-'-
<br /> ,UlU " ,,,,a, J<.1,1,; rll~C. lIlt.: ,\11<11
<br />."tale Pnl.:r I~ the tOlal co\! ot II1l: prot1uch .Iild ..ervlC~_" ,.1 I hu) on !..TeulI
<br />1 now choo~~ to huy. .,nu you a~rec [0 'cll. !elr [he Total S.illt: PrlcC', '>C'! forth hdtl\A., rile pnluucb ,llld ...cn':lcC~ Jc:-.cnb~d below .1 agree, to pa~
<br />
<br />h~~)~~e la'~l.:~,nla~~~~n~~d all? ~:~C~)I~~<l~'~I~c;llt~n~h..c ,~~Y~:)~~I ~l~hc~d\l~f ~~,'... f~~~(:;~lrl.,)WO~I;e~~~~'~~~ t:~~~:'a(~~~~~~ ~yl~~h~nn~:~~;~:~tC~;~~a~~~~ha~~ d~~~~;:~
<br />:~,'~~~:t:::arAY~~~idJL:2tr~;:;~0:E~'tl~~~:d~s:p;~e~;;t~ ~f;2F-r
<br />____Pi' ~j'lLL_~1l-L7T-1~--'-JSU:,--:-l!:t!'Jf:___~_~~":- '<J , J;:t. /"-(; ".........
<br />C' ,t7-< "'- '''''-t LJ5:1-~_,_L=-t..&-L&L:/~ .; r t..",,- 0 ""c ". I '-Z C <0 /-,,r 0 F
<br />-- :/ ':f.-t.1 it if j(1i....c/1r~_~k___l2::1. '1 t:' / () 6; C Ol-...(' "I. 'dl4~d
<br />fA). ~j'rlA C I- -# YLA-(p~ CJ d /-;:J o-F'I
<br />
<br />
<br />for such '"Address" is:
<br />
<br />SUMMARY OF SALE: Base cash price S /079.07;+ tax ~ . additional warramyiservice coverage 00,00 =
<br />Total cash price S ~QJ)__ ~ Cash I total] downpayment S 0 0,0 () ~ Unpaid balance of S 107 S'. 0 \I
<br />ITEMIZATION OF THE AMOUNT FINANCED OF $ ] J~ ], / to
<br />
<br />s j o79..(Jb Amount credited to this contract (Same amount a'i the "Unpaid Balance.")
<br />$ d / 00. () () Amount paid on net balance from prior contract with us.
<br />Amount( s 1 paid to others l.m my behalf:
<br />$ IlD), I es, ro insurance company for Credit Life insurance
<br />$ (10. a 0 to insurancccompanv for Accident and Health insurance
<br />
<br />$/07?crv
<br />
<br />S 0 I:l, \:) 0 to insumncecompany for Propeny Damage insurance
<br />$ ;Z I. Il C to public officials forfilinglrecoroingfees
<br />$ ~~ to (Specify)
<br />
<br />ANNUAL
<br />PERCENTAGE
<br />RATE
<br />The cost of nl\' credit as
<br />a yearly rate. .
<br />
<br />FINANCE
<br />CHARGE
<br />The dollar amount the
<br />credit will cost me
<br />
<br />Amount
<br />Financed
<br />The amount of credit
<br />provided to me or on
<br />my behalf
<br />
<br />Total of Total SalePri~'.' ....... ..
<br />Payments The tot.J.cost of my pun:Iut>e
<br />The amount I will on-credit~-incJuding my ;.
<br />have paid after r downpaymont of ....
<br />have made all payments $ 00.00 ......... ,
<br />as scheduled, ~;
<br />$ .!>-o9tf: ro. $ S'O'JJ!:,jt! ..'
<br />e e
<br />
<br />/7,77
<br />
<br />-.-
<br />
<br />% $ /73J,'/.;t./
<br />e
<br />
<br />$ J) b J. / b
<br />
<br />l:-.t Payment
<br />
<br />s
<br />
<br />tf'i 9./'
<br />f'l. 9.f
<br />
<br />84,---: 0056,,<<,8-,
<br />
<br />Wi-;"n [';;'lfi1~nb .tft' Due _ __~
<br />
<br />; ES!lma[~d 10 N' _.J__~_.~''.-:-- "'( the date i
<br />of the Comph.:!ton Certlflcate,' !
<br />i All subs~quent installmcms on the same day of!
<br />each cnnseclItivc month until pdid in full. I
<br />I
<br />
<br />Securit)': I am giving a security interest in:. . _ ,,-
<br />! .". goods, serviceS;HldPml"'. rt}'.' ""'.;ngp-. ""'. h....... ~'ld . ....1..'......
<br />2. .oy real estate and improvements, including my_,,--, j
<br />house, ali at my "Addross" designated above, . .
<br />
<br />FlIIng/Reeordlng roes $ ;21. 00 . ~.
<br />
<br />Late Charge: If a payment is more than ten (10) days .
<br />late. I will be charged $5,00 or 5% of the payment.
<br />whichever is Jess.
<br />
<br />
<br />My payment scheduh:: will be:
<br />
<br />,', ." n .
<br />...umVCf \.ll r-.:)'m.::nl~
<br />
<br />AltI'-'UI,i vi Poi) iHi.:i1b
<br />
<br />.5-7
<br />
<br />is
<br />
<br />Insurance
<br />Credit life insurance and credit disabilit\' insurance ,ire not reQuired to obtam credit.
<br />not be provided unless f sign and ;Jgrce'to pay the ~tdditionai C()....l.
<br />
<br />i Type ~ PremIum : T::nn : Signature
<br />
<br />and will
<br />
<br />s
<br />CO.CO
<br />
<br />I want credit accident
<br />and he:llth In:-.urance Sl\!nalUrC
<br />
<br />I Prepayment: If I payoff early, I will n<lI have to pay
<br />'&4: a l"'."alty, and f may be entitled to a refund of pari of
<br />.J..t;;Je> (j ~ ~q't~ ~ fInance charge.
<br />1'51gnalge~ H~er W ,
<br />i ------,)0. f will review orher portions of this' contract
<br />! tor additional information about non-paymenr-. -default-.-
<br />I any required repayment in full before-(he .scheduled-date.
<br />i and prepayment refunds and penalties.
<br />
<br />S'gnalure ~ Lu.Hu~cr
<br />
<br />, Credit Life
<br />
<br />I want credit life
<br />i in5unmce
<br />
<br />/&3. 1&
<br />
<br />s
<br />./103'/1.,; . bc I
<br />
<br />i Credit Accident
<br />& Health
<br />
<br />Hu~('r
<br />
<br />o
<br />
<br />e means an estimate.
<br />
<br />ProJk'rty m~uralKe 1:-. reqUIred. but I ma~' obtain this propert). insurance from anyone
<br />I want. If I obtam thiS in:o.urance through you. I will pay S "O~ 0 Q for ~ months of covemge,
<br />
<br />COMMENCE:\IE:'\T OF THE FI~A:\'CE CHARGE.: The finance ;.'h..tn!c \interc:o.o t:-. e~tllllated to slal1 l'n _ /000. .t./ J /9,..t/
<br />limen the date} ex~cpt III the ":VCnl lhat \'ou ,,:ompktc the ltbt;iJlatlUll ~)f the g~)ni.l:-. .mu :-...:r...icc:-. on anolher d<i.lt:. lhen (he tlnam:e ..:hargc (intereso will begin
<br /> to nm on the
<br />dale that. I :-.hall :-'I~n a Complt:tton Ccrtitle:ih:. The '-IlllOUllt (It finall~~ (har~e (lllh,:rc:-.(l rn<ty be mort' or lc~s than (he ;lmount J.i!'dos~-d depending nn the amounts
<br /> I pay you
<br />and my tlnlelinc-s:-. 1n maklll~ paymenh
<br />PREPAYMENT: I Tlla) \olUlllallly pn.~pa~ (he .mHlllnt I 0\\1.: Y(l! in full ~lr III pari, .I( ,my lIme. If 1 make;l partial prepaymcllt. I must ~llnt;nuc (l,l make my regulat' payments
<br />unlil I have paid all arnount~ \1.... ~d
<br />REQVEST FOR Ft.:t.L PAY!\-tE~T: III Jo Ihll pay \\hcn Juc, ynu ~.an IJcI.:larc all thai I HWC under this (.'onlract payable at onl'c. I agree to pay you interesl; l.>n that amtlum
<br />at thl' mall:lmum !,.'ontml.:tual rate allowed by law untillh~ amount Illwe you i~ paId. I aho know that you .:an fureclose the Mortgage I have given to you.
<br />COLLECTION COSTS: If I am in default nf thi:o. ~o",niCl and you demand full paymeol..1 understand that yo~ may send it to an anome\' for collection and enfon:ement.
<br />If you dll :!>o, 1 agree to pay your R"asonable anornl.:Y~ fcL":o. plu:!> any ClJurt 1.'0:0.(:0. .tnd eXpt:nscs Im:un~d by you, that !:., if Y'J!! are allowed {f' t:tllfect sm:-h amount'i
<br /> by law,
<br />MORTGAGE: I hl'reb.~ g.rum. bargain. ~c1L ..:onn:y and lnt'ftgagC' to you. a:-. Mortgagee, my real estate and house ]ocatcl.1 at my "Addres~" des.igmucd on [he top portion
<br />of thIS (;OntracI a~ '-tccunty for all amounb JuC' ill you umkr lhl~ tmtullmcot Sales CllOlr:lCL
<br />REVERSE SIDE: I UNDERSTAND THAT THE ADDITIONAL TERMS AND PROVISIONS PRINTED ON THE REVERSE SIDE OF THIS INSTALLMENT SALES CONTRACT ARE A
<br />PART OF THIS INSTALLMENT SALES CONTRACT ANO THAT I AM BOUND BY THEM IN THE SAME MANNER AS IF THEY WERE PRINTED ON THE FRONT OF THIS VERY
<br />INSTALLMENT SALES CONTRACT, NOTICE: PROVISIONS PRINTED ON REVERSE SIDE COMPRISE ADDITIONAL TERMS LIMITiNG SELLER'S WARRANTY OBLIGATION,
<br />NOTICE TO BUYER
<br />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
<br />are left blank. 2. I am entitled to a cop,)' of this contract at the time I sign it. 3. I may pay ofT the full balance due under this contract at an)'
<br />time. and in so doing I ma)' be entitled to a rebate of the unearned finance and insurance charges !if an~'). 4. I understand that this instrument
<br />is based upon a home solicitation sale and that this instrument is not negotiable. 5. It shall not be le~al for ."ou to enter my premises unlawfull~'
<br />or commit any breach of the peace to repossess goods purchased under this contract.
<br />BUYER'S RIGHT TO CANCEL
<br />I MAY CANCEL THIS AGREEMENT AT ANY TIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAY AFTER THE DATE OF THIS TRANSACTION. (I HAVE
<br />READ THE ACCOMPANYING NOTICE OF RIGHT TO CANCEL FORM FOR AN EXPLANATION OF THIS RIGHT.)
<br />
<br />COpy RECEIVED: I ac_~no\\,'ledge receipt 01 a completely filled In copy ,)f thl~ contract along wllh IWl' ~i('OPIC:o. ot_the '\lot.lce,OtRlght to Cancel fl~r)l1
<br />IN WITNES.HV~REOF, ~t~ ~al.lmt.:ll~ Sale'> ;'~olllracr ~llHJ \lllrt~.lgt' ha~ hl..'t'1l ....t!:!llt'd ,lll {hI:>. !:i--=--- da~' ,ll ____Q_~'~_H_~________ .14 L~ ,
<br />,It ~cll\') ___J._}:::L,.1:!!I_":=d~ __~_d_{.!-3.....~.d__ .__ Slatt' (1/ '\L'hr.l'f..<l
<br />
<br />PACESE~R PR~~CTS, INJ!~ ""Rn.t y s..~. )..~...t#-v.,~.'-.._ _~.~.'.~S_I-"_~., ~._...,.~~_._.,..
<br />B~. "---'--r"'.ad-~_~~g--2~_'\~;l:~-~~-~~:~~- ~'-.__,-___:'~:;;L rlft"rn:c \f(l-Wr{;.\G\Ij.: =__ _ ~~~_" CTHLLJC iA-:L
<br />Hy___'j] ~j {' JI .h~_..
<br />H~--:" RI-I'IH",""l\I'l\!
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<br />r hl' ~{lf't"~:"lll~ 'll~il~t~lent \\-'.l;....~I~l"llOWil"d~\."d ht~fO!l> ilK L'll ,hl~ t: d,]\ ,'I
<br />L.j,=--7 ,)9 _~;1'>\ ~hL' .lho\(' ,k"ll.:lldlt..!
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<br />'~"ldj\f'llt'!! ,.-...-."../.......,.~L
<br />
<br />Slale 01 'Iehra....ka
<br />
<br />H'Ml
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<br />('mllll} of
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<br />'v1\ ~'OJIlHnl\~I,)f] ....\Pl(t.'
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<br />IUCHMO P, Ptl\GE. Jfr.
<br />~E'1> ~'l6; 1'lll6
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