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82--U(7299tq
<br />SIMPLE INTEREST LOAN` BT
<br />.CONSUMER LQAN NOTE AND SECURITY AGitEEMENY
<br />TRUTH-lN-tENDENG DISCIOStIRES Date ~ ti LY .~ ~+ ..,'., 19 ..:8~ ._
<br />r thie Hate, the v)rotds !h me, ~inQ,;and my means each. and all df those who s; n this Hate. The wards~ yyou. your, and
<br />yours mean J.+-,Y ~:,AL^L & i.DiSLRr1NC~ INC.., D~.4 DA-iY I~VSURANGE & ~2vANC
<br />t`1~? J._=_ f3_ GUST S~gE~ ;- tftAN~ >=~t a >+
<br />- - ~_.NU AI,
<br />{Licensee's Warne and address): - -- -_--
<br />RFrP,A~ME,A1,T:._~4, [gpaysnv l~n I,RrJ l~~ to Pa~Y.xo~,_
<br />,-
<br />~vJ.~ ir.VJ t,dJ ~±,1 .! ~ ~., l V~ir ~U ~, 6 {I
<br />oars Sa ~ '
<br />_ __. _ .. ..~.~.s,_
<br />~,
<br />at youroffces at -. ~ Y_ ~ 1 1.•.-. :_ .r_NJ oLr~:Jll, 3a.~,
<br />with. interest on the unpaid balance at the rate of __..._ ' ~' .._._.°.ro per annum from ti~i~ 1 ~ , ? ~~~~ _
<br />Interest is computed dairy nn rho unpaid principal hatance. The unpaid principle and accrued interest shall he pay-
<br />aJfe in '
<br />~'~ installments of 5 _ ~. -.t ~.)_ _ _ _ each due on the l
<br />..... M.~. _- day of each month
<br />_, Y _,
<br />corrtmenang to , ,:. __ 19 -:'_.
<br />THIS IS A BREAKDOWN OF THE TERMS OF MY LOAN:
<br />~,~QO.J,
<br />t- S _."..___ ___. _....._._ Cash advances disbursed to or for borrcwer(sl.
<br />2. $ ....._. ._ .. _._. _..-.... Amount applied to any prior accon!.
<br />3. $ ___ ._. _-__ .. _...-. _._ Single credit life insurance premium. `he FINANCE CHARGE isoomputed on ay
<br />Loan at the agreed rateof2 permonth(..410
<br />4. $ _._ _..... _. _...... __. Joint credit I~fe insurance premu,m. per year} nn the unpaid principal balance
<br />5. S __. _ -._._-. Credit disability insurance premium, which is no? in excess oi$1,OtX1.00, 1'%z°h, per
<br />-- month (19!o per year) Oe that part Of the un-
<br />E. $ _- Property Insurance premium. paid principal balance exceeding 51,000.00
<br />i. S ~ G;~'-!, ..,,;... _... Amount t~nanced (add 1 ?hrough 6}. but not in excess of 55.000.00, 1';~Wc per
<br />8_ S _ 5:_.~i ~'.^-_.''J. _ FINANCE GHARGE. month (15°,'o per year) on that part of the un-
<br />__
<br />9. S -.-~..,.= a.~ ^'''_-... _. Total payments (add 'and eJ: paid balance exceeding $5.000.00 but net in
<br />-~--' excess of S%.000-00.
<br />ANNUAL PERCENTAGE f1ATE _ ____ _ 1^ _ - __. %
<br />The total of my payments. the :oral amount of the FlNANCECHARGE and the to±al n um bar of my paymen is are figured on the basis
<br />that I will make regular payments according to the repayment schedule described in the first section of this note. Nowwer, it I don't
<br />follow that payment schedule, then f understand that tttp couid'cause the total of my payment, the totab amount of the FINANCE
<br />CMAAGE, and the total number of my,payrFents to be rttpre~~thana9described above if I delay in making payments and less than
<br />describxd above it I am early in making ptyments
<br />PREPAYMENT: Evan though t noedn't pay mere than theftxed. instalfinents,l t,ave the right to prepay the whole outstanding
<br />amount of this Note at any time.
<br />DEFAULT ANO RIGHT TO CURE: !will be m ctetault ii I don't pay an`instaltntent on time.
<br />I1 a full installment is more ttwn flue days in delauit,:acharge maybe made egrialtp theFINANCE CHARGE app;icabte to the final
<br />installment period and a similar charge may be made for each succe9ding full.month such installment s unpaid.
<br />If I am in defwJt according to the terms and conditions of my Note. you rti:ay enttXCe your rights according to Nebraska law. When
<br />the default consists prtfy of failure to make a regwred payment, you maywith notice:andaftermylat lure. to cure the default, declare
<br />the balance of the Note irnmediatey due and payable and at your option, yoti may take,passession of the security pledged. i
<br />understand that I am only entitled to one notice of my right to curethedefau11.1afaDure to-rrrakea requited paymont. If I default
<br />aGaih, you Head not send me another notice, and can tleclare the entire balance due and payable anQerifprce your rights under
<br />Nebraska law.
<br />IRREGULAR PAYMEN7Sc Ypucan accept late payments or partutl oaymertts even though marked "paymera in rut I",without
<br />losirtg-any of your ngnts under'thh Note.
<br />CO MAKERS: It I'm signingthis Note as a comakor, I agree to be equally r.,;pons!ble with the borrower. You dp•~' have tc notify
<br />methef hisNptehesn'tbeenpaid...YOUhavetherighttcchangethetermso+paymentandreleaseany ecuritywithc„tno~;fyingor
<br />releasing me from responsibility on this Nole.
<br />DISTRIBUTION OF PROCEEDS: You are hereby a~nnorized to give the proa5eds of th+s Note to
<br />fNSURANVE DISCLOSURES:
<br />CREOITLIFEand/ot•DIS/ISYLITYINSURANCE: Neither CreditLitenorDisabititylnsurancearerequiredo!metaobtain his
<br />roan and that the purchace of such insurarx:e by me is wholly voluntary. Iswilt notbepi'oyided wah this credit mserarce unless
<br />indicate that i want such insurance by checking the appropriate box`beiowand then signing and dating my request
<br />Q Credit Life for first lwrrower. The premium is S _
<br />~ Credit Lite and Disability for first borrower. The premium is $ _
<br />^ Credit Life for bOlh borrowers. The premium is S _, _ _ _
<br />^ Credi! Life for both borrowers and, n~sability for first borrower only. The premwm a 5 . _.
<br />C}I (VJe} t n ~~ y~~~nt Credi(t/{~7ff~; r~~~/~'p7tli~y ?ns nc~e- "~
<br />f „j~:
<br />FirstBorro / -__T__.-Dal r-.~ .t,~t'fiate~~~l~
<br />~\ ~hl ku~~~,11'~~- "~F l,r.-r.^ e-l:LC~.,~"f ~~ ~3eGOnd ~owy~F~G~2L ~~l' J ~' " ~ / ~ "~ ,
<br />SECURITY: To protect yo.. ~f { detauk on (his c~bt. I give you what is known i3y a security rneresi in ne 4o116w+ng
<br />property. ;list separately)
<br />viii :QUA i SL:. .`.t^.~_L .mod:, ~.:_5 ~i `'-t` -~ _, •`". ---1 -' !~ "'$"-;
<br />~Ii"r ~: Jr'~ ,. TSL1ti~, .. ~._ _r._. 'w r, A' 15~. ,. l~ ~-,i'
<br />;~'JT x., l_ _ J;+ ,'l:i:_ _, - ~'Y 5FJ„'3 ~- t?£avA~ ,;; 5_;C~N
<br />7u5Di ~ _J:e, _, _ .~ >>_. ~F ~._,.i_ i~I,A:V3T, Iir~-._ _ v~_ .tr A'r:it Cog _ "d
<br />TOL ACCOREIINfiTD THE SECURITY AfiAEEMENT ON THE REVERSE SLOE. THE TEAMS OF WHICH I HAVE AE110. UNOEASIANO ANO AGREE
<br />! UNDERSTAND THAT I MUST MAINTAIN PROPERTY INSURANCEONTHE PAOPERTY COVERED BY THISSECUAITY AGREEMEMTFOR ITS
<br />FULL INSUAIIBLE VALUE. 8UT f CAM BUY- 7HI5 INSURANCE THROU6N A PERSON OF MY OWN CHDOSINfi.
<br />NDT~E TO CUSTOMER: ~. OO NOT SIfiM THIS PAPE4 BEFORE Y0U READ IT.: YOU ARE ENTITLED TO A %OPY OF THISPAPER. 3 YOU
<br />NUtY PREPAY TkE UNPAID BALANCE AT ANY TIME V/ITHOUT PENALTY ANO MAY BE ENTITLED TD RECEIVE A REFUND OF UNEARNED
<br />CHARGES IN ACfA(IOAMCE WITH LAtM.
<br />NOTICE: Ses other side far important intormaticrt
<br />Tie Ut~iD~fGt~iED .ACKt~WLEJ~GE(S) RAPT O~ ,4 CC?tv1Pl_z=TES`' FILLLt7-iPJ GC3PY rJF THIS NOTE.
<br />/ 1.' ~~. TtIRES / ~' ALvA~S5E5
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