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<br /> + . .. ._ _ FaR U56 IN TN6 STAYB 0P NI:NRASKA PAQL'�OF� �
<br /> � ' IWSTA�,LMENT SALES COtITRACT �iND �RT�AGE C()NTNAIT N�I. �,2`f�G 4
<br /> . . . .
<br /> 1'iw 1ScI1cr/MnnAugcel hyvc yuoted me(Buycr�q�/Mortgugm(sl)u Cnsh Prf�r nnd n'R�tal Salc f'rice fnr Ihc Pnxluctv descnhcd on p�gc I nf thi�runuact.Thr Ti�tnl _
<br /> ! Salc Pricc is tho lotol mst of thc Pnxlucte nnd scrviccs iP I buy on cnd�,�•ib'cct tu nppmval nf my ciaUt.I Illuycr)now cfmc�u tu buy and you ngrec�o scll,for thc _.
<br /> , TiKUI Snle Ptice set fixlh below,Ihe Pmduet�and services desctibed on page�.1 ngne to pay you 1he AnO��t Finan.•ed I�ccimlu1��uh/�c a ment schcdule�et �
<br /> + fonh below,togcthcr with fntercst thcrcon nt thc�nnwl percent�ge nte discloud below. � � .
<br /> � ! � �9
<br /> SU1b1MARY OF SALBs,Bcau,pc�pdcc S� + tax� � 5�1� Q� ' �
<br /> 'Ibtnl cush p�ice S�l�=— - Cath(totnq dowu paymen ' ���-��~ � Unpaid bulartce nf S $� . . .
<br /> _� ITEMIZ Y PI�UF IfE AMOUN'f FINANCEII OF$���I—�c ,
<br /> .,��w S S Am«�ot credited to this rnntract(5ame amount as thc"Unpaid Bnlunce.") 9�+ 1"�43� �
<br /> S�V Amount paid on nct balnncc frum prior contract with you.(�) •
<br /> A u t s) Id co othcrs on my behslL• �
<br /> 5 �2 to insw�nce comp4ny for Credit Life insumnce S �, to publlc offici�ls for filinglrccocding fees�0� . -
<br /> S O� to Insuranec company for Accident end Hwlth insurance S � ro(Specify) bn� � �
<br /> ' .r,w;,..i.}.-�. .
<br /> ANNUAL FINA E Amount Financed Total of Payments Total Sale Prtce �"+ - �
<br /> PERCENTAGE CHAF4QE ��v.��.'4F- ��--��-N�-
<br /> 'llie nmount of credic The amount I will have 71m total cost oF my purch�.se • •� i ,•y�-
<br /> vided to me or on paid ufter 1 have made all oa credit,including my dgyvo
<br /> RATE 11�e dollar wnount thc my�h��, Faymcnts ns.uhtduled. `;-' °� '��6i�;�_-°
<br /> crcdlt will cost e p�Ymen�of 3�+, M tw�{�''=-�-----
<br /> 'i1�e cost of my nedl as a •f;''.�yay�;:.____._
<br /> yearly ratc. �6�� �,a $ l 9 9���.. ����.� z $ � �s--�, �y � g 3 s 9 ' .. .�����` -- --__
<br /> My payment schedale will be: Secur(tyt 1 um giving you: ���. . _�_�
<br /> Number ot Prymeau Amount of Paymentc When Paymenu am Due 1• n security intercst m Ihe soods,tcrvice� and propChy � . �_
<br /> being pu�hnscd, and . ._.._�-
<br /> lst Fa rrent S s"� 8 First a ment due 2• �mon8age on my�I esuu at my••ADDAESS"below .S. :
<br /> Y �� p y and Icgally descn6ed on p���dlercof. "�,iJ�"�:,.-�
<br /> • � � �^3 �3 All subuquent installments on the same da of �Io6��'�n6 Pees S `� '���'��
<br /> Y .:%r,.:H:r,:-'
<br /> + each consecudve month unHl paid in fiill. Lrte CIu�E: If u payment is mo�e than flft�'0 (15)daye • ��;�
<br /> INSUItANCE lute,I will be charged 5`� of the instullment payment or '�'�•
<br /> , , ,� Credlt llfe insurance or.d credlt dlsabllity iasurar�ce are�required to obta[n crcdit,and s25.0� whichever is lesser_ ,;,��i�:
<br /> will not be provldal unles�I slga�ad aRm to pqy!he+Wdttloaal arost. prep�ymen4: If I pay uff ealy. 1 wilt not have to pay a ;�
<br /> 'I� Prcmicm „T,`;�, Stgnanue � ����y,, "
<br /> � Cnedit Ufe I want ccedlt Iffe _ IA ;�+ -
<br /> - tq`-'-��'. x "-tl��. f!.� �� �'/i u ._
<br /> � �,/ � �► I wilt ceview aher portion9 0�t�iis contract ;
<br /> ' ��Oo�2. 7 „�-co-a„��, for addIdonal infortnatlon aiwut nan•payment,default,any �
<br /> .� Crcdit Accldent� [want cRdit aczident , ceyuiKd�epayment in full befo�e the sctxduled date,and 1'�
<br /> &Heatth � and health insurance. � Prcpayment refunds nnd penahie.c. �:-�
<br /> u��-��n� 6 mtaav tn atl�.:•».
<br /> � MORl'GAGE:i hercby grant,bargaln,ull,convey and mortsage to you,as Mortgngee,mY mal estate nt m "Address'•below and as mo�e particularly described "ti
<br /> ' on page 3 (�verse side) of this contmct os security for all amounts due to you under th�s I�me S � Conrmct and Matgu e I Ix�eb�gtant to you u
<br />� power of ettomey to iasen the legat descripaon of my roal estate hercon at a later Nme. �f_/
<br /> ��� � C O N S O L ID A T I O N i I f I n o w h n v e o b a l e n c e d u e y o u f ro m a p re v i o u s p u m h e s e,I u n d�rs t az�d 1 eZn make m y pa ym.nu.�.uai�g on uatil pa ymenca � -
<br />-• begin under thls Contac�.
<br />�- . REtleRSE S99F: I lJMOERSTAND THAT THE ADD9110MA!TERMS AND PROYISIONS P8110TE0 ON PA6ES 1 3 AMD 4 OF THIS INSTAIIM�Ni SAIES CONTRACI _
<br /> � �— ' AND MORTg116E ARE A PART OF THIS INSTAUI�IFNY SALES COMiRACY IIMD MORT6A6E AND THAT I AA� BOOMD BY S16EM. NOYICE: PROiiiSIOFiS PRIi1TED —
<br />- � QN PARES 1,9�AO 4 COMPRISE ADDIiIONAI TERMS LIYITIN6 SEIIER'S WARMMiY OBUQATIOli. _ —_
<br />.- '�-_ • . NUTICE TO BUYER
<br /> ����� � � 1. DO NOT SICM THIS �ONTRACT BEFONE RE4DIN6 IT OR If IT CONTAINS BLApK SPAC�S. 2. I AM ENTITLED TO R COP�I OF 1HE CONTRACT I SiL!lEA. �.�
<br />_::+�:.,.:_� � 8. I MAIf PAY O�F T�iE FOLL BALANCE OUE UNOER TFIIS COlffRACT AT AMY 11ME A?ID IN SO DOIN6 I MAY BE EMiI1LE0 TO A REIATE Of ZY�E __,-
<br />_ ,o, UMEIIRNCO �{NAMCE AND IMSURAMCE CHIIR8E5 (IF ANY1• 4. 1 UNDERSTAND THAT THIS INSTRUMENT IS BASED UPOM A NOME SOLIClTATIOM SALE AND _,
<br />�;.���;..,,.� iHA? YHIS INST�UMENT IS NOT qE60TI16LE 5. IT SHALL MQT BE LE6Al FOR YOU TO EMTER MY PRfM(SES UMLAWFULLY OR COMMIT IiliP BRFACH 0�
<br />�:.;��':� ,•t sllE PEACE T��REPOSSESS 60005 PURCHASED UADER THIS CONTRACT. '�'•-�-
<br />' � ; ��71fER'S RIGOiT TO CAN�EI. �.0�
<br />--- � ° I iGYE BEEM ORAl11 ADYISED TNAT I MA1f CAMCEL THi� �16REEMENI AT ANY TIME �RIOR TO MIDMI6HT OF THE Tf11RD 6USIMESS OA� AFtER TF�E �. ___
<br />__-_ .. ,: DATE OF TIlIS TRANS�CTIOM. (I HAYE REJID TNE ACCOMPANVIN6 NOTiCE OF RIBNT T� CAli�fl FORM FOR AM E1IPLANATION OF THIS RIBI�'�.) --
<br /> ��.::.::,-. —
<br /> , COPV RECEIVEi):I acknowledge rceelpt of n completely filled in copy of this conhact along with two(2) copks of the Notice of Right to Canal Fortn. �.
<br /> � �''�'��� + . 19.L�i._ _
<br />�;.�.:�c;�:� IN WITNESS WkiEREOF this Installmcnt Sales Contraa and Mortgege hcs been signed this da of ___
<br /> ':'..".��.�,�: BUYBR'S'•ADDRESS" ���d �`' �'l!��� Ciry G�e�Counry � ��";-
<br />_ � ..,. 3o�'s� .�g2, 6��'r�_ S�a« NE- Z�P� %�r`�:�-
<br /> � ':''""'." 7i:tcphonc No. x _�Y
<br /> . �
<br />: � � � ;..,.,:r___ _
<br /> . THE PIIC�SEUgEA CORPORIITION(SELLER-MORT(3AaEE) � �C:7-'"`
<br /> Al/. YPR-MORICIAGO� ���j�S.i—�_ -
<br /> c r 5 .,�,,,•`r�',',,"
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<br /> ( OR OFPICFRI U •MO OnfAR-PRINIED NAME 'n(;' 1,,:`.!,'�
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<br /> B � RY RFPRESF.trl'ATIVH) co�nU -�10 GOR '� ,�'�'1'��..:�r.'.'�:y���`•�'�
<br /> c�Y s/� .. .. .T.,,.y���p . _ .,.,..;
<br /> � CO•BUYFR•NOI AGOR-PRIMFD NAME � ��:•J•r��'1�!-:�Y.�1� K..!��..
<br /> 7039 Sbt-101•NE-HIIE PAGE 2 �` .. ::Jc���'�`"_`--�� ,
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<br /> ORIGINAL FINANCIAL INSTITUTION ;_ ____Y'_��'�_:�:?•��'`u"�_
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