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<br /> _ . '. . . _ . _ PAGE 1 OF 4 � � � .._—
<br /> ; FOA USE lAl THE STA4L- OF N@4k2ASKA ' "-
<br /> � ' INSYAL�141ENT SALES CONTI�T AND MORTGA6E la?- 13�y� <i�R,,�-�.�,. 127310 �� � � �� ��-��-
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<br /> You ISeUer�hturtgagce�ha�e quoted mc IBuyer��JiMoAgagor�sp�a Cach Pnre and aTotal Salc Pnrr t��r thc Pndacs.dr.int+cJ un paEc I uf th���umrr.t Thc l�+tal i �
<br /> ; Sale Pnce n�he tMal cou of the ProSua,and+cnicc+if 1 6uy nn cml�t.+ub�ea t�,appn,.�l uf m�cmdit 1�E3uyrn nou ch�k�.r<<�huy rn4 yuu a�,ati d,.rll.lor thr . . -
<br /> � Toui Sale Pnce+et forth t+elo�r.tha Praductti anJ servtcey desaitx�i an page I I ONfCC It/Pd) luU(IIC Anuvm f�nrnce���nlan�u����»em.chcdule.rt `
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<br /> ' forth below.rogether Ktth mtrre+t thcmon at the aaausl pe�tage rate d�.rlmeJ belnN . ,
<br /> ,; SUh411tARY OE SALE: 9 ca}h��ce 5 g� � �'* s�c_O00 = = �7 � `9 p� � . �
<br /> 6 �— � --
<br /> � Total cash �iice 5 - Cash�tntal�down Vaymcn�6 7� - L'npa�d hal.uiic ot S �`�' — -- ,
<br /> ITEMIZAT[ OF TE�A1V10IJNT FIINANCED OF$ � • � � "
<br /> � s Amount csedited to t6is con�act lSame amouat as the"Unpaid Balance."� ,
<br /> ��._:.
<br /> i S ��V Amount paid on neY oalance from prior conttact wrth you.(8� � oS ' • ,
<br /> � Amount(s1 p�d[o others an my behalfc . . . c � __
<br /> ' ' S�bys.73 to insurance company for C[edit Life insurance 5�to public officials or fi g�mcardmg f��j�� , •- �� __
<br /> �i �/� s e�c�l ,�
<br /> jg�to imuiance company for Accident and Nealth insurance 5 7� ro 1Specifyi � --''°-: -
<br /> :� ANNUAL FINANCE Amount Fnanced Total of Paymerrts Tatal Sale Price . ' '�'�_
<br /> PEFtCENTAGE CHARGE The amount of cred�t ihe amount 1 will ha�r The total wst of my pwehase ��;:_.: —
<br /> � pp�E The dollar amount the P���ded�o me or an paid aher 1 have made al� on credit.includia my��wn _—i-.��
<br /> my behalf. payments as scheduled. �yment of S �� � —
<br /> The cost of my ccedit as a �dit will cost me. ..•�=
<br /> y�y J . � % $���9 09 $S D63�. 8, $ ��o��� �' � �t�.�8� �. ' �-;�:::_�:
<br /> S e e q r[t y;I am gi v i n g y o u: ' �.' =—_
<br /> MY PaYmeat schedule will be: t. a security interest m the goods. services and Rropetty . _
<br /> >lumW ef Paymrntc Amuunt uf Paymen.. When P+Ymrnts atr Ihm being purcha}ed.3[ld �- ""'':,'�s�'�.
<br /> q s-� � 9 2. a mortgage un my ceal estate at my�DDRESS"below ,�`s__
<br /> 1 st Payment $ '[i'� L� e Frst paymeni due and legally descnbed on a e.t�reof. • -;;-.�-.�r•
<br /> Fil[ug/Reco���YeCS S � . .��_a�'
<br /> ' C�y � All subsequent installmen[s on the same day of ��e C6arge:li�a payment is more than�If[P.20 (1J)days
<br />��,,� d ti1 � each consecurive month unul paid in full. late. 1 will be chazged 5% of the installir.ent payment or ,.�,?�:
<br /> INSURANCE $25.00 whichever is Igser. ___
<br /> • . C�adi!Gfe iasvrance and credit dLtabitity iasarance are NOT reqaired to o6fain cre+#i�and Retarned Check C6asgG 1 wil!be charged SIS.QO for any . i. �"
<br /> •�� will not be provided unless I sIg�aad agree to pay the addttfox�al eost. check f give you which is cetumed unpa�d by�he bank or
<br /> premmm T�^ Signamre other financial iustiturion. r ,_..�
<br /> �` pre�ymea� If I pay off early. I may have topay a �� .
<br /> ' Credit Life � I want ccedit life ���f��charge of^�10.00(which is defirnd as a � —
<br /> � �� insurance. , _ �, • -��(�y°under feaecal law). ,-: .,-
<br /> ' 1 o0a3�3 g`� —� 1 will review other portions of this contrazt • —
<br /> ,�-co-eoy�r for additional infortnatian about non-payment.default,any ..-��^-�" � •
<br /> Credit Accident I want ccedit accident /� mquiced cepayment in full before tY:e scheduled dau. and .;,s;:,. �-
<br /> �y gy and health insurance. (.� prePayment mfunds and penalties. . � :'';•,I� �.
<br /> &H�� $79`1• � - e m����. . ,. .
<br /> ARORDGAGE:1 heneby grant.bargain,sell,convey and moRgage to you.as Mortgagee.my ieal estate at my Addms"below and as mare paRiculariy described .,�,'•. ' .' ��+�� ..
<br /> on page 3(reverse side)of this wntract as sunrity for ali amounts due to you undcr a taflment Sales Con an Mo e. 1 hereby�anl to you a ?�'. � ,��'j�; _
<br /> Co-Bu er '�`�" � 7:
<br /> power of anomey to insert t he leg a l d e s c r i p t i o n o f m y r r a l e s t a t e hereon at a later time. • Buye S •
<br /> CONiSOLIDAT[ON:If I now have a balance due ou fmm a pceviaus uichase.1 undecstand 1 must continue to make my paymenu on tt�at obligation untit payment� t;r
<br /> y p .;.:..;,. .1�'�
<br /> beginunderth;sConuact. .:- `. ��" ,-;.—
<br /> REYEHSE SIDE: 1 UMDERSTA}IO THIIT THE ADDIYIONIiI TER�iS AlID PROYISlONS PRIMTED ON PA6ES 1 3 AND 4 OF tltlS lRSfAtiNIFNT SAIES C�li4RACT :_";{ �_ ;�� � �
<br /> AlID MURT61l6E ARE A PAHT OF TNIS 1 EhT-SAt€S EONTIiAef ORT6A6E AIiD THAT 1 AI�I BOUkD BY TNEM. MOTICE:PROYISIONS PR1NfED �,�, .; :�� _
<br /> OA PA6ES 1. 3 IUiO 4 C�1NPRiSE ItDDiY��S9}l(�PT��! W RAN1r OBU6ATtON. ,: ,; : ,.��-:
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<br /> /.�0 N�T Sl61i tHfS CONTRACT BEFOdE"il�9tlt*'R�OIFI/�I� � WIK SPACES• 2. � AM F.IiT�TIED TO A COPII OF THE CO!liRIICT I S16NE0. �.,��,'���_'�'
<br /> 3. I MAY PAY OFF iHE FlILL BAIAIiCE OUE VII�ER' r n� AND IM SO DOtN6 I MJIY BE ENTRLEO TO A REBAIE OF TNE .F ��— --
<br /> UNfJIRNED FINAltCE A#!D INSURANCE CHAR6ES (IF AlIY). 4. I L1�i_�',SflUlO TNAT 1[!S IRSTRUMENT IS B11SED UP011 A HOME SOIICRAT(O�i SALE AND • �'�`'�'.�-�,�." -
<br />' TNAT TNIS IMSTRUI�ENT fS NOT NE60flABl�. 5. R SHALL NOT 8� LE6AL FOR YOU TO EMiER AlY PRElAISES ONIAYYFULLY UR COFINf7 ANY BREA�N OF r::y„W
<br /> THE PFACE TO REPQSSESS 60UOS PUR6f111SED UNDER TH{S CONTRACL � •��;:���,{�-�
<br /> BUYER'S RtGFiT TO CAN�EL , ..' �,.
<br /> I NAY� BEEN ORALLY AOYISED THIIT I MAY CAlISEL TH1S A6REEMElIT AT ANY TIME PRIOR TO MIDAI6HT OF THE THIRO BUSINESS OIIY AF1ER THE ��. ...
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<br /> OATE OF 1NIS TRA�iSACTtON.q HAYE REAO TNE ACCOMPAlIYIN61i0T4Cf OF RI6HT TO CAMCEL FOR:N PoH AN E?tPUlUTIOPi OF TNIS RI6HL) .,._ --�-.•-"` �
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<br /> Cppy Rp.CE1VFA; 1 acknowledge receipt of a completely filled in copy of this contract along with two (21 copies of th/e�Noti ef Right to Cancel Form. _ ::- �-;
<br />- , I�;� .19—L_. .°°'#`- �-:
<br /> M N1l'i'NFSS WHEREOF.this lostallment Sales tract an d Mortgage has b e en sia�ned/osn this�day af • . . �-1�
<br /> 3b� r` �7�� City V'e�e�4����, Counry 4 • . _
<br /> BUYER'S ADDRESS" A) �Q��� F�"�
<br /> .> Telephone No. ��d ' ������L / State '°� Zip e.�=�-- . , _
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<br /> 1fIE PJI�fSETTER CORPORIITION �SFLLER-MOR�GAGEEI 81� -"'o"'� t � I .
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<br /> ' By� IAII 0 OF7'ICFA1 BL'YFR�M .n -7RIYIEA E _ .
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<br /> By' IFACTOAYRFpRE5EMA71YEl /�8 -AfUHfG�' r ' . .
<br /> ' Y` n�P � /�sLt�(4 r' _ _ '. . . : �'*_`
<br /> � 70;V tN�In�.NE-BnF PAGE 2 ('r►DCYER�MbRi(:aCAR-PRINTF AS{E '�
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<br /> � ORIGINAL FINANCIAL INSTITUTION � ' —
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