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F",'� C�'s;� [!! i[nc c[!��( szF [�r(iR,R►,�K/1 PAGE20F4 , , INSTALLMENT SALES CONTRACT AND MORTGAGE coN ACT NO. `l.`� ( ��h �1_ You.{Seller/Mortgagee)have quoted me (Buyer[s]/Mortgagor[s])a Cash Price and a Total Sale Price for the Products described on page 1 of this contract.The Total Sale Price is the total cost of the Products and services tf I buy on credit, subject to approval of my credit. I(Buyer)now choose to buy and you ag�e to sell,for the Total Sale Price set forth below, the Products and services described on page 1. I agree to pay you the Amount Financed in accordance with the payment schedule set foRh below, together with interest�hereon at the annusl percentsge rate disclosed below. �� 1/�j P�e 1 SUMMARX,OF $ALE: ase cash price $ � + tax Q,�Q T caO.L.� , _�, � � l•,� �� _ $ , Total casTi �3tl�e $' — Cash [total] down payment$ �-�� = Unpaid balance of �•�U ,Q ITEMIZATION OF THE AMOUNT FINANCED OF $ ��.��.� � $ Amount credited to this contract (Same amount as the "Unpaid Balance.") v 98� 1�,�3Q5`t $ �•�Amount paid on net balance from prior contract with you. (@� : Amount s a�d o others on my behalf: $ � ' to insurance company for Credit Life insurance $ ? '�� to public offici s f r 61ing/ cording fe s(@� : $ ��to insurance company for Accident and Health insurance $ •�v to (Specify) ��1�-- �YC� • ANNUAL FINANCE Amount Financed Total of Payments Total Sale Price PERCENTAGE CHARGE The amount of c�dit The amount I will have The total cost of my purchase : RATE The dollar amount the provided to me or on paid after I have made all on credit, including my down The cost of my credit as a credit will cost me. my behalf. payments as scheduled. Payment of S ��'�� yeazly rate. $ Z $ �� /��'��// $ ' 1s,35��0 1� 12 • � Y��o �• b� $ �'iSZ. O$ My payment schedule will be: Security: I am giving you: l. a security interest in the goods, services and property ' Number of Payments Amount of Payments When Payments are Due being purchased, 8nd lst Payment $ 23�,�g @ First payment due 2 I 14 2• a mortga�e on m�real estate at my"ADDRESS"below and legal y descnbed on page 3 he�eof. � 23C� �' All subse uent installments on the same da of Filing/Recording fees$ �•�� $ ' each consecutive month until paid in full. y Late Charge: If a payment is more than flftee� (15) days INSURANCE late, I will be chazged 5% of the installment payment or Credit life insurance and credit disability insurance are NOT required to obtain credit,and �25.00 whichever is lessea will not be provided unless I sign and agree to pay the additional cost. Returned Check Char�will be charged$15.00 for any : rypo Pnemium Te� Signacua check I give you which is returned unpard by the bank or ��^m«� other financial institution. Credit Life I want credit life � ; PreQayment: If I pay off early, I may have to pay a insurance. mimmum finance charge of$10.00 (which is defined as a $ ?!� /_ 2/- ignamre—Buyer "penalty" under federal law). ' �JI��V J�o —► I will review other portions of this contract SignaW�e—Co-Buyer for additional information about non-payment, default, any _ Credit Accident I want credit accident required repayment in full before the scheduled date, and & Heaith $ /�h� � and health insurance. prepayment refunds and penalties. W gnamro—Buyer _ @ means an estimate. MORTGAGE: I heieby grant, bargain, sell, convey and mortgage to you, as Mortgagee, my real estate at my °Address"below and as more particularly described on page 3 (reverse side) of this contract as security for all amounts due to you under t is I s�allment Sales Contract and Mortgage. I hereby grant to you a power of attorney to insert the legal description of my real estate hereon at a later time. �� ` Buyer � Co-Buyer CONSOLIDATION: If I now have a balance due you from a previous purchase, I understand I must continue to make my payments on that obligation until payments ' begin under this Contract. REVERSE SIDE: I UNDERSTAND THAT THE ADDITIONAL TERMS AND PROYISIONS PRINTED ON PA6ES 1 3 AND 4 OF THIS INSTALLMENT SALES CONTRACT AND MORT6AGE ARE A PART.OF THIS INSTALLMENT SALES CONTRACT AND MORT6A6E AND THAT I AN� BOUND BY THEM. NOTICE: PROVISIONS PRINTED ON PA6ES 1, 3 AND 4 CQMP��SE'�ADDfT�O�iAL•iEAMS-a.It�ITIN6 SELLER'S WARRANTY OBLI6ATION. � ' `::" '""��}7 � NOTICE TO BUYER 1. DO NOT SI6N THIS CdNTkACT �EFOR READII�IT OR IF IT CONTAINS BLANK SPACES. 2. I AM ENTITLED TO A COPY OF THE CONTRACT I S16NE0. 3. I MAY PAY OfF THE FUII BALANC��DU� UNDER THIS CONTRACT AT ANY TIME AND IN SO DOING I MAY BE ENTITLED TO A REBATE OF TNE HAT R HIS NSTRUMENT�IS NNOT N GOTIABLE.ES.�IT SHAII NOT BE�L 6AL FOR HYOU TOS ENTER MY PREMISES EUNLAWFULLY ORECOMMITTANY BREACHAOF THE PEACE TO REPOSSESS 600DS PURCHASED UNDER THIS CONTRACT. BUYER'S RIGHT TO CANCEL I HAVE BEEN ORALLY ADVISED THAT I MAY CANCEL THIS A6REEMENT AT ANY TIME PRIOR TO MIDNI6HT OF THE THIRD BUSINESS DAY AFTER TNE DATE OF TNIS TRANSACTION. (I HAYE READ THE ACCOMPANYIN6 NOTICE OF R16HT TO CANCEL FORM FOR AN EXPLANATION OF THIS R16HTJ COPY RECEIVED: I acknowledge receipt of a completely filled in copy of this contract along with two (2) copies of the Notice of Right to Cancel Form. IN WITNESS WHEREOF, this Installment Sales Contract and Mortgage has been signed n this_.J__L.=_day of li"`''►'Cl��'�"'� , 19� BUYER'S 'ADD SS" I� S . �.�.�. ��t City r� County �^ �� 2- -��%Z/ � Telephone No. �� e �C Z�P /�� ��c�i THE PACESEnER CORPORATION (SELLER—MORTGAGEE) ER—MORTGAGOR _ B �. I ,� y. � (AUTHOR BUYER-M�GAGOR—�PRINTED NAME _ By: _�, (Fq RY REP NTp CO-BUYER—MORTGAGOR