NOTICE OF CONFIDENTIALITY RIGHTS: IF YOU ARE A NATURAL PERSON, YOU
MAY REMOVE OR STRIKE ANY OF THE FOLLOWING INFORMATION FROM THIS
INSTRUMENT BEFORE IT IS FILED FOR RECORD IN THE PUBLIC RECORDS: YOUR
SOCIAL SECURITY NUMBER OR YOUR DRIVER’S LICENSE NUMBER.
Deed of Trust and Security Agreement
THE STATE OF TEXAS
COUNTY OF _______________
__________________________, a resident of ______________ County, Texas, herein
collectively called "Grantor", in consideration of the debt hereinafter described, and for the
further consideration, uses, purposes and trusts, hereinafter set forth, has GRANTED, SOLD and
CONVEYED and by these presents does GRANT, SELL and CONVEY unto
________________________________, Trustee of ___________________ County, Texas, and
his substitutes or successors, the following described property:
(a) The real estate situated in ______________ County, Texas, which is more particularly
described on Exhibit "A" attached hereto, together with all buildings and improvements now or
hereafter situated thereon (such real estate, buildings and improvements being hereinafter
sometimes called the "Premises").
(b) All of the following property, items and interests:
(i) Any and all plans and specifications for the rehabilitation, reconstruction or repair of the
Premises;
(ii) Any and all contracts and subcontracts relating to the Premises;
(iii) Any and all permits, licenses, franchises, certificates and other rights and privileges obtained
in connection with the Premises;
(iv) Any and all present and future equipment, fixtures, and articles of personal property now or
hereafter located on the Premises or attached to or used in and about or related to the planning,
development, financing or operation of the Premises, including, but not limited to, the types of
equipment, fixtures, and articles of personal property more particularly described as follows:
machines, engines, boilers, dynamos, elevators, stokers, tanks, awnings, screens, cabinets,
shades, blinds, carpets, draperies, furniture, lawn mowers and plumbing, heating, air
conditioning, lighting, ventilating, refrigerating, cooking, laundry, and incinerating equipment,
and all such fixtures and appurtenances thereto, and such other goods and chattels and personal
property as are ever used or furnished in constructing or operating the Premises or the activities
conducted therein, and all renewals or replacements thereof, or articles in substitution therefor or
additions thereto, including, but not limited to those items of personalty described in Exhibit "B"
attached hereto and made a part hereof for all purposes;
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(v) Any and all proceeds arising from or by virtue of the sale, lease, or other disposition of any
of the foregoing property and items set forth in (i) through (iv), preceding, or in (a) preceding;
(vi) Any and all proceeds payable or to be payable under each policy of insurance relating to the
Premises;
(vii) Any and all proceeds arising from the taking of all or a part of the Premises for any public
or quasi - public use under any law, or by right of eminent domain, or by private or other
purchase in lieu thereof;
(viii) Any and all leases relating to the property as the same now exists, or is hereinafter
constructed;
(ix) Any and all contracts of sale entered into as to the purchase of the premises or any of the
items described herein.
(c) All other interest of every kind and character which Grantor now has or at any time hereafter
acquired in and to the property described or referred to in Paragraphs (a) and (b), preceding, and
all property which is used or useful in connection with the Premises, including but not limited to,
tradenames, sign inventory and the like, together with all additions to the property described in
these paragraphs (a), (b) and (c), accessions thereto, and replacements thereof, all of which is
sometimes referred to collectively as the "Property".
All property and interests described or referred to in Paragraphs (a), (b) and (c), preceding, are
sometimes hereinafter referred to collectively as the "Property".
TO HAVE AND TO HOLD the Property, together with all and singular the rights,
hereditaments and appurtenances in any wise appertaining or belonging thereto, unto Trustee,
and his successors or substitutes in this trust, and its and their assigns, in trust and for the uses
and purposes hereinafter set forth, forever. Grantor, for Grantor and Grantor's successors, hereby
agrees to warrant and forever defend, all and singular, the Property unto Trustee, and his
successors or substitutes in this trust, and to his and their assigns, forever, against every person
whomsoever lawfully claiming or to claim the same or any part thereof. As used herein, the term
"Grantor's successors" means each and all of the successors and assigns of Grantor, both
immediate and remote.
Grantor hereby grants to _____________________ , ("Beneficiary"), and its successors and
assigns, a security interest in the Property, and each and every part thereof, and in all proceeds
from the sale, lease, or other disposition therefor and in all sums, proceeds funds, and reserves
described or referred to herein, provided that the grant of a security interest in proceeds shall not
be deemed to authorize any action otherwise prohibited herein.
ARTICLE I
INDEBTEDNESS
Secured Indebtedness
1.1. This conveyance is made in Trust, however, to secure the payment of a promissory note of
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even date herewith in the principal sum of $______________, executed by
______________________________, payable to the order of
________________________, and being further described as follows: In the principal sum
of $____________________, being due and payable, and bearing interest as therein
provided. The liens securing the payment of the note hereby secured are subordinate and
inferior to the liens securing the payment of other obligations listed in Exhibit "C",
attached hereto and made a part hereof for all purposes, said indebtedness being incurred
by ___________________________ and in the event of default by
____________________ under the terms and conditions of any of said obligations
described in Exhibit "C" and the liens securing the payment of same, shall likewise
constitute a default under the terms and conditions hereof and may, at the option of the
holder of the herein secured note, result in acceleration of maturity of the herein described
note and foreclosure hereof. This Deed of Trust shall secure, in addition to the said note,
all funds hereafter advanced by Beneficiary to or for the benefit of Grantor, as
contemplated by any covenant or provision herein contained or for any other purposes, and
all other indebtedness, of whatever kind or character, owing or which may hereafter
become owing by Grantor to Beneficiary, whether such indebtedness is evidenced by note,
open account, overdraft, endorsement, surety agreement, guaranty, or otherwise, it being
contemplated that Grantor may hereafter become indebted to Beneficiary in further sum or
sums. This Deed of Trust shall also secure all renewals and extensions of any of the
indebtedness secured hereby.
Beneficiary
1.2. The term "Beneficiary" shall mean the designated payee of the note described in Paragraph
1.01, above, or any subsequent lawful owner or holder of such note or of any indebtedness
secured hereby.
Payment of Indebtedness
1.03. If Grantor shall do and perform each and all of the covenants and agreements herein
contained and make prompt payment of the indebtedness secured hereby as the same
shall become due and payable, then this conveyance shall become null and void and of
no further force and effect, and this conveyance shall be released at the expense of
Grantor.
ARTICLE II
COVENANTS AND AGREEMENTS OF GRANTOR
Ownership of Property
2.01. Grantor is the lawful fee simple owner of the Property, and has the right to convey the
same. The Property is free from all liens, encumbrances, easements, rights - of - way,
restrictions, covenants, reservations, or other conditions, except as set forth herein.
Grantor also represents and warrants that:
(a) Grantor has authority to execute and deliver this Deed of Trust;
(b) The Personal Property is and will be used as equipment in Grantor's business
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and not as inventory, or as goods leased or held for lease by Grantor but not held
for sale;
(c) With respect to each Grantor who is an individual, no part of the Property
constitutes a part of its business or residential homestead;
(d) Grantor is lawfully seized of the Property.
Payment of Taxes
2.02. Grantor shall pay, or cause to be paid, all lawful taxes and assessments of every character
in respect of the Property as the same become due and payable.
Maintenance and Repair
2.03. Grantor shall keep the improvements on the Property in good repair and condition, shall
not permit or commit any waste thereon, and shall keep the buildings thereon occupied
so as not to impair the insurance carried thereon. Grantor shall promptly make all
necessary repairs, renewals and replacements. Grantor will discharge all claims for labor
performed and material furnished therefor and will not suffer any lien of mechanic's or
materialmen therefor to attach to any part of the Property; and Grantor will guard every
part of the Property from removal, destruction, and damage, and will not do or suffer to
be done any act whereby the value of any part of such Property may be lessened.
Insurance
2.04. Grantor shall insure and keep insured all improvements now or hereafter created on the
Property against loss or damage by fire and windstorm, and any other hazard or hazards
as may be reasonably required from time to time by the Beneficiary during the term of
the indebtedness secured hereby, to the extent of the original amount of the indebtedness
secured hereby, or to the extent of the full insurable value of the improvements,
whichever is greater and in such form and with such insurance company or companies as
may be approved by the Beneficiary. Grantor shall deliver to Beneficiary the insurance
policy with a mortgage indemnity clause as directed by Beneficiary and shall deliver
renewals of the policy to Beneficiary at least thirty days before the expiration of the
policy. Any proceeds that Beneficiary may receive under such insurance policy or
policies may be applied by Beneficiary, at its discretion, to reduce the indebtedness
secured hereby whether then matured or to mature in the future, and in such manner as
Beneficiary may elect, or Beneficiary may permit Grantor to use the proceeds to repair or
replace all the improvements damaged or destroyed and covered by the insurance policy
or policies.
Payment of Indebtedness
2.05. Grantor will pay all of the indebtedness secured hereby, together with the interest and
other charges thereon, when the same shall become due, in accordance with the terms of
the note or other instruments evidencing said indebtedness or evidencing any renewal or
extension of the same or any part thereof.
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Compliance
2.06. Grantor shall comply with all valid laws, ordinances and regulations, whether state,
federal, or municipal, applicable to the Property and its ownership, use and operation
(but Grantor shall have the right to contest any of the same, and need not comply with
this covenant with respect to such contested items prior to the time a judgment therein
becomes final and no longer appealable).
Loan Agreement
2.07. It is understood and agreed that the funds to be advanced on the note hereinabove
described are being advanced in accordance with a certain loan agreement made by and
between Grantor and Beneficiary, dated of even date herewith, which said loan
agreement is incorporated herein by reference to the same extent and effect as if fully set
forth herein and made a part of this Deed of Trust - Security Agreement. This Deed of
Trust - Security Agreement secures the payment of all sums in the performance of all
covenants required of Grantor by said loan agreement, and the failure of Grantor to keep
and perform all of the covenants, conditions and agreements of said loan agreement,
including payment of the principal sum of the said indebtedness and all interest and other
charges provided for herein and therein and secured hereby shall, at the option of the
Beneficiary of this Deed of Trust, become due and payable, anything herein contained to
the contrary notwithstanding.
ARTICLE III
DEFAULT
Events of Default
3.01. As used herein, the term "default" shall mean the occurrence of any of the following
events:
(1) The failure of Grantor to pay or cause to be paid the indebtedness secured hereby or
any part thereof, as it becomes due in accordance with the terms of the note or notes
which evidence it or where accelerated pursuant to any power to accelerate.
(2) The failure of Grantor punctually and properly to perform any covenant, agreement
or condition contained herein or in the note, or any renewal or extension thereof, or any
other instrument securing or evidencing the indebtedness or any loan agreement executed
pursuant to this transaction and indebtedness.
(3) If Grantor or any Guarantor or Maker of the Note secured hereby shall (a) execute an
assignment for the benefit of itself or its creditors, or (b) become or be adjudicated
bankrupt or insolvent, or (c) admit in writing its inability to pay its debts generally as
they become due, or (d) apply for or consent to the appointment of a receiver, trustee or
liquidator of Grantor or any such Guarantor or of all or a substantial part of itself or its
assets, or (e) file a voluntary petition in bankruptcy or to take advantage of or seek any
other relief under any bankruptcy, reorganization, debtor's relief, or other insolvency law
now or hereafter existing, or (f) file an answer admitting the material allegations of, or
consenting to, or default in, a petition filed against Grantor or any Guarantor in any
Page 5 of 11
bankruptcy, reorganization, or other insolvency proceedings, or (g) institute or
voluntarily be or become a party to any other judicial proceedings intended to effect a
discharge of the debts of Grantor or any Guarantor, in whole or in part, or a
postponement of the maturity or the collection thereof, or a suspension of any of the
rights or powers of Beneficiary granted in the Note or in this Deed of Trust.
(4) The vesting in any party other than Grantor of the ownership of the Property or any
part thereof.
(5) The discovery by Beneficiary that any statement, representation or warranty in the
Note or this Deed of Trust or in any writing ever delivered to Beneficiary pursuant to the
provisions hereof, is false, misleading or erroneous in any material respect.
(6) Condemnation of a sufficient part of the Property as to materially affect Grantor's
ability to perform its obligations hereunder.
(7) An order, judgment or decree shall be entered by any court of competent jurisdiction
appointing a receiver, trustee or liquidator of Grantor or any Guarantor of all or any
substantial part of Grantor's or any such Guarantor's assets.
(8) The failure of Grantor or any Guarantor to pay any money judgment against it at least
ten (10) days' prior to the date on which the assets of Grantor or any such Guarantor may
be sold to satisfy such judgment.
(9) The failure to have discharged within a period of ten (10) days after the
commencement thereof any attachment, sequestration or similar proceedings against any
of Grantor's or any of Guarantor's assets.
(10) The filing of any lien, voluntary or involuntary, on any part of the Property.
Effect of Default
3.02. On the occurrence of any event of default, Beneficiary may at its option:
(1) Remedy or cure such default by taking such action necessary to do so, including,
without limitation, making any payments on principal, interest, penalties and attorney's
fees with respect to any prior lien indebtedness, payment of insurance premiums,
payment of taxes and assessments, or such other action as Beneficiary deems necessary to
protect the lien created by this Deed of Trust. Any sums so paid shall bear interest from
the dates of such payment at the maximum rate allowed by law, and shall be paid by
Grantor on demand and shall become a part of the debt secured hereby and recoverable
as such in all respects; or
(2) Declare all sums secured hereby immediately due and payable without demand or
notice. In the event of default in the payment of said indebtedness when declared due, it
shall thereupon, at any time thereafter, be the duty of the Trustee, or its successor or
substitute as hereinafter provided, at the request of Beneficiary (which request is hereby
conclusively presumed), to enforce this trust; and after advertising the time, place and
terms of the sale of the above - described and conveyed real property for twenty - one (21)
days prior to the date of sale by posting written or printed notices thereof on the
courthouse door of each county in which such real property is situated and after sending
written notice of the time, place and terms of the sale of the above - described and
conveyed real property by certified mail to each person obligated to pay the indebtedness
secured hereby according to the records of the Beneficiary at least twenty - one (21) days
preceding the date of sale at the most recent address as shown by the records of the
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Beneficiary; which notices may be posted or mailed by the Trustee acting, or by any
person acting for him, to sell the above described and conveyed real property at public
auction in accordance with such notice at the courthouse door of the county in which
such real property is situated (provided where said real property is situated in more than
one county, said above described and conveyed real property may be sold at the
courthouse door of any one of such counties, and the notices shall designate the county
where the Property will be sold), on the first Tuesday in any month between the hours of
ten o'clock a.m. and four o'clock p.m., to the highest bidder for cash, selling all of the
Property as an entirety or in such parcels as the Trustee acting may elect, and make due
conveyance to the Purchaser or Purchasers, with general warranty binding Grantor, its
successors and assigns, and out of the money arising from such sale, the Trustee acting
shall pay first all the expenses of advertising the sale and making the conveyance,
including a commission of (5%) percent to himself, which commission shall be due and
owing in addition to the attorney's fees provided for in the note, and then to Beneficiary
the full amount of principal, interest, attorney's fees and other charges due and unpaid on
said note and all other indebtedness secured hereby, rendering the balance of the sales
price, if any, to Grantor, its successors and assigns, and the recitals in the conveyance to
the Purchaser or Purchasers shall be full and conclusive evidence of the truth of the
matters therein stated, and all pre - requisites to said sale shall be presumed to have been
performed and such sale and conveyance shall be conclusive against Grantor, its
successors and assigns. It is specifically agreed that Beneficiary may be a purchaser at
any such foreclosure sale and on being the highest bidder may have the amount for which
the Property is sold credited on the indebtedness owed to it.
Possession of Premises
3.03. In case the lien hereof shall be foreclosed by Trustee's sale or by judicial action, the
Purchaser at any such sale shall receive, as an incident to its ownership, immediate
possession of the Property purchased, and Grantor agrees for Grantor and all persons
claiming under Grantor, that if Grantor or any such person shall hold possession of said
Property, or any part thereof, subsequent to foreclosure, Grantor or the parties so holding
possession shall be considered as tenants at sufferance of the purchase at the foreclosure
sale.
Remedies
3.04. The rights and remedies hereinabove expressly conferred are cumulative of all other
rights and remedies herein, or by law or in equity provided, and shall not be deemed to
deprive Beneficiary or Trustee of any such other legal or equitable rights or remedies, by
judicial proceedings or otherwise, appropriate to enforce the conditions, covenants and
terms of this Deed of Trust and of the Note, and the employment of any remedy
hereunder, or otherwise, shall not prevent the concurrent or subsequent employment of
any other appropriate remedy or remedies.
ARTICLE IV
AGREEMENTS BETWEEN BENEFICIARY AND GRANTOR
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Assignment of Rents
4.01. Beneficiary is hereby assigned, as further security of the indebtedness hereunder, all rents
issuing or to hereafter issue from the Property, together with the proceeds of all sales
contracts entered into for an individual unit or units or for an undivided interest in the
property, no matter the form of such conveyance. Beneficiary, its agents and
representatives, are hereby authorized, in the event of default in the payment of any
indebtedness secured hereby, to collect such rents, or proceeds of such sales contracts,
and to apply the collected rents, or proceeds of sales contracts, less the reasonable costs
and expenses of collection thereof, to the payment of the indebtedness secured hereby,
whether then matured or to mature in the future, and in such manner as Beneficiary may
elect. The collection of such rents or sales proceeds by Beneficiary shall not constitute a
waiver of its right to proceed with the enforcement of this Deed of Trust.
Unsecured Portion of the Indebtedness
4.02. If any portion of the indebtedness hereunder cannot be lawfully secured by this Deed of
Trust, then the first installment and other payments made under this Deed of Trust shall
be applied to the discharge of the unsecured portion of the indebtedness and payments
thereafter shall be applied to the discharge of the secured portion of the indebtedness.
Condemnation
4.03. Beneficiary shall be entitled to receive any and all sums which become payable to
Grantor as a result of condemnation proceedings or the threat thereof, or which become
payable to Grantor as damages caused by public works or construction on or near the
Property; all such sums are hereby assigned, as further security for the indebtedness
hereunder, to Beneficiary who may, after deducting therefrom all expenses actually
incurred, including attorney's fees, release such sums to Grantor or apply such sums to
the reduction of the indebtedness hereby secured, whether then matured or to mature in
the future, in such manner as Beneficiary may elect; and Beneficiary shall not, in any
event or circumstances, be liable or responsible for the failure to collect, or to exercise
diligence in the collection of any such sums.
Lawful Rates of Interest
4.04. All agreements between Grantor and Beneficiary are hereby expressly limited so that in
no contingency or event whatsoever shall the amount paid, or agreed to be paid, to
Beneficiary for the use, forbearance or detention of the money due under the note
secured hereby exceed the maximum amount permissible under applicable law. If, from
any circumstances whatsoever, fulfillment of any provision hereof at the time
performance of such provisions shall be due shall involve transcending the limit of
validity prescribed by law, then, ipso facto, the obligation to be fulfilled shall be reduced
to the limit of such validity, and if from any circumstances Beneficiary should ever
receive as interest an amount that would exceed the highest lawful rate, such amount that
would be excessive interest shall be applied to the reduction of the principal amount
owing under the note secured hereby and not to the payment of interest or at the option
Page 8 of 11
of the Beneficiary such amount shall be refunded to Grantor.
Security Agreement
4.05. With respect to the real and personal property hereinabove described, this Deed of Trust
shall constitute a security agreement between Grantor and Beneficiary, and, cumulative
of all other rights of Beneficiary hereunder, Beneficiary shall have all of the rights
conferred on secured parties by the Uniform Commercial Code. Grantor will execute and
deliver to Beneficiary all financing statements that may from time to time be required by
Beneficiary to establish and maintain the validity and priority of the Beneficiary's
security interest in such property, such financing statements to be executed in the manner
and form required by law and to the satisfaction of Beneficiary. Grantor agrees to pay
Beneficiary's charge, to the maximum amount permitted by law, for any statement by
Beneficiary regarding the obligations secured by this Deed of Trust requested by Grantor
or on behalf of Grantor. On demand, Grantor will promptly pay all costs and expenses of
filing financing statements, continuation statements, partial releases and termination
statements deemed necessary or appropriate by Beneficiary to establish and maintain the
validity and priority of the security interest of Beneficiary, or any modification thereof
and all costs and expenses of any searches reasonably required by Beneficiary.
Beneficiary may exercise any or all of the remedies of a secured party available to it
under the Uniform Commercial Code with respect to such property, and it is expressly
agreed that if on default Beneficiary should proceed to dispose of the collateral in
accordance with the provisions of the Uniform Commercial Code, ten (10) days' notice
by Beneficiary to Grantor shall be deemed to be reasonable notice under any provision of
the Uniform Commercial Code requiring such notice; provided, however, that
Beneficiary may at its option dispose of the collateral in accordance with Beneficiary's
rights and remedies in respect of the real property pursuant to the provisions of this Deed
of Trust, in lieu of proceeding under the Uniform Commercial Code.
The Grantor shall give advance notice in writing to Beneficiary of any proposed change
in Grantor's name, identity, or legal structure and will execute and deliver to Beneficiary,
prior to or concurrently with the occurrence of any such change, all additional financing
statements that Beneficiary may require to establish and maintain the validity and priority
of the Beneficiary's security interest with respect to any and all goods and property
described or referred to herein.
Deed of Trust as Financing Statement
4.06. Some of the items of property described herein are goods that are or are to become
fixtures related to the real estate described herein, and it is intended that, as to those
goods, this Deed of Trust shall be effective as a financing statement filed as a fixture
filing from the date of its filing for record in the real estate records of _______________
County, Texas. The name of the record owner of said real estate is ________________.
Information concerning the security interest created by this instrument may be obtained
from the Beneficiary, as secured party, at _________________, __________, Texas.
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ARTICLE V
MISCELLANEOUS
Successor Trustee
5.01. At the option of the Beneficiary, with or without any reason, a successor or substitute
trustee may be appointed by Beneficiary without any formality other than a designation
in writing of a successor or substitute trustee, who shall thereupon become vested with
and succeed to all the powers and duties given to the Trustee herein named, the same as
if the successor or substitute trustee had been named original Trustee herein; and such
right to appoint a successor or substitute trustee shall exist as often and whenever
Beneficiary desires. If Beneficiary is a corporation, the corporation may act through any
authorized officer, or by an agent or attorney - in - fact properly authorized by any such
officer.
Notice of Sale by Trustee
5.02. The notice of the time, place and terms of the sale of the above described and conveyed
property by the Trustee required to be given to the Grantor pursuant to Paragraph 4.02,
hereof, shall be in writing. Such notice shall be served by certified mail and service of
such notice shall be deemed completed on deposit of the notice, enclosed in a postpaid
wrapper, properly addressed to the Grantor at the address as shown by the records of the
Beneficiary, in a post office or official depository under the care and custody of the
United States Postal Service. Until changed in accordance herewith, the following
address is specified as the most recent address of the Grantor as shown by the records of
Beneficiary:
GRANTOR: ____________________
Other Notices
5.03. Whenever any notice or demand, other than the notice of sale by Trustee described in
Paragraph 5.02, hereof, is required or permitted hereunder, such notice or demand must
be in writing. Any notice, demand, payment or document required or permitted to be
delivered hereunder shall be deemed to be delivered, whether actually received or not,
when deposited in the United States mail, postage prepaid, addressed to the person who
is to receive it at the address which such person has theretofore specified by written
notice delivered in accordance herewith. Until changed in accordance herewith, the
following addresses are specified as the addresses for Grantor and Beneficiary for
receiving notices, demands, payments and documents:
BENEFICIARY: ________________________________
GRANTOR: ___________________________________
When included within the term "Grantor" or "Beneficiary" there is more than one person,
shall jointly arrange among themselves for their joint execution and delivery of a notice
to the other, specifying some person at some specific address for the receipt of notices,
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demands, payments or documents. All persons included within the terms "Grantor" and
"Beneficiary" shall be bound by notices, demands, payments and documents given in
accordance with the provisions of this paragraph to the same extent as if each had
received such notice, demand, payment of document.
Texas Law to Apply
5.04. This Deed of Trust shall be construed under and in accordance with the laws of the State
of Texas and all obligations created hereunder are performable in _____________
County, Texas.
Parties Bound
5.05. This Deed of Trust shall be binding on and inure to the benefit of the parties hereto and
their respective successors and assigns except as otherwise expressly provided herein.
Legal Construction
5.06. In case anyone or more of the provisions contained in this Deed of Trust shall for any
reason be held to be invalid, illegal or unenforceable in any respect, such invalidity,
illegality or unenforceability shall not affect any other provision hereof and this
Agreement shall be construed as if such invalid, illegal or unenforceable provision had
never been contained herein.
Time of Essence
5.07. Time is of the essence of this Deed of Trust.
EXECUTED this the _______ day of ______________, 20_______, in _____________ County,
Texas.
_________________________________
THE STATE OF TEXAS
COUNTY OF _____________
The foregoing instrument was duly acknowledged before me on the _____ day of
__________________________ 20______, by ____________________.
_________________________________
Notary Public, State of Texas
[Seal]
Name Printed_____________________
Commission Expires_______________
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