Fill and Sign the Mortgage Note 497332286 Form

Mortgage Note $             (city and state)       (date) FOR VALUE RECEIVED, the undersigned       , and (Borrower)       do hereby jointly and severally promise to pay to (Borrower)       on order, the (Name of Lender) principal sum of       Dollars ($       ), together with interest thereon from date at the rate of       Percent (       %) per annum on the unpaid balance until paid. The said principal and interest shall be payable at       , (Address of Lender) or at such other place as the holder hereof may designate in writing, in       (       ) (number) consecutive monthly installments of       and       /100 Dollars ($       ). The first of said installments shall be due and payable on the first day of       , 20       , and each subsequent monthly installment shall be due and payable on the first day of each succeeding month thereafter until the entire indebtedness evidenced by this Note is fully paid, except any remaining indebtedness, if not sooner paid, shall be due and payable on       , 20       . The undersigned may prepay the principal amount outstanding in whole or in part without penalty. The holder of this Note may require that any partial prepayments (i) be on the date monthly installments are due, and (ii) be in the amount of that part of one or more monthly installments which would be applicable to principal. The undersigned further promise to pay the holder of this Note a late charge of       Percent (       %) of any monthly installment not received by the Noteholder within fifteen (15) days after the installment is due. It is agreed that in the event default is made in the payment of this Note at maturity, or of any installment thereof, whether maturing by expiration of time, by default as herein provided, or as provided in the Deed of Trust given in security hereof, and the same is placed in the hands of an attorney for collection, then an additional amount of       Percent (       %) on the principal and interest of this Note shall be added to the same as a collection fee, and the failure to pay any installment when due shall mature the entire indebtedness at the option of the holder of this Note. Mortgage Note Page 1 of 2 The makers, signers, drawers, guarantors, sureties and endorsers hereof severally waive presentation for payment, demand, protest, diligence in collecting, notice of dishonor, notice of extension of time, and notice of protest or nonpayment. This Note is to be secured by a Deed of Trust on certain real estate located in       County, state of       , as described in said Deed of Trust. WITNESS OUR SIGNATURES, as of the day and date first above named. (Borrower) (Borrower)             ( Print or Type Name) (Print or Type Name) Mortgage Note Page 2 of 2