Fill and Sign the Note Form

Promissory Note (Secured) $ __________ Dated: ______________________________ , 20 _____ For value received, ____________________________________________________ , Borrower, address: promises to pay ____________________________________________________ , Noteholder, address: the principal amount of $ __________ , with interest at the annual rate of __________ percent, on any unpaid balance. Payments are payable to the Noteholder in __________________ consecutive installments of $ __________ , including interest, and continuing on the ________________ day of each _____________ until paid in full. If not paid off sooner, this note is due and payable in full on ______________________________ , 20 _____ . This note is secured by a security agreement dated ______________________________ , 20 _____ , which has also been signed by the Borrower. This note may be accelerated and demand for immediate full payment made by the Noteholder upon breach of any conditions of the security agreement. This note may be prepaid in whole or in part at any time without penalty. If the Borrower is in default more than ________________ days with any payment, this note is payable upon demand of any Noteholder. This note is not assumable without the written consent of the Noteholder. The Borrower waives demand, presentment for payment, protest, and notice. In the event of any default, the Borrower will be responsible for any costs of collection on this note, including court costs and attorney fees. _____________________________ Signature of Borrower _____________________________ Printed Name of Borrower