Fill and Sign the Promissory Note Payments Form

Promissory Note with Payments Amortized for a Certain Number of Years $             (Location of Execution)       (Date) FOR VALUE RECEIVED, the undersigned       does (Name of Maker of Note) hereby jointly and severally promise to pay to       , or (Name of Payee) order, the principal sum of $       , together with interest thereon from date at the rate of       % per annum on the unpaid balance until paid. The said principal and interest shall be payable at       , or at such other place as the holder (Street Address, City, County, State, Zip Code) hereof may designate in writing, in       consecutive monthly installments of (Number) $       . The first of said install ments shall be due and payable on the first day of       , and each subsequent monthly installment shall be due and payable on the (Month and Year) 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       . (Date) 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. Any partial prepayment shall be applied against the principal amount outstanding and shall not postpone the due date of any subsequent monthly installments or change the amount of such installments, unless the holder of this Note shall otherwise agree in writing. The undersigned further promise to pay the holder of this Note a late charge of Four Percent (4%) 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       % 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. 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. Promissory Note Page 1 of 2 WITNESS my signature this the       day of       , 20       . (Signature of Maker)       (Printed Name of Maker) Promissory Note Page 2 of 2