$ ________________19__

__________after date (without grace) I promise to pay to
the order of ______________________________________________
Net_________________________________________________DOLLARS
for value received with interest of ___________ percent per
__________from __________________________ until paid both
principal and interest payable only in LAWFUL MONEY OF THE
UNITED STATES.

Payable at _____________________________________

No. ________ Due ____________ __________________________
(signature)