__________(city, state, date)_____

FOR VALUE RECEIVED, WE, THE UNDERSIGNED, jointly and
severally promise to pay, in lawful money of the United
States of America, to the order of (name of lender) at
(address of lender), (amount) ( ) Dollars
in installments as follows:

(amount of payment) on (date), and (number)
successive payments of (amount) beginning on
(date of payment) together with a delinquency charge
on each installment in default for days in an
amount equal to percent of such installment
but not less than $ .

In the event of default in the payment of any of the
said installments or said interest when due as herein
provided, time being of the essence hereof, the holder of
this note may, without notice or demand, declare the entire
principal sum then unpaid immediately due and payable.
The holder of this note may, with or without notice
to any of us, cause additional parties to be added hereto,
or release any party hereto, or revise, extend, or renew
the note, or extend the time for making any installment
provided for herein, or accept any installment in advance,
all without affecting the liability of us, or any of us,
hereon.

If suit be commenced on said note, the parties hereto
jointly and severally agree to pay to the holder of said
note a reasonable attorney fee.

The borrower agrees to pay a reasonable collection
charge should collection be referred to a collection
agency or to the payee`s collection facilities.

The parties hereto, jointly and severally, hereby waive
presentment, demand, protest, notice of dishonor and/or
protest and notice of nonpayment; the right, if any, to the
benefit of, or to direct the application of, any security
hypothecated to the holder until all indebtedness of the
borrower to the holder shall have been paid; the right to
require the holder to proceed against the borrower, or to
pursue any other remedy in the holder’s power; and agree
that the holder may proceed against us directly and
independently of the borrower, and that the cessation of
Continuation of 5037
liability of the borrower for any reason, other than
full payment, or any revision, renewal, extension,
forebearance, change of rate of interest, or acceptance,
release or substitution of security, or any impairment or
suspension of the holder’s remedies or rights against the
borrower, shall not in anywise affect the liability of any
of the parties hereto.

The parties hereto hereby authorize (payee) to
date this note as of the day when the loan evidenced hereby
is made and to complete this note in any other particular
according to the terms of the said loan.

It is agreed that if the parties hereto, or any of
them at any time fail in business or become insolvent, or
commit an act of bankruptcy, or if any deposit account or
other property of the parties hereto, or any of them, be
attempted to be obtained or held by writ of execution,
garnishment, attachment, or other legal process, or if any
assessment for taxes against the parties hereto, or any of
them, other than taxes on real property, is made by the
federal or state governemt, or any department thereof, or
if the parties hereto fail to notify you of any material
change in their financial condition, then, and in such case
all of the obligations of the parties hereto to you, or
held by you, shall at your option immediately become due
and payable without demand or notice.

Signatures Address
_______________________ _______________________________
Borrower
_______________________ _______________________________
Co-Maker