Promissory Note (Installment Note - Short Form)

(Installment Note - Short Form)




FOR VALUE RECEIVED, the undersigned jointly and severally

promise to pay to the order of _, the sum of _ ($_) Dollars,

together with interest thereon at the rate of _% per annum on

any unpaid balance.

Said sum, inclusive of interest, shall be paid in _

(monthly/weekly) installments of $_ each, with a first payment

due _, 20_, and a like amount on the same day of each

(month/week) thereafter until the full amount of this note and

accrued interest shall be fully paid. All payments shall be

first applied to accrued interest and the balance to

principal. The undersigned reserves the right to pre-pay this

note in whole or in part without penalty.

This note shall be fully payable upon demand of any

holder in the event the undersigned shall default in making

any payments due under this note within _ days of its due date.

In the event of any default, the undersigned agreed to

pay all reasonable attorney fees and costs of collection to

the extent permitted by law. This note shall take effect as a

sealed instrument and be enforced in accordance with the laws

of the payee's state.





Dated: _





________________________________