$ __________
Dated: ______________________________ , 20 _____
For value received,
____________________________________________________ , Borrower,
address:
promises to pay
____________________________________________________ , Noteholder,
address:
the principal amount of $ __________ , with interest at the annual rate of __________ per-
cent, on any unpaid balance.
Payment on this note is due and payable to the Noteholder in full on or before
______________________________ , 20 _____ .
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
Promissory Note (Lump Sum Repayment)
