Promissory Note Template printable pdf download

Promissory Note Template

PROMISSORY NOTE

PECFA #: _____________________________

Vendor: ____________________________

Site Name: _______________________________ Invoice No. _________________________

Site Address:______________________________ Invoice Date: ________________________

Work Performed:___________________________ Invoice Amount: _____________________

Payer (consultant) Name and Address:

Payee (commodity provider) Name and Address:

Principal Amount: $________________Initial Rate: 0.00 Date of Note:________________

PROMISE TO PAY: (Consultants Company Name) (payer), acting as agent for the above listed

site, promises to pay to (subcontractor) (payee), or order, in lawful money of the United States of

America, the principal amount of ________________________________($

) payable

upon receipt of PECFA (Petroleum Environmental Cleanup Fund Award) payment, regardless of

PECFA eligibility.

PAYMENT: Payer will make payment of the full amount of this loan, first by ASSIGNMENT

of the PECFA reimbursement to (Consultants Company Name) up to the amount of this loan

with one principal payment of $________________ with Zero interest. If the proceeds from the

PECFA reimbursement are insufficient to pay the amount of the note, the payer will be liable to

pay the balance within 45 days unless the deficiency is proven to be due to a failure on the part

of the payee to meet the requirements of the PECFA reimbursement program under Wis. Stats.

§101.143 and Wis. Admin. Code NR 747.

Payer: ______________________________

Payee:___________________________

By: ________________________________

By: _____________________________

Date:_______________________________

Date:____________________________

Promissory Note Template