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1
2PROMISSORY NOTE
Borrower Information:
Name:
Date:
Street Address:
Date of Birth:
City:
Area code/Telephone number:
State:
Driver’s License Number:
Zip:
Social Security Number:
Lender Information:
Name:
Area code/Telephone number:
Street Address:
If paying by check, make check payable to:
City:
Send payments to:
State:
Zip:
Loan Information:
Loan Amount:
Loan Period:
Interest Rate:
Payment Schedule:
1. Promise to Pay. For value received, ____________________ (Borrower) promises to pay
____________________ (Lender) $___________ and interest at the yearly rate of _____% on the
unpaid balance as specified below.
2. Installments.
Borrower will pay ______ payments of $_____ each at monthly/yearly/_________ intervals on the
_____ day of the month.
Borrower will pay one lump payment on ______________ date.
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Parent category: Business