PROMISSORY NOTE / PERSONAL LOAN AGREEMENT
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Effective Date: ________________________________________________________
Place: _________________________________________________________________

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1. Parties
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This document is made on ____________________ (____________________) by:

Borrower
Individual
Full Legal Name: _______________________________________________________
SSN / ID: ______________________________________________________________
Doc Series: ____________________________________________________________
Address: _______________________________________________________________
         _______________________________________________________________

In favor of:

Lender
Individual
Full Legal Name: _______________________________________________________
SSN / ID: ______________________________________________________________
Doc Series: ____________________________________________________________
Address: _______________________________________________________________
         _______________________________________________________________

2. SUBJECT-MATTER SCHEDULE & SPECIFICATIONS
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Principal Amount: ______________________________________________________
Interest Rate: _________________________________________________________
Repayment Schedule: ____________________________________________________
Final Due Date: ________________________________________________________
Late Payment Terms: ____________________________________________________

3. EXECUTION & SIGNATURES
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Borrower

Signature: _____________________________________________________________

Full Legal Name: _______________________________________________________
Date: __________________________________________________________________