Installment Note-bank Deposit As Collateral

INSTALLMENT NOTE -- BANK DEPOSIT AS COLLATERAL SECTION ONE TERMS OF NOTE For value received, (maker), of (address), in this note referred to as Maker, promise to pay to the order of (fi nancial institution), of (address), in this note referred to as Institution, the principal sum of ($) with interest thereon at percent ( %) per year in installm ent as follows: (amount) ($) in (number) (monthly) installments of ($) each, beginning on (date), continuing on the same day of each (month), and end ing on (date). SECTION TWO BANK DEPOSIT COLLATERAL Makers shall furnish collateral security for the indebtedness evidenced by this note by depositing with institution on (date), ($) for credit to the personal loan account number , in this note referred to as personal loan account, and an equal amount is to be deposited at regular (monthly) intervals thereafter, until the total sum equal to the face amount of this note is deposi ted. SECTION THREE DEFAULT IN DEPOSITS If Maker fails to deposit money as agreed in Section Two, Maker shall pay to Institution, as liquidated damages, cents for each dollar not deposited. SECTION FOUR PERSONAL LOAN ACCOUNT AS PAYMENT OF NOTE Wh en this note matures, by acceleration or any other manner, Institution may apply the amount on deposit in the personal loan account against the amount owing on this note. However, Maker shall still be liable for any indebtedness represented by this note th at remains unpaid after this application. SECTION FIVE SECURITY INTEREST IN OTHER PROPERTY IN POSSESSION OF INSTITUTION As security for the payment of this note and for the payment of all other debt of Maker to Institution, including debt of every kind an d description, direct or indirect, absolute or contingent, due or to become due, now existing or hereafter arising, and regardless of how the debt is evidenced, Maker grants to bank a continuing lien on all instruments, documents of title, policies of insu rance, deposits, moneys, or any other property now or hereafter owned by Maker now or hereafter in the possession or under the control of Institution. 20 01 251 American LegalNet, Inc. SECTION SIX ACCELERATION ON DEFAULT This note shall become immediately due at the option of Institution or other holder of this note without demand or notice on the occurrence of any of the following events: (a) failure to depo sit the appropriate amount in the personal loan account as specified in Section Two; (b) the death of, dissolution of, or beginning of any action to dissolve any maker or any endorser of this note; (c) commencement of any proceeding by or against any maker or any endorser under the federal Bankruptcy Act or any other present or future state or federal insolvency laws; (d) failure of any maker to furnish on request of Institution additional security satisfactory to Institution for this note within days after demand by Institution for such additional security; or (e) failure to pay any other obligation now or hereafter owing to Institution or any other holder of this note by any maker or by any endorser. SECTION SEVEN WAIVER OF PRESENTMENT, PROTEST, AND NOTICE OF DISHONOR Each Maker and each endorser of this note waives presentment, protest, and notice of dishonor and any other notice that may be required. SECTION EIGHT POWERS OF INSTITUTION IN DEALING WITH NOTE Each Maker and each endorser authorize s Institution to do the following without giving notice and without affecting the liability of any Maker or endorser: (a) date this note; (b) fill in any blank spaces in this note according to the terms on which Institution grants the loan; (c) correct pat ent errors; (d) cause the signature of one or more additional Maker or endorsers to be added to this note at any time; (e) extend the time of payment of this note in whole or in part; (f) sell, exchange, surrender, or otherwise deal with the property now o r hereafter securing this note; (g) assign this note or any security therefore to any other person. SECTION NINE CHOICE OF LAWS This note shall be governed by and construed in accordance with the laws of (state) in all respects, includin g matters of construction, validity, and performance. SECTION TEN JOINT AND SEVERAL LIABILITY The Makers of this note shall be jointly and severally liable. 2001 251 American LegalNet, Inc. SECTION ELEVEN CONFESSION OF JUDGMENT Each Maker and each endor ser of this note authorizes any attorney at law to appear in any court of record in (state) or any other state or territory of the United States after this note becomes due, by acceleration, or otherwise, and admit the maturity of this n ote, waive the issuing and service of process, and confess judgment against each Maker or endorser in favor of Institution or any other holder of this note for the amount then appearing due and the costs of collection, including reasonable attorney fees an d legal costs. Each Maker and each endorser shall also waive all errors, rights of appeal, and stays of execution. This is a joint and several warrant of attorney. Dated: Signatures of Make 2001 251 American LegalNet, Inc.