$ 00,000.00 [CITY STATE]
[DATE]
For VALUE RECEIVED, the undersigned (jointly and
severally,if more than one) promises to pay to _________
____________the principal sum of _______________________
____________DOLLARS, ($00,000.00) with interest from date
at the rate of ______ ( ) percent per annum on the
balance from time to time remaining unpaid. The said
principal and interest shall be payable in lawful money
of the United States of America at_________________
_____________________ or at such place as may hereafter
be designated by written notice from the holder to the
maker hereof, on the date and in the manner following:
UPON DEMAND AFTER--------------------.
Maker's Address _____________________________(SEAL)
_____________________________(SEAL)
____________________
_____________________________(SEAL)
