The Borrower Who is the Borrower? Who is the Borrower? Business EntityIndividual(s) How many Individuals? Choose12345 Borrower (Business Entity) Business's Name Who is Signing on behalf of the Business Entity? First Last This individual must have the authority to borrow money on behalf of the business. What is their Title? What is their Title? CEOPresidentVice PresidentOfficerOther Their title within the business Title Borrower (Individuals) Borrower's Name First Last 2nd Borrower's Name First Last 3rd Borrower's Name First Last 4th Borrower's Name First Last 5th Borrower's Name First Last Borrower's Mailing Address Do you know the Borrower's Mailing Address? Do you know the Borrower's Mailing Address? YesNo Borrower's Mailing Address Street Address Address Line 2 City Please SelectAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWashington DCWest VirginiaWisconsinWyoming State ZIP Code Enter the Loan Amount: $ The amount of money being borrowed. This loan is: This loan is: Secured - An asset is pledged as security for repayment.Unsecured - Nothing is pledged. It's recommended to have debt be secured. This means that if the Borrower fails to pay the money back the Lender would get the secured property (i.e. vehicle, jewelry, real estate, etc.) Enter the Security that will be Provided by the Borrower Interest Rate % Enter 0% if there is no interest. The Maximum Interest Rate (%) a lender may charge is set by the State's Usury Laws. The Lender Who is the Lender? Who is the Lender? Business EntityIndividual(s) How many Individuals? Choose12345 Business Entity (Lender) Business Entity's Name Who is Signing on behalf of the Business Entity? First Last What is their Title? What is their Title? CEOPresidentVice PresidentOfficerOther Title Individual(s) (Lender) Lender's Name First Last 2nd Lender's Name First Last 3rd Lender's Name First Last 4th Lender's Name First Last 5th Lender's Name First Last Lender's Mailing Address Do you know the Lender's Mailing Address? Do you know the Lender's Mailing Address? YesNo Lender's Mailing Address Street Address Address Line 2 City Please SelectAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWashington DCWest VirginiaWisconsinWyoming State ZIP Code Start Date When will the Borrower RECEIVE the money? Scheduled Payments Will the Borrower re-pay the Lender in Scheduled Payments? Will the Borrower re-pay the Lender in Scheduled Payments? YesNo A repayment schedule consists of payments made by the Borrower on a weekly or monthly basis. Scheduled Payments will be: Scheduled Payments will be: Principal + InterestInterest Only First (1st) Payment is Due on Date when the Borrower is required to start making scheduled payments to the Lender. Afterward, Payments will be made every Afterward, Payments will be made every Every WeekEvery MonthEvery QuarterOther Select the payment schedule. Which Day of the Week is Payment Due? MondayTuesdayWednesdayThursdayFridaySaturdaySunday Payment is Due on the _______________________ of the Month First (1st)Second (2nd)Third (3rd)Fourth (4th)Fifth (5th)Sixth (6th)Seventh (7th)Eighth (8th)Ninth (9th)Tenth (10th)Eleventh (11th)Twelfth (12th)Thirteenth (13rd)Fourteenth (14th)Fifteenth (15th)Sixteenth (16th)Seventeenth (17th)Eighteenth (18th)Nineteenth (19th)Twentieth (20th)Twenty-First (21st)Twenty-Second (22nd)Twenty-Third (23rd)Twenty-Fourth (24th)Twenty-Fifth (25th)Twenty-Sixth (26th)Twenty Seventh (27th)Twenty-Eighth (28th)Twenty-Ninth (29th)Thirtieth (30th) Describe the Payment Schedule Installments Do You Wish To Specify the Exact Amount Due Each Installment? Do You Wish To Specify the Exact Amount Due Each Installment? YesNo If you select "No" the form will state all payments due are "equal installments." This means the amount due on the specified basis will be a number that is equal to the total debt divided by the total number of payments. Enter the Amount Due Each Installment $ Enter the dollar amount due at each installment period. Due Date Final Payment is due by Late Fee Will there be a Late Fee ($) charged to the Borrower if a payment is late? Will there be a Late Fee ($) charged to the Borrower if a payment is late? YesNo Late Fee shall be a Late Fee shall be a ($) Dollar Amount(%) Percentage of the Payment Owed(%) Percentage of the Total BalanceOther Enter the Amount $US Dollars Enter the Percentage % This is on the payment due and not the balance owed. So if the interest rate is 1% and a payment of $1,000 is late, the fee would be $10. Enter the Percentage % This is calculated as the principal balance owed. So if the interest rate is 1% and the balance is $10,000 the late fee would equal $100. The Late Payment shall be calculated as: Late Fee is calculated as Late Fee is calculated as Every Day Payment is LateAs a 1-Time Fee when Payment is Late Interest Rate (Late Payment) Will there be a higher interest rate (%) for money not paid on-time? Will there be a higher interest rate (%) for money not paid on-time? YesNo, the Interest Rate will stay the same Enter the Increased Interest Rate % Calculated per annum. Pre-Payment Penalty Will there be a Pre-Payment Penalty? Will there be a Pre-Payment Penalty? YesNo This is a fee that is paid by the Borrower if they should pay-off the note before it's due. The Pre-Payment Penalty will be described as a The Pre-Payment Penalty will be described as a ($) Dollar Amount(%) Percentage of the Remaining Principal Balance(%) Percentage of the Total Loan AmountOther The Pre-Payment Penalty is a one (1) time fee that is paid by the Borrower. Enter Percentage % Penalty Amount $ The Pre-Payment Penalty shall be calculated as: Guarantor Will anyone be "Guaranteeing" this Note? Will anyone be "Guaranteeing" this Note? YesNo A Guarantor, also known as a Co-Signer, is someone else other than the borrower that will be guaranteeing the payment of this note including any interest, late fees, etc. How many Guarantors? Choose12 Guarantor(s) Name(s) Guarantor's Name First Last 2nd Guarantor's Name First Last Additional Terms Would you like any additional terms or conditions? Would you like any additional terms or conditions? YesNo Please explain any additional terms or conditions: State Where will this Agreement be signed? Please SelectAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWashington DCWest VirginiaWisconsinWyoming Next Save Save and finish later