DATE:
The undersigned promises to pay to the order of____________________HOLDER, the sum of $______________, with interest at a rate equal to the rate paid by _______________________ (BANK NAME) on 30 day term deposits as at the 1st day of the month in each month until such time as the entire sum owing pursuant to this note, including principal and interest, is repaid, at the address of the holder.
FOR VALUE RECEIVED.
_______________________ _________________________
_________________________________________________
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