Date:
FOR VALUE RECEIVED, the undersigned promises to pay to the order
of______________________________HOLDER the sum of $____________ payable with interest thereon at a rate of________% per annum on the unpaid balance.
The entire sum of
principal and accrued interest shall be fully payable on the
________day of ____________________, 200(x).
In the event of default in payment the undersigned agrees to pay all solicitors fees and costs of collection.
________________________ ________________________
_________________________________________________
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