---------------------------------------------------------------------------- | | | Promissory Note | | | ---------------------------------------------------------------------------- ---------------------------------------------------------------------------- -------------------------- BORROWER INFORMATION ---------------------------- ---------------------------------------------------------------------------- Name: Street Address: ZIP / City: Country / State: Date of Birth: Loan Amount: Area code / Telephone number: Email Address: #bitcoin-otc Username: Driver's License Number: Social Security Number: PGP-Key ID: PGP-Key Fingerprint: Bitcoin Address: ---------------------------------------------------------------------------- ---------------------------- LENDER INFORMATION ---------------------------- ---------------------------------------------------------------------------- Name: Street Address: City: ZIP: State: Country: Area code/Telephone number: Email Address: #bitcoin-otc Username: PGP-Key ID: PGP-Key Fingerprint: Bitcoin Address: ---------------------------------------------------------------------------- ---------------------------- LOAN INFORMATION ------------------------------ ---------------------------------------------------------------------------- Loan Amount: Loan Period: Interest Rate: Payment Schedule: Bitcoin is a digital currency recognized by individuals and entities all over the world, hereafter referred to as "BTC". ---------------------------------------------------------------------------- ------------------------ TERMS AND CONDITIONS ------------------------------ ---------------------------------------------------------------------------- 1.Promise to pay ---------------- For value received, _____________________ (Borrower) promises to pay _____________________ (Lender) ____.________ BTC and interest at the rate of _.__% per [ ] day [ ] week [ ] month on the unpaid balance as specified below. 2.Installments -------------- [ ] Borrower will pay ___.________ BTC each at [ ] daily [ ] weekly [ ] monthly intervals. [ ] Borrower will pay one lump payment on __/__/____ date (00:00:00 UTC). [ ] Borrower will pay ___ payments of ___.________ BTC each at [ ] daily [ ] weekly [ ] monthly intervals with a final baloon payment of ___.________ BTC at the end of the loan term on __/__/_____ date (00:00:00 UTC). 3.Application of payments ------------------------- Payments will be applied first to interest and then to principal. 4.Prepayment ------------ Borrower may prepay all or any part of the principal without penalty. 5.Late Payment Fees ------------------- If Borrower defaults in payment by more than 3 days of the time set forth herein, then Borrower shall pay an additional late fee in the amount of 1.75% per day. 6.Loan Acceleration ------------------- If Borrower is more than 14 days late in making any payment, Lender may declare that the entire balance of unpaid principal is due immediately, together with interest that has accrued. 7. Security ----------- [ ] This is an unsecured note. [ ] Borrower agrees that until the principal and interest owed under this promissory note are paid in full, this note will be secured by the [ ] mortgage [ ] deed of trust covering the real estate commonly known as ________________________. [ ] Borrower agrees that until the principal and interest owed under this promissory note are paid in full, this note will be secured by the securities described below: ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ 8.Collection Costs ------------------ The undersigned and all other parties to this note, whether as endorsers, guarantors or sureties, agree to remain fully bound until this note shall be fully paid and waive demand, presentment and protest and all notices hereto and further agree to remain bound notwithstanding any extension, modification, waiver, or other indulgence or discharge or release of any obligor hereunder or exchange, substitution, or release of any collateral granted as security for this note. No modification or indulgence by any holder hereof shall be binding unless in writing; and any indulgence on any one occasion shall not be an indulgence for any other or future occasion. Any modification or change in terms, hereunder granted by any holder hereof, shall be valid and binding upon each of the undersigned, notwithstanding the acknowledgement of any of the undersigned, and each of the undersigned does hereby irrevocably grant to each of the others a power of attorney to enter into any such modification on their behalf. The rights of any holder hereof shall be cumulative and not necessarily successive. This note shall take effect as a sealed instrument and shall be construed, governed and enforced in accordance with the laws of the ___________________ (State/Country). 9.Special Conditions -------------------- ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ---------------------------------------------------------------------------- | THIS MESSAGE MUST BE SIGNED BY BOTH PARTIES - BORROWER AND LENDER. | ---------------------------------------------------------------------------- --chmod755