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HEARNAP — Part 17
Page 562
562 / 901
e @ °.
* Broker LALE CHARGLS: & lote charge of $94 38 poyoDle on any payment fast aue LY days.
“I My person is seouired as a condition precedent to financing =| Purchaser certefies that he is of lagol aze, and agrees to sign 2 Seewtily Sgreemart according ta
se cha colt vehicle that any insurance be negotiated or purchased ihe terms heer, bn the event Payoff figcres Me moit than quoted by the Ferchas2t, Prech Ser
a parlicutar insurance arent or drdker, harebdy antces {0 Caz this excess ca densa, Inie ocdne is subtect to cecdit aperaval and + act Dod
“ee : jeg yntese signed by am acthoneed reotes -ntative of Seiler. au used 0316 af treths $ac9 “AS-IS”
and withot preciatse as to Cavsitinn, yAar of motel gidass sthormge spcc.tied ik witty.
PROCELOS OF LOAM — FAOM
Aaivunt of Loa
Total Amount .
of toan $____ Payee in
C) Paid Here vsth 201 TY Delorred (2F) . :
NOTICE TO BUYER ON GUTSICE LOAN—Puyer may be recuited lo pledre security fer 3
saa, woKA Ss teally derted U3 by beste ead insces, Gace ei te
obeatd bt goa LOU BE CONSHAGHAL SALES o.07824
SiG cae ¥ 27 se asd ane fee Poo oe en
NOTE G3 THE CUTER: Vy Be fot sus Stes Rttecmend Before yeu c#3g rt of ef tt LETIEAS oF
sant spaces io be filed is, F2) ace are ended fo 3 ennsigtely Sileduscosy of (hes acrtete*
2) Urge Whe te yoo baer We gad toy cod ig reetere dhe fe omocet cse mesoae to ocr.
CONEHIAT (2 Cularm | paraad Cecend wh Mie fiasce o66i 72, ap b yos Gertud ar Ge pert. ances
your gihizatons poder ts asgesseat, the reh: may De fepessessed and you maz be acdsret ¢
Seah and Mabraty tee ihe espaid mlc ote Ste5s evczeaces b; this azecer cat.
RECEIPT_OF sh FILLED-IN COPY OF THIS ACREEMENT IS BER SY) ACKNOWLEDGED BY PURCHASER
AT INCURENCE RETHORWATION = Abte__ =
nadersiened volumtioly requests the following credit, ensurance for
ware Gh the reat wed urcavetonds Ghat SUCH TGURANEE ES RAT
MELD BS A CONBINOI TO EMIS CREDIT EXTENSION,
+) Cred Bisabitety insurance: Premium $
hy Credit Like insurance Feemium for ont person $_______.-_-
ig te A
HIHANCE CHARGE $
fastaliments of $
Prenius fer stbboaal inseerd signed below $
sdors ared schncat 5 gscls jure cf Che cost ef cuca insurance as
Rete ong ath riites nthutien cf fe preswems it ine batance pay:
saunter Pes cohgotas,
AReP
unterigned eequests credit tide arsucance a3 an atdtonal insured:
y, .
a ARO).
—serthates ~~
ape.
~-AS NAMED ABOYVE/ al J ef Furchaser's erp oe SOR feat +
f\ Bate { } f 2) ‘a natut ; Ay A PRR I OES:
fi. - Signaiuit a an : WZ. —
a eee eet | . EE ann —T
; Aylnetieed Representatere et Seller ‘ AODTIOHAL TERMS ON REVERSE HERLUE
"+2 eof¥ay (REG Tr — SS whine ING £0 , LOS ANGELES - BUALINGANL COPYRIGHT 1972 — ALL PIGHTS BLSLAVEO ST LAW preupeea cr. t
; ’
ah °
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