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T17 : PROMISSORY NOTE AND INSTALLMENT AGREEMENT

Required entries are indicated by blue icons or *

Tenant(s)* (required)

Tenant(s)

et al (and all others)

Property Address* (required)

Unit #

City (Oregon ONLY)

OREGON Zip Code

Amount:

0.00

Due Date:

mm/dd/yyyy

I, or if more than one, we, jointly and severally, promise to pay to the order of Owner/Agent (name):

Payee Name

at the address listed below, the sum of

0.00

with interest at the rate of

percent per annum, payable in

# Payments

monthly installments of

0.00

Payments include interest

Plus interest.

If any installment is not paid as agreed when due, the entire balance of principal and interest shall become immediately due and payable. The principal balance then will include reasonable costs for collection, including court costs and attorney’s fees.

Payment Schedule

Due Date:

mm/dd/yyyy

Amount:

0.00

Due Date:

mm/dd/yyyy

Amount:

0.00

Due Date:

mm/dd/yyyy

Amount:

0.00

Due Date:

mm/dd/yyyy

Amount:

0.00

Due Date:

mm/dd/yyyy

Amount:

0.00

Due Date:

mm/dd/yyyy

Amount:

0.00

Please Note: Payor Signature fields must be signed and dated after printing.

Payor 1

Name (please print)


Signature:				Date:

Payor 2

Name (please print)


Signature:				Date:

Payor 3

Name (please print)


Signature:				Date:

Payor 4

Name (please print)


Signature:				Date:

Please Note: Signature fields must be filled in and signed by all parties after printing.


Owner/Agent Signature:			Date:

MAKE PAYMENTS TO:

Owner/Agent

Address

City

State

Zip

Telephone

T17 : PROMISSORY NOTE AND INSTALLMENT AGREEMENT

Rev.1/22

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