$______________________                   ______________,19__

                FOR VALUE RECEIVED, I, We ________________ (Borrower) 
        promise to pay to the order of ________________(Lender) the sum 

        of ($          )Dollars payable at _____________________ with 

        interest at the rate of_________ (___%) percent per annum.

                This note is No. _____ in a certain series of_____ notes.

                Should there be a default in the payment of any of the 

        notes, then, at the option of the holder hereof, the remaining 

        notes within the series shall immediately become due and payable.

                Signed under seal this _____day of _____, 19__.

        ______________________________      ___________________________
        Witness                             (Borrower)

                                                        Form 102


Return to Table of Contents for

Legal Forms