Know all men by these presents that ________________ 
        of _______________________________, for valuable consideration 
        paid, hereby DEPOSITS and PLEDGES with  ________________ 
        ___________, as collateral security to secure the payment of 
        _____________($             )Dollars on ________,19___with ___% 
        percent interest per annum, payable ___________________as 
        provided in note of even date, or any renewals thereof, and to 
        secure the payment of any other direct or indirect, primary or 
        secondary liability, joint or several, or any renewals thereof, 
        of the undersigned to said ______________, due or to become due, 
        or that may hereafter be contracted, and to secure any judgment 
        on any of the foregoing, the following described property: 
             The holder hereof may collect any part of said security by any 
        lawful means.  In witness whereof we hereunto set our hands and 
        seals this ____day of _________, 19__.
        Signatures Witnessed By:            ____________________________
        ___________________________         ____________________________


                                                        Form 127


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