Single Installment Note

In consideration of value received, I, the undersigned borrower, agree to pay to _________ _______________________ (Lender) the amount of ____________________ ($________), with interest at the rate of ____________ percent (___%) per ___________.

The entire amount, principal and interest, shall be due and payable on or before ______________ , _______.

Failure to make a payment when due shall be considered a default on this note. Should such a default exist for more than a grace period of ____________ (____) days, Borrower agrees to pay Lender all reasonable costs and expenses incurred during collection proceedings, including attorney fees.

__________________________ ________________

Borrower Date