PROMISSORY NOTE
(SHORT FORM)

          The undersigned,                                                          (debtor or first party), of                                                                                      (first party's address) hereby agrees to pay the sum of $                  to                                      (creditor or second party) of                                                                                   (second party’s address), plus interest from the           day of                             ,          , at the rate of        % per annum in consideration of:                                                
                                                         (here state the reason such as money loaned, etc.).  Repayment shall be made according to the following schedule:

                                           (date) - $                            (amount of payment)
                                           (date) - $                            (amount of payment)
                                           (date) - $                            (amount of payment)
                                           (date) - $                            (amount of payment)

          Interest due at the time of payment shall be deducted first; then the remainder of the payment shall be applied to principal. Upon failure to pay when due,                                                           (first party) shall be immediately obligated to pay the full amount of principal, all interest plus costs and attorney fees, if any, incurred for recovery by                                                                             (second party).

          This Note is subject to the laws of the State of                             .

          Dated this           day of                             ,          ,                            
                                               (location where note is signed).