PAYMENT AGREEMENT
$[Insert Amount]
Date: [Insert Date]
For value received, the undersigned [Insert Name of Borrower] (the "Borrower"), at [Insert
Address], promises to pay to the order of [Insert Name of Lender] (the "Lender"), at [Insert
Address], (or at such other place as the Lender may designate in writing), the sum of $[Insert
Amount] with no interest.
I. TERMS OF REPAYMENT
A. Payments
The unpaid principal shall be payable in full on [Insert Date] (the "Due Date").
B. Acceleration of Debt
If any payment obligation under this Note is not paid when due, the remaining unpaid principal
balance, and any accrued interest shall become due immediately at the option of the Lender.
II. PREPAYMENT
The Borrower reserves the right to prepay this Note (in whole or in part) prior to the Due Date
with no prepayment penalty.
III. COLLECTION COSTS
If any payment obligation under this Note is not paid when due, the Borrower promises to pay all
costs of collection, including reasonable attorney fees, whether or not a lawsuit is commenced as
part of the collection process.
IV. DEFAULT
If any of the following events of default occur, this Note and any other obligations of the
Borrower to the Lender, shall become due immediately, without demand or notice:
1. the failure of the Borrower to pay the principal and any accrued interest when due;
2. the liquidation, dissolution, incompetency, or death of the Borrower;
3. the filing of bankruptcy proceedings involving the Borrower as a debtor;
4. the application for the appointment of a receiver for the Borrower;
5. the making of a general assignment for the benefit of the Borrower's creditors;
6. the insolvency of the Borrower;
7. misrepresentation by the Borrower to the Lender for the purpose of obtaining or
extending credit; or
8. the sale of a material portion of the business or assets of the Borrower.
V. SEVERABILITY OF PROVISIONS
If anyone or more of the provisions of this Note are determined to be unenforceable, in whole or
in part, for any reason, the remaining provisions shall remain fully operative.
VI. MISCELLANEOUS
All payments of principal and interest on this Note shall be paid in the legal currency of the
United States. The Borrower waives presentment for payment, protest, and a notice of protest
and demand of this Note.
No delay in enforcing any right of the Lender under this Note, or assignment by Lender of this
Note, or failure to accelerate the debt evidenced hereby by reason of default in the payment of a
monthly installment or the acceptance of a past-due installment shall be construed as a waiver of
the right of Lender to thereafter insist upon strict compliance with the terms of this Note without
notice being given to Borrower. All rights of the Lender under this Note are cumulative and may
be exercised concurrently or consecutively at the Lender's option.
This note may not be amended without the written approval of the holder.
VII. GOVERNING LAW
This Note shall be construed in accordance with the laws of the State of [Insert State].
VIII. SIGNATURES
This Note shall be signed by [Insert Name of Borrower] and [Insert Name of Lender].
[SIGNATURE PAGE FOLLOWS]
IN WITNESS WHEREOF, this Agreement has been executed and delivered in the manner
prescribed by law as of the date first written above.
Signed this _____ day of _______________, _____, at [Insert Address]
Borrower:
[Insert Name of Borrower]
By: ___________________________________ Date: __________________
[Insert Name of Borrower]
Lender:
[Insert Name of Lender]
By: ___________________________________ Date: __________________
[Insert Name of Lender]
