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<br /> -LENDER: ¡-'RÜNO¡ 1::.. INC. '" (¡ 13) ,j¿":::-'-...li<J,¿ ¡i,...;\._-... '7 'dO
<br /> P. O. BOX 4479 ~~ t\ '11~. Contract Date
<br /> HOUSTON, TEXAS 7721121-4479 6180 1211211211211564
<br /> Agent No. Account No.
<br /> N"ME OF INSURED NAME OF AGENT
<br /> NITSCHE & FERGUSON INS
<br /> A ESS
<br /> 143 EAST AUSTIN
<br /> ZIP CITY STATE ZIP
<br /> 78666
<br /> ø 121121 GI DINGS TEXAS 78942
<br /> SCHEDULE OF POLICIES
<br /> POLICY NO, DATE OF POLICY POLICY TERM INSURANCE COMPANY
<br /> ('F AVAILABLE) (OR OF APPLICATION) (IN MONTHS) ('F AVA'LABLE) TYPE OF COVERAGE PREMIUM
<br /> 1 QUOTE 03-19-86 12 ""RON F STEVES & CO INlAND OR WET MRlNE ~'j'.ló
<br /> 2
<br /> ~
<br /> t VALUE RECE'VED the undersi!!"od INSURED jointly and ...""rallv. if mort than one, TRUTH IN LENDING DISCLOSURES
<br /> IrS to pay to tho order of the ahovo idmtifiod LENDER at ttw add...... of LENDER starod
<br /> tho Total of Pnmonts in con.."..ti"" monthly paymmts a' shown heroin. with anv onpaid
<br /> l....."O and all unpaid additional cha'1l" due on ttw ,a..,.. date on which tho final in...llm.nt is dU<' AMOUNT FlNAN~ TOTAL OF .,ANNU~~.
<br /> and authori.... LENDER to pav t"" insurance company or i.. authori.od a!!"nt tho pr<'111ium .... FINANCED CHARGE PAYMENTS PERCENTAGE
<br /> ronh ht'T<in. Tho amount or Th. dolla, amount Tho amount vou RATE
<br /> CANCELLATION: Ir INSURED fails '0 make tho pannonts at the time and in ,ho amount pm. rredit providod the trodit will will ha... paid The ,'OIt ot
<br /> vided in this a!!"......mt or tht'T< is an. other dorault under t"" terms of this aKr....",e", LENDER to rou or on COOt YoU, ar,er you have aOur r1'alh a.
<br /> made the II<'hodut.
<br /> Olav can",,1 the imuran... policy(i..., .. ""reinafter pmaided. Before surh cancella,ion orru". vour behalf. pannonts. a .oa'" ntt,
<br /> LENDER .!hall first mail a writtm notice to INSURED of the in..nt of LENDER", nncel Iho 251121.0' 193.84 27Ø3.8~ 2121.2121
<br /> policvfit'S) unl... the default is cured within 10 <b.. arter ttw date the writtm notice is mall"". A S S S 'If,
<br /> COI'" or .uch notire or int,,"t to canrel shall also tw. mailod to ,h. ahove Tef...enrod i",urance aJ!"t1!. Your pa"""'nl srh""ul. will br:
<br /> Arter the "piration of the 10 day ""riot! Ri""n 10 cure tho derault. LENDER Olav rancel tho in. ~...hr. of ~~o'"' .( hI P"",,,", Wh.. Pa""",... a.. Our
<br /> luran... poIiryt'I...) b. mailioR a notice of ran""lIation 10 the imurance rompanv and the insurance Pu...n.. P......" n.. nIl. O.r ".....,.r", ,
<br /> polirvfi..¡ Ihall be roncellod as if tho notire of nnrrllation had h...n ,ubmitted bv INSURED. 8 337.98 04-20-86 20th MO.
<br /> Copi.. of such nOtice of cancellation shall also be m,iled to INSURED" INSURED'S la.. known
<br /> addr... and to Ihe ahove referenced insurance a!!"nr. When anv surh in,uran« polirv(i...) is canr,lI.
<br /> od. LENDER shall teeei... the r"um of u....amod premium. and loss paYmon.. and nodi, ,urlt SECURITY' You are KivinK a ....-uritv intere.. in un'amed pTemiums an~ I""s p,vme... on the
<br /> amoun.. on ,"" unp~id balanrr of this loan. aod an. .urph.. of $1.00 or more .hall be refùndod 10 in,urance polirv brinK purcha...d.
<br /> INSURED. LATE CHARGE: If pannent is I.., 10 da.. or more, vou will he dror!!"d 5(' fnr ....h $1.00
<br /> of suçh paYmon!.
<br /> AGENT'S AGREEMENT PREPAYMENT: If vou p" orr ,art.. vou Olav bo ,nl¡<lod to a rerund of pan of the finan« rhaw.
<br /> The und....i ¡n,d warran.. and rep....n.. 'bat: hut on loan, of $100 or Ie". vou ..,11 not"" on,i<lod 10 a refund of anv part or ,h, finan« rhal' !r
<br /> (I¡ This axreemont w.. compl..d as to all of its pmvi.ion. and di,..lo.,ur... before it was railed "acquisition char!!"."
<br /> si!!"rd bv INSI1RED. and a copy th..fflf was drhvered to INSI:RED at the time of See vour ron"art dorum,n.. fnr anv additional information about nnnpaYm,nt d,fa"h. an. requi!"t'Ò
<br /> si!!"inR. repavm,nt in full ""fore the srhodule date. and prepaYment rHunds and penahi....
<br /> (2) Th, sÎ!!"ature of INSURED il J!"t1ui....
<br /> m LENDER will be nolifi"" of an, and all rhanl!'" m the term, of .aid polin!i...). I want ao lTEMIZATlON 0 I do not ..anl an ITEMIZATION g
<br /> 14) Thi. rontran i, bindioK onlv "twn arreptrd and approved hv LENDER. ITEMIZATION 01 tho Amount Financed S (!) (?) (!)
<br /> I~) Ilnd",i fß1'd I, nnt Ih. a!!"nt nf th. LF.NDP:R, and" paYment tn aK,nt II"". nnl ,nn"II"..
<br /> a pa:o'"'en' to ,h. LENDER. Am"'m' Paid tn Othe", nn your behalf S
<br /> (6) Anv refund of pn-mium b. the insurance companv will be promptlv endo....d and forward. (To In,uranr. r.ompanv)
<br /> ,d to LENDER. ADDITIONAL DISCLÒSURES
<br /> m A r°l'" of the imuranre pollry a"plication(,) is a..adtf'd h....o and a rnpv of tho i",uran« Total amount of the premiums for al1 insurance contracts. .1 3349.1i
<br /> polirv(i..) ..iII be forwardod promptly to LENDER Less: Amo~nt,ofthedown payment.........,..........1 ( 2:~:: ~?)
<br /> I~) No"" of the i..uranC<' polici... Tequire the In.uranre rompan. to .~ive more than 10 da...'
<br /> notice of rane.llation art.... ror,ivinK notir, nf nnrell.tinn from LENDER 0 (rh..K if
<br /> Equa!s:Prmclpalbalance,....,.................,....1
<br /> applicable). excep' policy no. which 193.84
<br /> 0 FINANCE CHARGE...........
<br /> requi... .da..' Mlice. 0 Acquisitionchar¡1;e',..,.........
<br /> (9) The inlOUrance company 0 is 0 is nOt admlttod before the Te..s Star. Board of In,uranr<.
<br /> (10) Tho premium. on Ihe policvfi..) are not subject to arreleralion 0 leh,ck' if al'plirable), 0 Instal1mem account
<br /> handlingcharge',..............1
<br /> 'Only applicable when financ:e c:harge is computed under Art. 3.16, Texas Credit
<br /> Code.
<br /> ANY MONEY RECEIVED AnER NOTICE OF CANCELLATION HAS BEEN SENT SHAU
<br /> BE APPLIED TO THE OUTSTANDING INDEBTEDNF.sS OF THE NOTE BALANCE ANn
<br /> SHALL NOT BE CONSTRUED AS A REINSTATEMENT OF THE INSURANCE POLICY
<br /> E INSURED AGREES TO THE PROVISIONS ABOVE AND ON THE REVERSE SIDE.
<br /> INSURED ht'rebyagrees to and, acknowledges this combined Premium Finance Agreement and Truth-in-Lending DisclOfiUre was completed as to al1 of its provision'
<br /> and disclosures before it was signed by INSURED and a copy thereof was delivered to INSURED at the time of signing.
<br /> POWER OF ATTORNEY - NOTICE TO INSURER
<br /> ThIS is 10 inrorm VGU and to ,'enif. that tho premium for ,his poIicv(i..) Ii.. bern furnish"" and to funher State .har in recoj¡Ðition of Iho ,rv""al po..ibllili.. which miKhl rause m. inabill.. 01
<br /> failure to pay anv insurance premium inStallment whon du.. I do irrevorabl.- mako, ronscitu,e. and appoint
<br /> PRONOTE, INC.-P. O. BOX 4It>79--HOUSTON, TEXAS 77218-4479
<br /> hereinaf,... callod LENDER and its ...n !O, my. true and lawful attomev for 01, to cancel and rollrel all retUrn premiums on the ahove Ii""" in.uranee poliryt'i...); and Lender and i.. a..i!!"s i,
<br /> tun""r authori.od and em_rod to e...u.. aU necessa.. written inStruments. lost poliry reloa...., and nOli.... in ronnretion thrr<"With and 10 do wha..vrr is nrensa.. in the cancellation of
<br /> surh policy(...), 'if ~~ ~,[..$.,Z;! Å 1À, ~
<br /> E.ccu,od thi. J ¡I¥ day or 7'J1dA ~~. 19 8'~
<br /> 87 N
<br /> e lA) 7:1//"') 4
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