_________ after date, without grace, for value received _________ promise to pay to the order of _________ at $_____ with interest at the rate of _________ percent per _________ from _________ until paid, interest payable _________. Should the interest not be paid it shall, at the option of the holder of this note, become a part of the principal and thereafter bear like interest as the principal. Should the interest not be paid when due, then the whole sum of principal and interest shall become immediately due and payable at the option of the holder of this note. Principal and interest payable in lawful money of the United States. Should action be commenced, or an attorney employed to enforce payment of this note, _________ agree to pay a reasonable sum as attorney fees in such action. Notwithstanding anything contained here to the contrary, the amount of interest payable under the terms of this note shall in no event exceed the maximum amount of interest permitted to be charged by law as of the date of this note.

[Place and date]