DEBT AGREEMENT CONTRACT

Date: ___________

FOR VALUE RECEIVED, the undersigned, ____________________________________ (the

“Debtor”), located at ____________________________________, hereby promises to pay to the
order____________________________________, (the “Creditor) located at
____________________________________ , the principal sum of _____________________
together with interest on the principal balance and in accordance with the terms set forth below.

I. Interest shall accrue on the unpaid balance of the loan at the rate of ____ percent per annum,
compounded monthly. Accrued interest shall be added to the unpaid balance.

II. The Debtor shall make payments to the Creditor on the ______ day of each month. Each
payment shall be no less than ______________. The entire balance due shall be paid in full no
later than _______________.
(MM/DD/YYYY)

III. If the entire balance due is not paid in full by _______________ or if Debtor fails to make a
(MM/DD/YYYY)
payment for more than 30 days after it’s due date, then the Creditor shall be entitled to demand the
entire balance due immediately and take legal actions necessary to collect the debt. Any and all
costs of collecting the debt hall be added to the amount owed by the Debtor.

IV. The Creditor shall collect _______________________________ as collateral for the borrowed
sum (hereinafter referred to as Collateral Security)

IN WITNESS to their acceptance and agreement to all of the terms of this debt agreement, the
Creditor and Debtor affix their signatures below.

_______________________________ _________________ ___________

Debtor’s Printed Name Debtor’s Signature Date

_______________________________ _________________ ___________

Creditor’s Printed Name Creditor’s Signature Date