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 IOU (I Owe You) FormFor the value received, I, the undersigned Debtor _____________whose mailing address is _______________, _____________, _____________, ______________, (hereinafter referred to as “Borrower”)hereby acknowledge and confirm to be indebted to the Creditor ____________whose mailing address is _______________, ____________, ____________, _____________, (hereinafter referred to as “Lender”)with the principal amount of ________________ dollars ($ ________________). The amount includes any and all legally permitted charges and interests, up to the dates set forth below.I acknowledge and agree to pay the entire amount on or before _______________, for which I shall pay an installment of ________________ dollars ($ ________________), on or before every ________________ of the month beginning on ______________.I hereby signed this document on ________________ in front of the witness named below._____________________ __________________________NAME OF BORROWERNAME OF BORROWER____________________NAME OF WITNESSACKNOWLEDGMENT OF NOTARY PUBLICSTATE OF ________. On this __________________, before me appeared _______________, as Seller of this Bill of Sale, who proved to me through government-issued photo identification to be the above-named person, in my presence executed the foregoing instrument and acknowledged that he/she executed the same as his/her free act and deed._________________Notary PublicMy commission expires: _________________ ................
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