$........................... .....................19..

..............................................after date, for

VALUE RECEIVED, ...............................Promise to pay to the order of........................................

the principal sum of...................................Dollars, with interest thereon at the rate of......................per cent per annum, payable.............................yearly, to-wit: on the............................... day of............and of

...........................................in each year, until said principal sum is fully paid. Both principal and interest are payable at....................................................

The several installments of interest, aforesaid, for said period, .................,.........................are further evidenced by...................................interest notes or coupons, of even date herewith.

It is further expressly agreed, that, if default be made in the payment of any one of the installments of interest aforesaid, at the time and place aforesaid, when and where the same becomes due and payable, and such default shall continue for............

....................days after such installment becomes due and payable, as aforesaid, then, and in that event, the said principal sum of................................................Dollars shall, at the election of the legal holder hereof, at once become and be due and payable, anything hereinbefore contained, to the contrary notwithstanding; such election to be made at any time after the expiration of said............days, without notice.

The payment of this note is secured by....................

on real estate in..............................................

No........................ ........................