This Agreement, made this.........day of.........A. D. 190...

between.........of........., the party of the first part, and........., of

........., the party of the second part,

Witnesseth : That said party of the first part has delivered, and said party of the second part has received, the following described personal property, to-wit: (Description) of the value of $........., which

.........the party of the second part is to keep in like good order, and for the use of which the party of the second part is to pay the sum of $......... (same amount as above) as follows: $......... upon the execution and delivery of this agreement, the receipt whereof is hereby acknowledged, same being accepted as a payment for the first month only, and thereafter at the rate of $......... per month, payable monthly in advance on the.........day of each month, at the office of the party of the first part, without notice or demand, together with interest at the rate of.........per cent per annum on all amounts unpaid after becoming due, until paid.

That the said party of the first part will, at the end of said term, sell and convey to said party of the second part, the said goods and chattels for and in consideration of the sum of.........dollars, and will execute to the said party of the second part a bill of sale thereof.

Said party of the second part hereby agrees to keep said property insured for three-fourths of its value for the benefit of the said party of the first part.

It is further agreed, that the said goods and chattels shall not be removed from the premises now occupied by said party of the second part during the continuance of the above mentioned lease without the written consent of the said party of the first part.

It is further provided, that a failure to pay any or either of the aforesaid sums of money when and as the same shall become due, or any removal or attempted removal of said goods and chattels from said place without the written consent of the said party of the first part, shall make void this lease and agreement at the option of the said party of the first part; and the said party of the first part shall have the right to retake said goods and chattels, and may enter and retake possession of the same at maturity of any payment, or any time thereafter, or upon the failure to make such payments, or upon the violation of the terms of said lease in any manner whatsoever, and may retain any or all sums of money paid on this agreement and lease as damages for any injury to said property and for the use of same, and for expenses in moving and taking possession thereof; and said party of the second part does also hereby waive all right of homestead or other exemptions under laws of said state, as against this obligation.

In Witness Whereof, The said parties have hereunto set their hands and seals the day and year herein first above written.

..............................(Seal)

..............................(Seal)