Promissory Note

Date:
Principal Amount:
Borrower Name: Borrower Address:
Lender Name: Lender Address:

Promise to Pay

For value received, the undersigned ("Borrower") promises to pay to the order of the Lender the principal sum stated above, together with any interest as agreed, in accordance with the terms and schedule set forth below.
Interest Rate: Payment Schedule: Maturity Date: Other Terms (if any):

Debt Acknowledgement

The Borrower acknowledges owing the debt as described in this Promissory Note and agrees to pay the sum under the terms specified above.
Borrower's Signature Printed Name: Date:
Lender's Signature Printed Name: Date: