Employee Loan Promissory Note

Date:
Employer Name:
Employer Address:
Employee Name:
Employee Address:

For value received, the undersigned (Employee) promises to pay to the order of Employer the principal sum of $, together with interest as specified below, and according to the following terms:

1. Loan Amount and Disbursement
2. Interest Rate
Interest Rate (if applicable): %
3. Repayment Terms
Repayment Start Date:
Number of Installments:
Amount Per Installment: $
Frequency (e.g., monthly):
4. Payment Method
5. Prepayment
6. Default
7. Governing Law
This Note shall be governed by the laws of the State of .
8. Other Terms
Employee Signature
Printed Name
Date
Employer Representative Signature
Printed Name & Title
Date