_____________ (month & day) ,____ (year)


FOR VALUE RECEIVED, the undersigned (jointly and severally if more than one) promises to pay to the order of ____________________ the sum of _____________

($_____) together with interest thereon at the rate of ___________ percent (___%) per annum in monthly installments of __________________ ($__________).  All unpaid amounts of principal and interest shall be due and payable on _____________ (month & day), _____ (year).


This note is secured by a mortgage of the real estate located at ____________________ ____________________________ and duly recorded with the __________________ Registry of Deeds.  Upon the default in any payment of principal or interest as provided herein, the entire balance then remaining unpaid shall immediately become due and payable at the option of the holder hereof.  In the event of default, the undersigned further agrees to pay all reasonable attorney fees and collection cost.


Signed under seal this ______ day of _________ (month), _____ (year).



_______________________________                                    _____________________________

Signature                                                                           Date



__________________________                            ___________________________

Witness                                                                    Date