[Firm Name]

[Firm Name]

401(K) PLAN

PROMISSORY NOTE

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Employer and Plan              Name of Plan:                                                                                              

Information                           Name of Employer:                                                                                                  

Address:                                                                                                         

City:                                                      State:              Zip:                           

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STATE OF:                                                                           

 

COUNTY OF:                                                                      

 

                                                                                                            $                                                         

Participant                                                                                                    Amount of Note

 

                                                                                                                                                                         

Address                                                                                                         Date of Note

 

FOR VALUE RECEIVED, the undersigned (the Maker) promises to pay to the order of the Trustee of the [Firm Name] 401 (k) Plan, the sum of                                 Dollars ($                  ), plus interest at the rate of      % said principal and interest thereon to be paid in the following manner:

 

Any holder hereof may declare all amounts due hereunder to be immediately due and payable whenever the holder deems itself insecure or upon the default in any payment hereunder, or upon the Maker's failure to comply with the terms hereof, or upon the Maker's insolvency, bankruptcy, death or incompetence. After maturity, this note will

bear interest at the highest legal rate. The Maker (I) promises to pay all costs of collection, including a reasonable attorney's fee, upon any default hereunder, whether in connection with collection, trial, appeal or otherwise; and (2) waives presentment, demand, notice or dishonor and protest.

 

This loan is secured by the Maker's Irrevocable pledge and Assignment of the Maker's vested interest in the [Firm Name] 401 (k) Plan, a copy of which is provided with this note. The security interest created by the security agreements, if any, extends to all other and future obligations of the Maker.

 

The Maker of this note consents to renewals, replacements and extension of time for payment hereof before, at or after maturity, consents to the acceptance of security or substituted security for this note and waives demand and protest and the right to asset any statute of limitations.

 

Dated this                  day of                                                            

 

                                                                                                                                                                       

Witness                                                                      Maker

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401(k)_Plan_Promissory_Note.doc




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