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Chapter 10

Form 10-25

Allonge

Basic Information

Date:

Holder of Note (“Holder”):

Holder’s Mailing Address:

Transferee:

Transferee’s Mailing Address:

Note

Date:

Original principal amount:

Borrower:

Lender:

Unpaid principal and interest:

[Maturity date:]

Transfer of Note

Reference is made to the Note. This Allonge is to be attached to and made a permanent part of the Note.

Pay the Note to the order of Transferee.

[Include if applicable: This transfer is without recourse against [and/or] without repre­sentation or warranty by Holder, except that] Holder represents that Holder is the person enti­tled to enforce the Note [include if applicable: , the Note is not overdue,] and the unpaid principal and interest on the Note are correctly stated.

When the context requires, singular nouns and pronouns include the plural.

   
[Name of holder]