Conditional Sale Agreement : Please fill out the following form. Please print your completed form if you would to have a copy for your records.




The undersigned Purchaser hereby purchases from (Name of the seller with address) the following goods.


(Brief Description of the Goods)


Sales price : $


Sales tax (if any) : $


Finance charge : $


Insurance (if any) : $


Other charges (if any) : $


Total purchase price : $


Less :


Down Payment : $


Other credits : $


Total Credits : $


Amount financed : $


ANNUAL INTEREST RATE : %


The amount financed shall be payable in 10 installments of $1000each, commencing from date hereof.


Seller shall retain title to goods until payment of the full purchase price, subject to allocation of payments and release of security interest as required by law. The undersigned agrees to safely keep the goods, free from other liens and encumbrances at the below address, and not remove goods without consent of Seller.


Purchaser agrees to execute all financing statements as may be required of Seller to perfect this conditional sales agreement.


At the election of Seller, the Purchaser shall keep goods adequately insured, naming Seller loss-payee.


The full balance shall become due on default; with the undersigned paying all reasonable attorneys fees and costs of collection. Upon default, Seller shall have the right to retake the goods, hold and dispose of same and collect expenses, together with any deficiency due from P u r c h a s e r, but subject to the Purchaser’s right to redeem pursuant to law and the Uniform Commercial Code.


THIS IS A CONDITIONAL SALE AGREEMENT.


Accepted :


Seller :


Purchaser :


Address :


By :








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