Figure: 7 TAC §90.603(c)(1)

"ACCOUNT/CONTRACT NO. __________________________                                                            DATE OF NOTE ______________________________
CREDITOR/LENDER__________________________________                                                          BORROWER _________________________________
ADDRESS (include county) _____________________________                                                          ADDRESS (include county) _____________________
                ____________________________________________                                                                        ____________________________________

PROPERTY ADDRESS: (include county) ________________________________________________________________________________

A word like "I" or "me" means each person who signs as a Borrower. A word like "you" or "your" means the Lender or "Note Holder."

The Lender is ______________________________. The Lender may sell or transfer this Note. The Lender or anyone who is entitled to receive payments
under this Note is called the "Note Holder."  You will tell me in writing who is to receive my payments.

Principal Amount: $_____________________________________

Terms of Payment (principal and interest) _______________________________"