Promissory Note
With Reference To Separate Agreement

[city], [state], [date]

On [date], I promise to pay to the order of [name], the sum of ---------- dollars ($----------), with interest at the rate of ---------- percent (---%) per annum, at the [bank], [address]. This Note is subject to a subordination agreement between Maker and Payee dated [date].

[signature]

Maker

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