Retail Installment Contract, Note & Disclosure Statement

EXHIBIT 10.3


RETAIL INSTALLMENT CONTRACT, NOTE & DISCLOSURE STATEMENT


THIS AGREEMENT, made this ________ day of ________________ between


Seller Buyer(s)


Address AND Address


(Hereinafter called Seller) (Hereinafter called Buyer)


Property Where Improvements Will Be Located


The undersigned Buyer hereby purchases from the Seller the following described goods and services and promises to pay Seller or its Assignee the amounts shown on the terms shown below, and as security for the payment and performance of Buyer's obligations under this contract Buyer shall execute and deliver to the Seller a Contract for Labor and Materials and Trust Deed on the property where improvements will be located and/or any other property offered as security. This is also a purchase money security interest. =============================================================================== Complete description of the goods and work to be done and materials to be used.
(Attach specifications sheet if necessary)


- ------------------------------------------------------------------------------------------------------------------------------- ANNUAL FINANCE AMOUNT TOTAL OF TOTAL SALE PRICE PERCENTAGE CHARGE FINANCED PAYMENTS RATE The cost of your The dollar amount The amount of credit The amount you will have The total cost of your credit as a yearly your credit will provided to you or on paid after you have made all purchase credit, including rate cost you. your behalf. payments as scheduled. your downpayment of
$
% $ $ $ $ - ------------------------------------------------------------------------------------------------------------------------------- Your payment schedule will be: - -------------------------------------------------------------------------------------------------------------------------------
Number of Payments Amount of Payments When Payments are due - -------------------------------------------------------------------------------------------------------------------------------
Monthly beginning days after loan disbursement.
Estimated Maturity Date e - -------------------------------------------------------------------------------------------------------------------------------
______________
e means an estimate PROPERTY INSURANCE IS REQUIRED: You may obtain property insurance from any insurance company authorized to transact business in Texas that is acceptable to Seller Security. You are giving a security interest in:
/ / The goods or property being purchased
/ / (brief description of other property)


LATE CHARGE: If a payment is late ( days or more after due date), you will be charged a late charge equal to % of the payment, not to exceed $


PREPAYMENT: If you pay off early, you
/ / may / / will not be entitled to a refund of part of the Finance Charge.


See other provisions of this document for any additional information about non-payment, default, any required repayment in full before the scheduled date, and prepayment refunds and penalties. - -------------------------------------------------------------------------------------------------------------------------------


TO CONTACT ABOUT THIS ACCOUNT CALL . "THIS CONTRACT IS SUBJECT IN WHOLE OR IN PART TO TEXAS LAW WHICH IS ENFORCED BY THE CONSUMER CREDIT COMMISSIONER, 2601 NORTH LAMAR BOULEVARD, AUSTIN, TEXAS 78705-4207. PHONE (512) 479-1285, (800) 538-1579. CONTACT THE COMMISSIONER RELATIVE TO ANY INQUIRIES OR COMPLAINTS."


ITEMIZATION OF AMOUNT FINANCED


Itemization of the Amount. Financed of $
$ Amount given to you directly
$ Amount given on your existing account Amount paid to others on your behalf
$
$
$
$
$
$


The face amount of the decreasing term credit life insurance, if any, is equal to the lesser of the principal balance owing to the creditor as such may exist from time to time or $20,000.00. The term of the insurance, if any, coincides with the length of the repayment schedule, subject however, to a maximum term of 12 years. The credit life policy will be written through ________________________________. Charges for recording, intangible taxes and title and credit examinations are borne by Seller. Buyer hereby acknowledges that he was not quoted any total sale price for the goods and services provided for in this contract other than the total sale price stated above. Buyer hereby acknowledges that this contract was completed as to all essential provisions before it was signed by Buyer, and two copies thereof were delivered to Buyer at the time this contract was signed. All of the terms and conditions on page 2 hereof are incorporated into this agreement by reference. Time is of the essence of this contract. SELLER REPRESENTS THAT HIS NOTES, CONTRACTS AND/OR DEEDS OF TRUST ARE ROUTINELY SOLD TO FINANCIAL INSTITUTIONS, AND ANY COST ATTENDANT IS BORNE SOLELY AND ENTIRELY BY SELLER.


NOTICE TO THE BUYER: DO NOT SIGN THIS CONTRACT BEFORE YOU READ IT OR IF IT CONTAINS BLANK SPACES. YOU ARE ENTITLED TO A COPY OF THE CONTRACT YOU SIGN. UNDER THE LAW YOU HAVE THE RIGHT TO PAY OFF IN ADVANCE THE FULL AMOUNT DUE AND UNDER CERTAIN CONDITIONS MAY OBTAIN A PARTIAL REFUND OF THE FINANCE CHARGE. KEEP THIS CONTRACT TO PROTECT YOUR LEGAL RIGHTS. NOTICE: SEE PAGE 2 FOR IMPORTANT ADDITIONAL CONTRACT TERMS.
CAUTION - IT IS IMPORTANT THAT YOU
THOROUGHLY READ THE CONTRACT
BEFORE YOU SIGN IT


____________________________________ X _________________________________
(Seller) (Buyer)


By _________________________________ X _________________________________
(Title) (Buyer)


"IMPORTANT NOTICE: YOU AND YOUR CONTRACTOR ARE RESPONSIBLE FOR MEETING THE TERMS AND CONDITIONS OF THIS CONTRACT. IF YOU SIGN THIS CONTRACT AND YOU FAIL TO ...