Conditional Sale Agreement

Date: ____________________________
Be it known that _____________________________________________ (Buyer) agrees to
purchase from: _________________________________________ (Seller) the following
described items: (Describe or attach)
_____________________________________________________________________________
_____________________________________________________________________________
Sales price
Sales tax
Finance charge
Insurance
Other charges
Total purchase price
Less:
Deposit
Other credits
Total credits

$ ______________
$ ______________
$ ______________
$ ______________
$ ______________
$ ______________
$ ______________
$ ______________
$ ______________

Amount financed

$ ______________

ANNUAL INTEREST RATE ______________%

The amount financed shall be paid in________________ (weekly/monthly) installments of
$_____________ each, beginning one (week/month) from the above date.
The seller shall retain title to the items sold until full payment of the purchase price, subject to
payment credits and release of this security interest as required by law. The undersigned agrees
to safely keep the items free from other liens and encumbrances at the below address and to not
remove goods without seller's consent.
Buyer further agrees to execute all financing statements as may be required to perfect this
conditional sales agreement, and the Buyer shall keep goods adequately insured, naming Seller
loss-payee.
The full balance of the purchase price shall become due upon any default; and the undersigned
shall pay all reasonable attorney's fees and costs of collection. Upon default, Seller may reclaim
the goods, hold and dispose of same, and collect expenses, together with any deficiency due
from Buyer, subject to the Buyer's right to redeem said items pursuant to law and the Uniform
Commercial Code.
THIS IS A CONDITIONAL SALE AGREEMENT.
Accepted by:
Seller

Buyer

Address

Address

By

By

This Agreement or Financing Statements must be recorded as required by state law to protect
your rights.