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Lender (Payee)

Lender Information

Entity Type Individual Person Corporation Limited Liability Company (LLC) Partnership Sole Proprietorship Trust Non-Profit Organization Government Entity

Select the type of entity

Full Legal Name

As it should appear on the document

Doing Business As (DBA)

Optional trade name

State of Formation Select state... Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming District of Columbia

Where the entity was formed

Authorized Representative

Person authorized to sign

Representative Title

Title or position

Address

Street Address

Full street address including suite or unit number.

City

City of lender residence or business.

State Select... Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming District of Columbia

State where this address is located.

ZIP Code

5-digit ZIP code.

Email Address

Used for correspondence and notices.

Phone Number

Best number for direct contact.

Borrower (Maker)

Borrower Information

Entity Type Individual Person Corporation Limited Liability Company (LLC) Partnership Sole Proprietorship Trust Non-Profit Organization Government Entity

Select the type of entity

Full Legal Name

As it should appear on the document

Doing Business As (DBA)

Optional trade name

State of Formation Select state... Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming District of Columbia

Where the entity was formed

Authorized Representative

Person authorized to sign

Representative Title

Title or position

Address

Street Address

Full street address including suite or unit number.

City

City of borrower residence or business.

State Select... Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming District of Columbia

State where this address is located.

ZIP Code

5-digit ZIP code.

Email Address

Used for correspondence and notices.

Phone Number

Best number for direct contact.

Note Terms

Principal Amount ($) *

The amount borrowed. Interest (if any) will be calculated on this figure.

Annual Interest Rate (%)

Enter 0 for an interest-free note. The IRS may impute interest on interest-free loans between family members above $10,000 (AFR rules apply).

Issue Date *

The date the note is signed and funds are transferred. Interest begins accruing from this date.

Due Date *

The date by which the full amount must be repaid. Must be after the issue date.

Repayment Type * Select… Lump Sum at Due Date Monthly Installments Interest-Only with Balloon Payment On Demand

Lump sum is simplest for short-term notes. Monthly installments reduce default risk for larger amounts.

Monthly Payment Amount ($)

Required if "Monthly Installments" is selected. Calculate to ensure the note is fully paid by the due date.

Late Payment Fee ($)

A flat fee charged after the grace period expires. Check your state's maximum allowable late fee.

Governing Law (State) * Select… AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming

Determines which state's usury laws set the maximum enforceable interest rate.

Collateral & Security

Secured Note (Collateral Required)

A secured note gives the lender a right to seize collateral on default. Unsecured notes are simpler but offer less protection.

Collateral Type Select… Real Estate Vehicle Equipment Inventory Accounts Receivable Securities Other

For real estate collateral, a separate deed of trust or mortgage document may be required. Consult an attorney.

Collateral Description

Include all identifying details — VIN for vehicles, parcel number for real estate, serial numbers for equipment.

Estimated Collateral Value ($)

The current fair market value. Should comfortably exceed the loan amount to provide adequate security for the lender.

Personal Guarantee Required

Useful when lending to a business entity — the guarantor personally covers the debt if the entity defaults.

Guarantor Full Name

The guarantor should sign the note separately to make the guarantee binding.

Guarantor Relationship to Borrower

Describe how the guarantor knows the borrower (e.g., business owner, co-founder, spouse). Helps establish credibility of the guarantee.

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Not Legal Advice: This automated form assistance tool provides general information and document templates. It is not a substitute for legal advice from a qualified attorney. Laws vary by jurisdiction and change over time. Consult with a licensed attorney for advice specific to your situation.
Last updated: January 2026