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Pledge

(As Collateral Security to Secure Payment)

Know all men by these present that ____________, of ____________, for valuable consideration paid, hereby DEPOSITS and PLEDGES with ____________, as collateral security to secure the payment of ______________ ($ _______ ) Dollars on ________,19___ with ___% percent interest per annum, payable _______________________________ as provided in note of even date, or any renewals thereof and to secure the payment of any other direct or indirect, primary or secondary liability, joint or several, or any renewals thereof, of the undersigned to said __________________, due or to become due, or that may hereafter be contracted and to secure any judgment on any of the foregoing, the following described property:

The holder hereof may collect any part of said security by any lawful means. In witness whereof we hereunto set our hands and seals this ____ day of _________, 19___.

Date: ______________.

_______________________________

Signature

Witnessed BY: ___________________________