Blank Promissory Note

Blank Promissory Note is a legal instrument signed and released by the borrower of a loan to the lender. This document has spaces for the signature of the witnesses to validate its legality. The promissory note has a provision to define its status as secured or unsecured note.

Furnishing details under this provision is mandatory. State laws of the concerned State govern the jurisdiction of the promissory note. Notarization of the document is not mandatory; however, it offers significant legal validity. Mentioning the repayment mode is necessary. The promissory note signed by the borrower, lender, and the witnesses is legally binding on all the involved parties. Furnishing all details and making the choices in boxes is compulsory.

Blank Promissory Note

The first section of the Promissory Note has space for furnishing borrower’s information. Mention the legal name, date of execution of the promissory note, street address, city, name of the state, and zip code of the borrower followed by the date of the birth, telephone number with area code, driver’s license number, and social security number in the spaces provided for the same.

The next portion of the promissory note requires input of lender’s information like legal name, street address, city, name of the state, and zip code. Continue by providing the telephone number with area code. Enter a name that requires appearing on repayment checks if the mode of repayment selected is checks. Mention the address for remittance of the repayment.

The third section of the promissory note has space for furnishing loan information. Type the loan amount, tenure, rate of interest, and payment schedule in the respective spaces.

Continue typing the borrower’s name followed by the lender’s name, loan amount in US dollar, rate of interest in the spaces in section 1. Furnish the details of the installments in section 2. Choose one between two choices of one lump repayment and type the date or mention the number of the installments, nature of the intervals, and the day of the month for repayment in installments. Alternately, select option 3 in case, the borrower wants to pay in installments as well as a final balloon payment. Furnish the number of installments followed by the amount and nature of intervals. Enter the amount and date of the balloon payment in the space provided for the same.

Now proceed to section 5 and mention the number of days of delayed repayment to declare a default.

Selecting the correct type of promissory note is necessary in the section 7. Select any one choice among three offered here and strike out the other two. Furnish additional pertinent information like business name required in option 2 or choice between the mortgage or deed of trust followed by real estate name and description as necessitated in the option 3.

Mention the name of the state to sanctify the jurisdiction. The succeeding portion of the promissory note has space for signatures of two neutral witnesses followed by the signature of the borrower and lender. Insert the date in front of each signature to execute the promissory note.

Text Version of this Form



Borrower Information:


Street Address:


Date of Birth:


Area code/Telephone number:


Driver’s License Number:


Social Security Number:


Lender Information:


Area code/Telephone number:
Street Address:


If paying by check, make check payable to:



Send payments to:








Loan Information:
Loan Amount:Loan Period:


Interest Rate:Payment Schedule:





  1. Promise to Pay. For value received, ____________________ (Borrower) promises to pay ____________________ (Lender) $___________  and interest at the yearly rate of _____% on the unpaid balance as specified below.
  2. Installments.

Borrower will pay ______ payments of $_____ each at monthly/yearly/_________ intervals on the _____ day of the month.

Borrower will pay one lump payment on ______________ date.

Borrower will pay ______ payments of $_____ each at monthly/yearly/_________ intervals with a final balloon payment of ____________ at the end of the loan term on _________ date.

  1. Application of Payments. Payments will be applied first to interest and then to principal.
  2. Prepayment. Borrower may prepay all or any part of the principal without penalty.
  3. Loan Acceleration. If Borrower is more than _______ days late in making any payment, Lender may declare that the entire balance of unpaid principal is due immediately, together with the interest that has accrued.
  4. Security

This is an unsecured note.

Borrower agrees that until the principal and interest owed under this promissory note are paid in full, this note will be secured by a security agreement and Uniform Commercial Code Financing statement giving Lender a security interest in the equipment, fixtures, inventory and accounts receivable of the business known as ____.

Borrower agrees that until the principal and interest owed under this promissory note are paid in full, this note will be secured by the


deed of trust covering the real estate commonly known as _________________

and more fully described as follows:   ___________________________________

  1. Collection Costs. If Lender prevails in a lawsuit to collect on this note, Borrower will pay Lender’s costs and lawyer’s fees in an amount the court finds to be reasonable.

The undersigned and all other parties to this note, whether as endorsers, guarantors or sureties, agree to remain fully bound until this note shall be fully paid and waive demand, presentment and protest and all notices hereto and further agree to remain bound notwithstanding any extension, modification, waiver, or other indulgence or discharge or release of any obligor hereunder or exchange, substitution, or release of any collateral granted as security for this note. No modification or indulgence by any holder hereof shall be binding unless in writing; and any indulgence on any one occasion shall not be an indulgence for any other or future occasion. Any modification or change in terms, hereunder granted by any holder hereof, shall be valid and binding upon each of the undersigned, notwithstanding the acknowledgement of any of the undersigned, and each of the undersigned does hereby irrevocably grant to each of the others a power of attorney to enter into any such modification on their behalf. The rights of any holder hereof shall be cumulative and not necessarily successive. This note shall take effect as a sealed instrument and shall be construed, governed and enforced in accordance with the laws of the State of  __________________.

Witnessed:  ________________________  Date: ______________

Witnessed:  ________________________  Date: ______________

Borrower:  _________________________  Date: ______________

Lender:  ___________________________  Date: ______________