Hebrew Interest-free Loan Program of Central New York

5655 Thompson Road DeWitt, NY 13214
315-445-2040 x114

The undersigned Cosigner has read the Promissory Note executed with the following information:

Promissary Note Completed On

Borrower's Name

In consideration for Hebrew Interest-free Loan Program of CNY (HILP) making the loan to Borrower, the undersigned hereby agrees to be Cosigner on said Note and to be jointly and severally liable for all obligations of Borrower set forth therein. HILP shall have no obligation to give notice of default by Borrower to Cosigner.

For value received, I promise to pay, without notice or demand, to the order of the Jewish Federation of Central New York ("Holder") the sum of:

Cosigner's Name

Cosigner's Address

Cosigner's Signature

I have read and agree to the terms above.

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Name

Mobile Phone Number

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Cosigner Repayment Form

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